Selective contracting in managed care

The case of substance abuse treatment

Christy Harris Lemak, Jeffrey A. Alexander, Thomas D'Aunno

Research output: Contribution to journalArticle

Abstract

The authors address two critical questions concerning managed care and outpatient substance abuse treatment organizations. Specifically, they consider (1) to what extent selective contracting occurs between managed care firms and treatment providers and (2) what attributes of treatment providers and their operating environments are associated with selective contracting. Using data from a nationally representative sample of outpatient treatment organizations, the authors find evidence of systematic selection. Several indicators of providers' quality and costs, including accreditation status, private ownership, size, and prior experience with managed care, are positively associated with managed care contracting. By contrast, units providing methadone treatment are less likely to be involved in managed care. To a lesser extent, characteristics of treatment providers' operating environment, including extent of competition based on costs and attributes of the Medicaid managed care program, are also positively associated with managed care contracting.

Original languageEnglish (US)
Pages (from-to)455-481
Number of pages27
JournalMedical Care Research and Review
Volume58
Issue number4
StatePublished - 2001

Fingerprint

Managed Care Programs
managed care
substance abuse
Substance-Related Disorders
Therapeutics
Outpatients
Organizations
Costs and Cost Analysis
outpatient treatment
Ownership
Accreditation
Methadone
Medicaid
costs
accreditation
firm
evidence
experience

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Selective contracting in managed care : The case of substance abuse treatment. / Lemak, Christy Harris; Alexander, Jeffrey A.; D'Aunno, Thomas.

In: Medical Care Research and Review, Vol. 58, No. 4, 2001, p. 455-481.

Research output: Contribution to journalArticle

Lemak, Christy Harris ; Alexander, Jeffrey A. ; D'Aunno, Thomas. / Selective contracting in managed care : The case of substance abuse treatment. In: Medical Care Research and Review. 2001 ; Vol. 58, No. 4. pp. 455-481.
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