Value-based Payment Models to Address the Opioid Overdose Crisis (1 CME)
(1 CME) In this conference recording from the 2019 Annual Conference, you will learn:
|Since 1999, there has been a growing epidemic across the United States of deaths due to opioid overdoses. Despite a substantial amount of literature documenting the clinical effectiveness of medication, in combination with medical and psychosocial supports, as an effective treatment for addiction involving opioid use, this treatment method is significantly underutilized due to several problems with the existing healthcare payment and financing infrastructure. Of the estimated 2.1 million people who need treatment for addiction involving opioid use, only a small fraction of this population ultimately receives specialty treatment. While there have been several efforts aimed at addressing this public health crisis, value-based payment methodologies have emerged as an innovative solution to these systematic barriers to quality treatment. This session will provide attendees with an explanation of how addiction treatment is currently financed, explore the many problems with current payment systems, and address the need for value-based payment strategies that have the potential to improve patient outcomes and reduce spending for opioid addiction by overcoming existing barriers. Panelists will discuss the barriers that limit the availability and widespread adoption of alternative payment models. They also will look at efforts by insurers and other stakeholders to overcome barriers and use value-based payment models to enhance quality care, and ultimately expand access to addiction treatment. This session will also offer insight into effective payer/provider relationships that are crucial in selecting payment models that fit the needs of individual practices, demonstrate fiscal responsibility, and ensure that patients continue to receive access to critical care.|
MD, MBA, FASAM
|Dr. Shawn Ryan originally trained as an emergency physician at the University of Cincinnati and simultaneously obtained his MBA while completing his residency. For over 10 years, Dr. Ryan has practiced in the Greater Cincinnati area, and for part of that period, he functioned as a hospital administrator. During this time, he became acutely aware of the issue of heroin/opioid abuse in the region and for the past 7 years has been working tirelessly to make a difference in his community. Dr. Ryan serves on many regional, state, and national committees/workgroups focused on turning the tide of this epidemic. He is the immediate-past president of the Ohio Society of Addiction Medicine and the current Chair of Payer Relations for ASAM. Dr. Ryan is very excited to continue to work in the field of addiction medicine and to have the opportunity to substantially impact the treatment needs of patients with substance use disorder.|
|Amanda is a PhD student in the Health Management and Policy Department at the University of Michigan School of Public Health. Her research focuses on issues related to behavioral health policy domestically and abroad. Specifically, she combines political science and health services research methods to evaluate national and local policies related to insurance equity, opioid misuse, and behavioral health provider shortages. At Shatterproof, Amanda works on a variety of initiatives related to MAT payment practices. Previously, Amanda worked as the Policy Advisor at the Kennedy Forum and Thomas Scattergood Behavioral Health Foundation. In this position, she analyzed legislative and regulatory actions related to behavioral health insurance coverage. She mainly focused on behavioral health parity implementation, providing technical assistance to health plans and regulatory agencies and assisting in the development of accreditation standards and auditing protocols. Prior to starting this position, Amanda was the senior researcher on A Common Struggle by Patrick Kennedy and Stephen Fried. In this role, she researched the development of U.S. mental health policy from 1960s to today and co-authored a roadmap to improve the U.S. behavioral health system featured in the appendix. Amanda received both a Bachelor's Degree in Health and Society and a Master's Degree in Public Health from the University of Pennsylvania.|
|Debra Nussbaum, PhD, LCSW Sr. Director, Behavioral Product Optum/UHC Deb started with Optum in 2009 as Director of Clinical Operations. In 2013 Deb moved into national role as a Sr. Director of Behavioral Health Product. Deb is a co-founder and clinical lead for Optum’s national substance use disorder (SUD) initiatives. Deb has successfully championed many projects within Optum designed to improve member access to evidence based services, the development of the nation’s largest MAT network and the 24/7 SUD helpline and live chat capabilities. Debra’s clinical background has been primarily in substance use services in progressive leadership roles managing and developing treatment programs aimed at improving outcomes in addiction treatment services. Deb has a PhD in organizational psychology and is an LCSW licensed in Florida and in New York.|
ACCME Accreditation Statement
The American Society of Addiction Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA Credit Designation Statement
The American Society of Addiction Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABPM Maintenance of Certification (MOC)
The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 1 LLSA credits towards ABPM MOC Part II requirements.
ABAM Transitional Maintenance of Certification (tMOC)
This course has been approved by the American Board of Addiction Medicine (ABAM). Physicians enrolled in the ABAM Transitional Maintenance of Certification Program (tMOC) can apply a maximum of 1 AMA PRA Category 1 Credit(s)™ for completing this course.
ABIM Maintenance of Certification (MOC)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn 1 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.