TRICARE Applied Behavior Analysis (ABA) Benefit: Comparison with Medicaid and Commercial Benefits

doi:10.7249/RR1334

GSTDTAP > 资源环境科学

DOI	10.7249/RR1334
报告编号	RR-1334-OSD
	TRICARE Applied Behavior Analysis (ABA) Benefit: Comparison with Medicaid and Commercial Benefits
	Margaret A. Maglione; Srikanth Kadiyala; Amii Kress; Jaime Hastings; Claire E. O'Hanlon
	2016
出版年	2016
页数	82
语种	英语
国家	美国
出版者	RAND Corporation
领域	资源环境
英文摘要	This study compared the Applied Behavior Analysis (ABA) benefit provided by TRICARE as an early intervention for autism spectrum disorder with similar benefits in Medicaid and commercial health insurance plans. The sponsor, the Office of the Under Secretary of Defense for Personnel and Readiness, was particularly interested in how a proposed TRICARE reimbursement rate decrease from $125 per hour to $68 per hour for ABA services performed by a Board Certified Behavior Analyst compared with reimbursement rates (defined as third-party payment to the service provider) in Medicaid and commercial health insurance plans. Information on ABA coverage in state Medicaid programs was collected from Medicaid state waiver databases; subsequently, Medicaid provider reimbursement data were collected from state Medicaid fee schedules. Applied Behavior Analysis provider reimbursement in the commercial health insurance system was estimated using Truven Health MarketScan® data. A weighted mean U.S. reimbursement rate was calculated for several services using cross-state information on the number of children diagnosed with autism spectrum disorder. Locations of potential provider shortages were also identified. Medicaid and commercial insurance reimbursement rates varied considerably across the United States. This project concluded that the proposed $68-per-hour reimbursement rate for services provided by a board certified analyst was more than 25 percent below the U.S. mean.
英文关键词	Military Families Health Insurance Cost Sharing Defense Health Agency Autism Spectrum Disorders Medicaid Students
URL	查看原文
来源平台	Rand Corporation
引用统计
文献类型	科技报告
条目标识符	http://119.78.100.173/C666/handle/2XK7JSWQ/4523
专题	资源环境科学
推荐引用方式 GB/T 7714	Margaret A. Maglione,Srikanth Kadiyala,Amii Kress,et al. TRICARE Applied Behavior Analysis (ABA) Benefit: Comparison with Medicaid and Commercial Benefits:RAND Corporation,2016.