Exclusive Event: Lunch & Learn on Supreme Court Health Policy Decisions
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Wednesday, July 3, 2024 | The Latest Research, Commentary, and News from Health Affairs
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Thanks for reading Health Affairs Today. We will be taking a break tomorrow as part of the Independence Day holiday. We will return to your inbox this Friday.
State Regulation of SUD Treatment In Medicaid Managed Care
Managed care plans contract with state Medicaid programs to administer substance use disorder (SUD) treatments.
In the July issue of ([link removed] ) Health Affairs ([link removed] ) , Lauren A. Peterson of the University of Chicago and her team of coauthors survey thirty-three states and Washington, DC, to determine the role these states play in regulating the distribution of SUD benefits ([link removed] ) across Medicaid managed care plans.
The researchers find that of the fifty-one programs examined, “high percentages of state programs mandated coverage for each of the SUD treatments and medications assessed.”
Despite this, "only 50 percent (sixteen of the thirty-two state programs) that contracted with managed care plans to administer SUD treatment services required coverage of all clinically necessary services…”
Peterson and coauthors conclude that while many state Medicaid programs require managed care plans to cover the most common SUD treatment services, limits on comprehensive coverage remain, which might restrict access to lifesaving SUD services.
Read the Article
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More On Managed Care
- Quantifying The Economic Burden Of Drug Utilization Management On Payers, Manufacturers, Physicians, And Patients ([link removed] ) by Scott Howell et al.
- Once A Welfare Add-On, Medicaid Takes Charge In Reinventing Care ([link removed] ) by Rob Cunningham
- Forefront: Physicians’ Broader Vision For The Center For Medicare And Medicaid Innovation's Future: Look Upstream ([link removed] ) by Walker Ray and Tim Norbeck
- A Health Podyssey: Jane Zhu on Narrow Networks in Medicare Advantage Plans ([link removed] )
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Join us next Wednesday, July 10, for a Lunch & Learn event discussing health and health care policy decisions that are expected in the closing days of the Supreme Court’s 2023-2024 term.
This event is exclusive to our Health Affairs Insiders.
Become an Insider today ([link removed] ) to stay up-to-date on what health care experts are thinking and talking about.
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Introducing the 2024 Cohort of Health Equity for Trainees!
These eight early-career researchers will be working with experienced Health Affairs authors and editorial staff for the next 18 months as they prepare manuscripts to be published in Health Affairs or another journal.
Find Out More
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Peter J. Neumann et al.
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Joshua M. Sharfstein and Nicole Lurie
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