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Have Existing "Coordination/Integration" Efforts Yielded Medicaid Expenditure Savings?

January 31, 2013

Michael Abrams, MPH, Senior Research Analyst at The Hilltop Institute, presented research to the Performance and Evaluation Committee of Baltimore Substance Abuse System, Inc. (bSAS), demonstrating that quantitative Medicaid expenditure savings in CY 2010 for patients with substance use disorders (SUDs) were correlated with the “coordination of care reputation” of those patients’ providers. Though the work relied on an imprecise definition for “care coordination,” it nevertheless yielded highly significant point estimates for per person Medical saving on the order of $1,000 a year. This translates to calculated savings of just over $7 million in the population studied (a 59% sample of Maryland Medicaid enrollees with SUDs), Furthermore, this work was validated by separate correlations, showing that “coordination of care” was also significantly associated with reduced inpatient service use. Abrams led the research team, which included Seung Kim (Policy Analyst, Hilltop), Jayne Miller (Senior Programmer, Hilltop), Jose Arbelaez (Director of Epidemiology and Evaluation, bSAS), and Yngvild Olsen (private consultant and Medical Director for the Institutes of Behavior Resources, Inc.). This work was funded by bSAS.

Click here to view the presentation.