Vermont_s Medication Assisted Treatment Program from Opioid Addiction
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Vermont_s Medication Assisted Treatment Program from Opioid Addiction
Case StudyMedication Assisted Treatment Program for Opioid Addictionasthode BeaumontfOUMfrAllONTable of ContentsTABLE OF CONTENTSExecutive Summary3Glo Vermont_s Medication Assisted Treatment Program from Opioid Addictionossary of Acronyms4Introduction5Methods6Data Management7Vermont Background10The ChallengeDevelopment and Implementation of the Policy Change17 The Hub and Spoke Model27 OutcomesLessons Learned35Conclusion36References44AppendicesAppendix 1: de Beaumont Medicaid-Public Health Expert Group Members46App Vermont_s Medication Assisted Treatment Program from Opioid Addictionendix 2:Interview Instrument49Appendix 3:Interview Data CollectionTool52Appendix 4:Document Review Data Collection Tool54 Timeline1 MSflMONT I MEDICATVermont_s Medication Assisted Treatment Program from Opioid Addiction
ION ASSISTED TREATMENT FfiOGRAW f c« OPO c ADD CT ONhttps://khothuvien.coniExecutive SummaryEXECUTIVE SUMMARYFrom 2000-2010. Vermont faced rising rateCase StudyMedication Assisted Treatment Program for Opioid Addictionasthode BeaumontfOUMfrAllONTable of ContentsTABLE OF CONTENTSExecutive Summary3Glo Vermont_s Medication Assisted Treatment Program from Opioid Addictionction. In Vermont in 2011, several individual MAT providers and one large MAT clinic closed within a short period of time. Additionally, there were few physicians seeking licensure to provide MAT. but the number of people seeking treatment continued to rise. As a result, waitlists for MAT were in ex Vermont_s Medication Assisted Treatment Program from Opioid Addictioncess of two years, leaving many Vermonters with no treatment options.Leaders within three Vermont state government entities—the Vermont Blueprint forVermont_s Medication Assisted Treatment Program from Opioid Addiction
Health (a primary care-based payment and system reform program), the Department of Vermont Health Access' Medicaid Health Services and Managed Care DiCase StudyMedication Assisted Treatment Program for Opioid Addictionasthode BeaumontfOUMfrAllONTable of ContentsTABLE OF CONTENTSExecutive Summary3Glo Vermont_s Medication Assisted Treatment Program from Opioid Addictiond misuse and overdose crisis. They collaborated with local addiction specialists, primary care practitioners, substance abuse treatment providers, and community organizations to develop the Care Alliance for Opioid Addiction, more commonly known as the Hub and Spoke model, which attempts to comprehe Vermont_s Medication Assisted Treatment Program from Opioid Addictionnsively address opioid use disorders among Vermonters. Each of the three Vermont state government entities championed the effort, with ADAP serving asVermont_s Medication Assisted Treatment Program from Opioid Addiction
the “content expert" with knowledge of regulations and clinical services, as well as capitalizing on their partnerships with health systems.The Hub aCase StudyMedication Assisted Treatment Program for Opioid Addictionasthode BeaumontfOUMfrAllONTable of ContentsTABLE OF CONTENTSExecutive Summary3Glo Vermont_s Medication Assisted Treatment Program from Opioid Addictionenters, and Spokes are general medical and specialist settings, including primary care practices that are equipped to treat opioid use disorders and receive consultation and support from Hubs. All Medicaid beneficiaries receiving treatment in the Hub and Spoke model have a primary care patient-cente Vermont_s Medication Assisted Treatment Program from Opioid Addictionred medical home and access to Medicaid health home services delivered by staff at the Hubs and Spokes. Through negotiations with the Centers for MediVermont_s Medication Assisted Treatment Program from Opioid Addiction
care and Medicaid Services under section 2703 of the Affordable Care Act, Vermont obtained two health home state plan amendments that came with 90/10 Case StudyMedication Assisted Treatment Program for Opioid Addictionasthode BeaumontfOUMfrAllONTable of ContentsTABLE OF CONTENTSExecutive Summary3Glo Vermont_s Medication Assisted Treatment Program from Opioid Addictionbs are paid for through a bundled rate and through a per-member-per-month payment in lieu of fee-for-service payments at Spokes.Vermont designed a robust evaluation of the Hub and Spoke model, and early results are promising. One analysis estimated cost-savings for Medicaid due to reduction in the o Vermont_s Medication Assisted Treatment Program from Opioid Addictionveruse of health services, such as emergency department visits. Although waitlists for treatment remain in some areas, the number of people served hasVermont_s Medication Assisted Treatment Program from Opioid Addiction
more than doubled. Providers report that they can now provide the necessary wrap-around services needed to treat addiction.The development and mainteCase StudyMedication Assisted Treatment Program for Opioid Addictionasthode BeaumontfOUMfrAllONTable of ContentsTABLE OF CONTENTSExecutive Summary3Glo Vermont_s Medication Assisted Treatment Program from Opioid Addictiontates can look to Vermont's experience to consider how to best address their state's healthcare needs. In particular, the Hub and spoke model could be adapted to address other chronic diseases, better connect a state’s mental health and primary care systems, or improve long-term care systems.2 VERMO Vermont_s Medication Assisted Treatment Program from Opioid AddictionNTIVEDCADON ASSISTED TREATVENT PfKXiRAM FC« OPOO ADDICTIONCase StudyMedication Assisted Treatment Program for Opioid Addictionasthode BeaumontfOUMfrAllONTable of ContentsTABLE OF CONTENTSExecutive Summary3GloCase StudyMedication Assisted Treatment Program for Opioid Addictionasthode BeaumontfOUMfrAllONTable of ContentsTABLE OF CONTENTSExecutive Summary3GloGọi ngay
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