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Alcohol treatment in Medicaid managed care plans: Disparities in policies and outcomes

Award Number: R01AA029821
ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/20/2021
PERIOD OF PERFORMANCE END DATE: 05/31/2027

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Alcohol treatment in Medicaid managed care plans: Disparities in policies and outcomes - Almost 90,000 Americans die annually from alcohol use. Rates of alcohol-related morbidity and mortality are disproportionately high and increasing. Despite the health consequences, fewer than 10% of those with alcohol use disorder (AUD) receive evidence-based treatment. Barriers to treatment include stigma, treatment setting appeal, and health insurance benefit design. Medicaid provides health insurance for more than 77 million Americans, and rates of AUD are especially high in the Medicaid population. Almost all state Medicaid programs contract with Medicaid managed care organizations (MMCOs) to deliver and manage health care services. MMCOs must adhere to state requirements and policies but have considerable discretion over polices that may influence access, treatment appeal, and cost. However, there is almost no information or transparency on MMCO polices related to alcohol treatment services. This study systematically examines AUD treatment policies in MMCOs, an under-explored level where important decisions are made. We will conduct a national survey of MMCOs and link their responses to patient-level Medicaid data. The specific aims are: 1) Assess Medicaid MMCO alcohol treatment policies (e.g. coverage, utilization management, provider networks, innovations) across MMCOs that contract with 50 states and the District of Columbia; evaluate whether there are differences in MMCO alcohol treatment policies by state Medicaid policies. 2) Evaluate the relationship between MMCO policies and access to AUD treatment (e.g. initiation and engagement in treatment, follow-up after hospitalization). 3) Evaluate the relationship between MMCO policies and alcohol treatment outcomes (e.g. treatment retention, hospitalization, ED visit). Our interdisciplinary team is uniquely qualified with experience conducting rigorous analyses and conducting four previous commercial health plan behavioral health studies. Findings will provide valuable information on MMCO policies associated with access, treatment appeal and cost for all Americans. This information can be used by plan administrators as they develop and implement policies, state Medicaid directors as they contract with and regulate MMCOs, and federal policy makers making determinations about Medicaid waivers and other efforts to improve access to alcohol treatment in the US.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	TRUSTEES OF BOSTON UNIVERSITY	85 EAST NEWTON ST # M-921	BOSTON	MA	02118	SUFFOLK	USA	Alcohol Research Programs	001	5	3/17/2026	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2026	2024	BRANDEIS UNIVERSITY	415 SOUTH ST	WALTHAM	MA	02453	MIDDLESEX	USA	Alcohol Research Programs	000	4	1/15/2026	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $567,721 )
2025	2025	TRUSTEES OF BOSTON UNIVERSITY	85 EAST NEWTON ST # M-921	BOSTON	MA	02118	SUFFOLK	USA	Alcohol Research Programs	001	5	9/12/2025	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$567,721
2025	2024	BRANDEIS UNIVERSITY	415 SOUTH ST	WALTHAM	MA	02453	MIDDLESEX	USA	Alcohol Research Programs	000	4	9/11/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $567,721

Issue Date FY: 2024 ( Subtotal = $590,083 )
2024	2024	BRANDEIS UNIVERSITY	415 SOUTH ST	WALTHAM	MA	02453	MIDDLESEX	USA	Alcohol Research Programs	000	4	6/14/2024	NON-COMPETING CONTINUATION	$590,083
														Subtotal = $590,083

Issue Date FY: 2023 ( Subtotal = $590,083 )
2023	2023	BRANDEIS UNIVERSITY	415 SOUTH ST	WALTHAM	MA	02453	MIDDLESEX	USA	Alcohol Research Programs	000	3	5/10/2023	NON-COMPETING CONTINUATION	$590,083
														Subtotal = $590,083

Issue Date FY: 2022 ( Subtotal = $568,804 )
2022	2022	BRANDEIS UNIVERSITY	415 SOUTH ST	WALTHAM	MA	02453	MIDDLESEX	USA	Alcohol Research Programs	000	2	5/26/2022	NON-COMPETING CONTINUATION	$568,804
														Subtotal = $568,804

Issue Date FY: 2021 ( Subtotal = $603,088 )
2021	2021	BRANDEIS UNIVERSITY	415 SOUTH ST	WALTHAM	MA	02453	MIDDLESEX	USA	Alcohol Research Programs	000	1	9/20/2021	NEW	$603,088
														Subtotal = $603,088

Grand Total All Awards = $2,919,779

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Alcohol treatment in Medicaid managed care plans: Disparities in policies and outcomes

Award Number: R01AA029821

ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/20/2021

PERIOD OF PERFORMANCE END DATE: 05/31/2027

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