| DOI: | 10.7249/RR1334
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| 报告号: | RR-1334-OSD
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| 报告题名: | TRICARE Applied Behavior Analysis (ABA) Benefit: Comparison with Medicaid and Commercial Benefits |
| 作者: | Margaret A. Maglione; Srikanth Kadiyala; Amii Kress; Jaime Hastings; Claire E. O'Hanlon
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| 出版者: | RAND Corporation
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| 出版年: | 2016
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| 发表日期: | 2016
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| 总页数: | 82
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| 国家: | 美国
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| 语种: | 英语
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| 英文关键词: | Military Families
; Health Insurance Cost Sharing
; Defense Health Agency
; Autism Spectrum Disorders
; Medicaid
; Students
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| 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. |
| URL: | http://www.rand.org/content/dam/rand/pubs/research_reports/RR1300/RR1334/RAND_RR1334.pdf
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| Citation statistics: |
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| 资源类型: | 研究报告
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| 标识符: | http://119.78.100.158/handle/2HF3EXSE/27297
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| Appears in Collections: | 影响、适应和脆弱性
科学计划与规划
气候减缓与适应
气候变化事实与影响
气候变化与战略
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| RAND_RR1334.pdf（486KB） | 研究报告 | -- | 开放获取 | | View
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| Recommended Citation: | |
Margaret A. Maglione,Srikanth Kadiyala,Amii Kress,et al. TRICARE Applied Behavior Analysis (ABA) Benefit: Comparison with Medicaid and Commercial Benefits. 2016-01-01.
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