The Analysis Hub is your home for more advanced analysis regarding the behavioral health system in Allegheny County.
The Impact of Medicaid Expansion
While plans for repealing and replacing the Patient Protection and Affordable Care Act (often referred to as the Affordable Care Act or ACA) have not been successful to date, the fate of Medicaid expansion remains uncertain. What is certain, however, are the positive effects that have been observed in states that have implemented Medicaid expansion. Benefits of this policy have been associated with an increase of insured Americans; improved access to and increased utilization of essential health care treatment; and sizeable cost savings for state and local governments. In addition, in the midst of a national opioid epidemic, states that have expanded Medicaid are better positioned to address the crisis.
The report highlights the impact of Medicaid expansion on behavioral health care overall, and specifically for Allegheny County’s HealthChoices Behavioral Health Program over an 18-month time period. Potential consequences of eliminating Medicaid expansion are also discussed.
2016 Year in Review
Medicaid is a publicly financed health care program in the United States, providing services to address physical and behavioral (mental health and substance use disorders) health needs. HealthChoices is the Medicaid managed care program in Pennsylvania. These highlights are from the 2016 annual report which details enrollment, service use and cost information, as well as the continued impact of the opioid crisis and Medicaid expansion for the HealthChoices behavioral health program in Allegheny County.
HealthChoices Claims Dashboard
This interactive dashboard provides summary information on HealthChoices service utilization, diagnoses and paid claims in Allegheny County for any time period in the program’s history. Data is updated quarterly and can be filtered to show mental health or substance use disorder-specific information, as well as subsets of the HealthChoices member population.
High Utilizer Prediction Visualization
High Utilization has been the focus of conversation for much of the behavioral health industry. We have created a data model to predict whether or not someone is likely to be a “high utilizer” in the next 8 months. This visualization shows how results of that model can change based on changing the “cut off point” at which someone is classified as a “high utilizer”. You can adjust the slider and click “go” to sort/re-sort the dots (representing actual people) based on your adjustments.