Table 5.
Health plan support for medication management for MH/SUD conditions in primary care, 2010
| Contracting Arrangements | ||||||||
|---|---|---|---|---|---|---|---|---|
| Total | Specialty External | Hybrid Internal | Internal | |||||
| % | SE | % | SE | % | SE | % | SE | |
| N | 8,427 | 1,219 | 5,899 | 1,278 | ||||
| Plan reimburses for medication management for MH/SUD problems provided by PCP | ||||||||
| Yes | 93.8 | 1.2 | 61.1 a | 9.7 | 100.0 a,c | 0.0 | 82.6 c | 2.1 |
| No | 2.9 | 0.5 | 2.3 | 2.2 | 0.0 | 0.0 | 16.2 | 2.1 |
| Don’t know | 3.4 | 1.1 | 36.6 a,b | 9.5 | 0.0 a | 0.0 | 1.3 b | 1.1 |
| Plan encourages pharmacotherapy for alcohol dependence in primary care | ||||||||
| Yes | 52.4 | 1.5 | 29.8 a,b | 7.5 | 50.5 a,c | 1.2 | 75.1 b,c | 4.5 |
| No | 43.4 | 1.6 | 35.7 | 8.5 | 49.5 | 1.2 | 16.6 | 3.3 |
| Don’t know | 4.2 | 1.1 | 34.5 a,b | 9.7 | 0.0 a,c | 0.0 | 8.3 b,c | 2.4 |
| If yes, encouraged through: | ||||||||
| Feedback to providers | 81.9 | 2.9 | 24.1 a | 11.0 | 100.0 a,c | 0.0 | 34.7 c | 9.9 |
| Provision of guidelines | 98.8 | 0.6 | 81.6 | 10.6 | 100.0 c | 0.0 | 98.4 c | 0.6 |
| Financial incentives | 50.0 | 2.6 | 0.0 a,b | 0.0 | 50.7 a | 2.3 | 59.8 b | 9.6 |
| Recognition programs | 1.8 | 1.5 | 0.0 | 0.0 | 0.0 | 0.0 | 8.4 | 6.5 |
| Plan encourages pharmacotherapy for opiate dependence in primary care | ||||||||
| Yes | 78.7 | 1.7 | 41.8 a,b | 9.5 | 82.0 a | 1.8 | 83.4 b | 3.3 |
| No | 18.4 | 1.6 | 22.8 | 6.7 | 18.0 | 1.8 | 16.6 | 3.3 |
| Don’t know | 3.0 | 1.0 | 35.5 a,b | 9.9 | 0.0 a | 0.0 | 0.0 b | 0.0 |
| If yes, encouraged through: | ||||||||
| Feedback to providers | 56.5 | 2.0 | 18.4 a | 9.0 | 61.2 a,c | 1.3 | 41.9 c | 8.7 |
| Provision of guidelines | 99.2 | 0.4 | 88.9 | 8.2 | 100.0 c | 0.0 | 97.9 c | 0.7 |
| Financial incentives | 36.2 | 2.2 | 26.0 a | 13.9 | 31.2 c | 1.6 | 63.8 a,c | 8.9 |
| Recognition programs | 2.8 | 1.1 | 0.0 a | 0.0 | 0.0 c | 0.0 | 17.6 a,c | 6.4 |
N represents weighted total number of products
a,b,c
Pairs that share a superscript letter within row are significantly different (P<0.05)
Percentages are based on reported data with missing data excluded. Missing data range between 8% and 9% for all variables except encouragement method (i.e. “if yes…”) variables, for which there are no missing data.