Integration and its discontents: substance abuse treatment in the Oregon Health Plan.

Katherine E. Laws, Roy M. Gabriel, Bentson H. McFarland

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

With the creation of the Oregon Health Plan (OHP) in 1994, Oregon placed its Medicaid program under a managed care system. This paper examines the managed care practices of seven health plans serving OHP enrollees between 1996 and 1998. Results indicated that the original vision of integrating substance abuse treatment services with physical care for OHP enrollees evolved into a multilayered, carved-out approach. Factors working against integration included changes in the administration and management of the chemical dependency benefit, financial losses by health plans, and lack of training and incentives for physicians to refer clients to substance abuse treatment.

Original languageEnglish (US)
Pages (from-to)284-289
Number of pages6
JournalHealth affairs (Project Hope)
Volume21
Issue number4
DOIs
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Health Policy

Fingerprint Dive into the research topics of 'Integration and its discontents: substance abuse treatment in the Oregon Health Plan.'. Together they form a unique fingerprint.

  • Cite this