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

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

Research output: Contribution to journalArticle

12 Citations (Scopus)

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
Volume21
Issue number4
StatePublished - Jul 2002
Externally publishedYes

Fingerprint

substance abuse
Substance-Related Disorders
Health
Managed Care Programs
health
managed care
chemical dependency
Medicaid
Therapeutics
Motivation
Delivery of Health Care
Physicians
incentive
physician
lack
management

ASJC Scopus subject areas

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

Cite this

Laws, K. E., Gabriel, R. M., & McFarland, B. (2002). Integration and its discontents: substance abuse treatment in the Oregon Health Plan. Health Affairs, 21(4), 284-289.

Integration and its discontents : substance abuse treatment in the Oregon Health Plan. / Laws, Katherine E.; Gabriel, Roy M.; McFarland, Bentson.

In: Health Affairs, Vol. 21, No. 4, 07.2002, p. 284-289.

Research output: Contribution to journalArticle

Laws, KE, Gabriel, RM & McFarland, B 2002, 'Integration and its discontents: substance abuse treatment in the Oregon Health Plan.', Health Affairs, vol. 21, no. 4, pp. 284-289.
Laws, Katherine E. ; Gabriel, Roy M. ; McFarland, Bentson. / Integration and its discontents : substance abuse treatment in the Oregon Health Plan. In: Health Affairs. 2002 ; Vol. 21, No. 4. pp. 284-289.
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