Opioid Crisis: How States Have Financed Treatment

In the face of the devastating opioid crisis, states are confronted with financing and regulating complex -- and often disconnected -- systems of services to treat opioid use disorder. A comprehensive, sustainable service system must include a robust mix of high-quality treatment for acute needs linked to long-term supports for care maintenance with wraparound supports. This session provided an opportunity to hear from state leaders about the keys to creating and financing a high-functioning system to serve people with this disorder and their communities.  

This session was presented in partnership with the Pew Charitable Trusts and their Substance Use Prevention and Treatment Initiative.

See more information about the Pew work on substance abuse here. Pew shared a November 22, 2016 fact sheet entitled "Medication-Assisted Treatment Improves Outcomes for Patients with Opioid Use Disorder." 

2:30 – 2:45 p.m. Opening Remarks
• Kansas state Rep. Susan Concannon, co-chair, Health Public Policy Committee
• Beth Connolly, project director, Substance Use Prevention and Treatment Initiative, Pew Charitable Trust (See slides here.)
2:45 – 3:30 p.m. Perspectives on State Successes in using Medicaid to Expand Access to Opioid Use Disorder Treatment 
• Moderator: Alaina McBournie
• Speakers: Dr. Kate Neuhausen (See slides here and see 2 pager on outcomes and highlights here), Tracy Plouck and Dr. Gil Liu
3:30 – 3:45 p.m. Question & Answer from Audienc
3:45 – 4:30 p.m. Addressing Opioid Use Disorder for Criminal Justice Populations: Availability of Medications and Funding 
• Moderator: Alex Duncan  
• Speakers: Audrey Vincent, Steven Seitchik and Dr. Shawn Ryan
• Legislative Speaker: Kentucky state Senator Wil Schroder
4:30 – 4:45 p.m. Question & Answer from Audience
4:45 – 4:55 p.m. Summary of Discussion: Beth Connolly
4:55 – 5:00 p.m. Closing Remarks: Rep. Susan Concannon
5:00 p.m. Adjourn


Speaker Biographies

Susan Concannon, representative, Kansas House of Representatives, co-chair CSG Health Public Policy Committee

Concannon was first elected representative in 2013. She is currently vice chair of the House Health and Human Services Committee and majority caucus chair for the House of Representatives. She served five years as a member of the Beloit City Council. She was employed as the executive director of the Mitchell County Regional Medical Foundation, 2009-2013, and as a substitute teacher, 1998-2008. She is active in CSG leadership at the regional and national levels.

Beth Connolly, project director, Substance Use Prevention and Treatment initiative, The Pew Charitable Trusts See slides here. 

Connolly leads research and technical assistance efforts across the federal government and states to promote evidence-based transformation of the treatment system, expand the substance use disorder workforce, optimize coverage and reimbursement for effective treatment, and improve the delivery and coordination of care for underserved populations. Before joining Pew, Connolly served as the commissioner of New Jersey’s Department of Human Services. She has 30 years of state government experience and was involved in reforms related to behavioral health, Medicaid and its expansion, public assistance, child welfare, and the adoption of home- and community-based support systems.

Alexandra Duncan, senior officer, Substance Use Prevention and Treatment initiative, The Pew Charitable Trusts

Duncan works on Pew’s federal and state initiatives to advance policies that address the toll of substance misuse, including expanded access to evidence-based treatment. Before joining Pew, she was a research associate at IMPAQ International LLC, where she worked on issues related to Affordable Care Act compliance with prescription drug and nondiscrimination regulations for high-cost medical conditions, including opioid use disorder, as well as evaluation of health programs. Duncan has a public health background focused on improving the health of underserved populations, including persons with HIV, those who misuse drugs, and individuals with criminal justice system involvement.

