June 2, 2021 | Erin Bluvas, bluvase@sc.edu
The National Institute on Alcohol Abuse and Alcoholism will fund a new study led by Christina Andrews, associate professor of health services policy and management and an expert on addiction treatment. Andrews and co-principal investigator Amanda Abraham, an associate professor of public administration and policy at the University of Georgia, will use the $2.5 million, four-year R01 grant to examine the effectiveness of Medicaid-covered alcohol use disorder treatment.
“The United States continues to grapple with rising alcohol-related hospitalization and mortality,” Andrews says. “Expanding access to alcohol use disorder treatment is an urgent public health priority.”
Medicaid is intended to increase access and reduce mortality among vulnerable populations; however many state-level programs do not cover all of the needed treatments for alcohol use disorder and have policies that restrict access. Further, most Medicaid programs contract with managed care organizations. Despite this prevalence of partnerships, little is known about the content, implementation and outcomes of the specific, varied plans that are offered.
The United States continues to grapple with rising alcohol-related hospitalization and mortality. Expanding access to alcohol use disorder treatment is an urgent public health priority.
-Christina Andrews, associate professor of health services policy and management
With this study, which is the first of its kind, Andrews and her team will investigate the effects of these programs on access to alcohol use disorder treatment as well as adverse outcomes for the participants (e.g., emergency department visits, hospitalizations, mortality). The project will encompass 142 different Medicaid-contracted managed care organization plans across 18 states and the full continuum of treatment.
“This research will provide tangible guidance to states and Medicaid managed care organization plans,” Andrews says. “Specifically, it will help us better understand how to best structure coverage and utilization management parameters to ensure appropriate and efficient access to alcohol use disorder treatment.”
Andrews joined the Arnold School in 2020 after spending eight years as a faculty member in the UofSC College of Social Work. Her work focuses on addiction treatment, particularly in response to the opioid epidemic and alcohol use disorders. She is currently a co-investigator on two other projects (i.e., financing for opioid use disorder treatment within the criminal justice system; Medicaid care plan coverage for opioid use disorder medications) that are funded with $19 million from the National Institute on Drug Abuse. Andrews has a bachelor’s degree in sociology (Ithaca College in New York), a Master of Social Work (Boston University) and a Ph.D. in Social Service Administration (University of Chicago).
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Arnold School welcomes Christina Andrews, who specializes in addiction treatment