Gil Liu, M.D., Medical Director for the Kentucky Department of Medicaid Services and Endowed Chair for Urban Health Policy Research at the University of Louisville School of Medicine

In 2016, Liu was appointed medical director for Kentucky’s Medicaid program. From 2013 to 2016, Liu served as the director of pediatrics at the University of Louisville, one of Kentucky’s largest pediatric primary care networks that is focused on serving the state’s most vulnerable families. He is a pediatrician with more than 20 years of experience. He has studied healthcare system improvement as a School of Medicine faculty member.

Alaina McBournie, officer, Substance Use Prevention and Treatment initiative, The Pew Charitable Trusts

McBournie provides strategic and programmatic direction to advance the Pew initiative’s substance use disorder treatment-related goals, including state technical assistance and federal advocacy priorities. She has also collaborated with key state stakeholders to advocate for expanded substance use disorder treatment access and enhanced prescriber use of prescription drug monitoring programs. Prior to coming to Pew, McBournie worked as an editor and journalist at national and state publications.

Katherine Neuhausen, M.D., M.P.H., chief medical officer, Virginia Department of Medical Assistance Services See slides here. See 2 pager Outcomes and Highlights here.

Neuhausen led the development of the Virginia Medicaid Addiction and Recovery Treatment Services program, increasingly recognized as a national model for integrating evidence-based addiction treatment into Medicaid managed care. She implemented the new CDC opioid prescribing guidelines and a new pharmacy benefit manager solution for the state’s Medicaid program, serving over 1.5 million low-income Virginians. She is also a clinical professor at Virginia Commonwealth University where she does research and authors peer-reviewed publications. As a family physician, she has worked in safety-net clinics in Richmond, Los Angeles, San Francisco and Atlanta.

Tracy Plouck, population health executive in residence, College of Health Sciences and Professions, Ohio University

As a leader of the Ohio Alliance for Innovation in Population Health, Plouck engages in research and outreach activities focused on substance abuse and mental health issues to improve the health of all Ohioans. She was director of the Department of Mental Health and Addiction Services from 2011-2018. She has held a variety of leadership roles for the state including leading the Governor’s Cabinet Opiate Action Team, serving twice as Ohio’s Medicaid director and as deputy director for the Ohio Office of Budget and Management and of the Ohio Department of Developmental Disabilities.

Shawn Ryan, M.D., President and Chief Medical Officer, Brightview and President, Ohio Society of Addiction Medicine

Ryan is a founder of Brightview, an outpatient addiction medicine practice in several Ohio locations that uses medical treatment in conjunction with psychological and social services. He is responsible for strategic development, alignment of operations and medical practice, clinical and outcomes research, and maintaining focus on the mission and vision of the company. He is both a board-certified addiction specialist and board-certified emergency physician. He serves on many regional, state and national groups focused on turning the tide of the opioid epidemic.

Wil Schroder, Kentucky state Senator

Schroder was first elected to the Senate in 2014 and was re-elected in 2018. He will be the incoming chair of the State Local Government Committee and is chair of the Budget Review Subcommittee on Justice and Judiciary. He practices law and focuses on finance law. Formerly, he was a felony county prosecutor.

Steven Seitchik, MAT statewide coordinator, Pennsylvania Department of Corrections

Seitchik currently plans, organizes and directs medication assisted treatment (MAT) services for the state Department of Corrections. Prior to joining the department in 2016, He was the director of treatment at the Pennsylvania Department of Drug and Alcohol Programs. Seitchik has extensive experience working with diverse populations in the public and private sectors. Since 1999, he has served as adjunct faculty at Harrisburg Area Community College.   

Audrey Vincent, administrative director, Behavioral Health Services, Denver C.A.R.E.S. & Correctional Care

Vincent oversees health services at the Denver city and county jails, the inpatient and outpatient Correctional Care Medical Facility at Denver Health Medical Center, all inpatient and outpatient specialty mental health and substance use services including the community nonmedical detoxification facility and the Denver Health Methadone Clinic. Denver Health is the public safety net healthcare system serving the citizens of Denver. Vincent’s background includes correctional care and addictions nursing, substance use program development, project management and health care administration.


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