State Medicaid agencies play a critical role in covering OUD treatment, as more than half (54 percent) of individuals who need OUD treatment use Medicaid to pay for these expenses. Additionally, Medicaid programs disproportionately cover minoritized populations and those with socioeconomic risk factors, allowing Medicaid to reduce inequities in care. Despite past efforts of expanding the continuum of care and improving the quality of OUD care, underdeveloped OUD quality measures remain a persistent issue.  

This limitation hinders opportunities for targeted intervention and thorough evaluation of policy effects, creating a need for research and policy partnerships. MODRN EQUIP will draw on robust university-state partnerships in 12 states accounting for 24 percent of U.S. Medicaid enrollment to support efforts to improve OUD quality.  

With funding from the National Institutes of Health (NIH) Helping to End Addiction Long-term (HEAL) Initiative, the University of Pittsburgh, in collaboration with AcademyHealth's Evidence-Informed State Health Policy Institute, and Medicaid Outcomes Distributed Research Network state-university partnerships in twelve states will engage multi-stakeholder experts, including Medicaid clinicians, OUD treatment providers, quality measurement experts with Medicaid programs and management care plans, and beneficiaries to address the underdevelopment of OUD quality measures at the provider level. Efficient and sustainable OUD quality measures developed and implemented by MODRN EQUIP will guide quality improvement initiatives and Medicaid policy decisions.   

Throughout the five years of funding, MODRN EQUIP, led by Multi-Principal Investigators Julie Donohue, Ph.D. and Andrew Barnes, Ph.D. aims to: 

  1. Develop and describe provider OUD treatment quality measures that are responsive to Medicaid program and stakeholder needs. Project 1 analyzes Medicaid claims and enrollment data and engages Delaware, Kentucky, Maryland, Maine, Michigan, North Carolina, Ohio, Pennsylvania, Tennessee, Virginia, West Virginia, and Wisconsin and is led by Project Directors Marguerite Burns, Ph.D. and Evan Cole, Ph.D., M.P.H. 
  2. Test case-mix approaches to enable fair comparisons across providers in OUD treatment quality measures. Project 2 utilizes Medicaid patient surveys and interviews linked with Medicaid claims and engages Michigan and Virginia, led by Project Directors Andrew Barnes, Ph.D. and Sarah Clarke, M.P.H. 
  3. Quantify the contribution of patient – and provider – factors, including between and within provider effects, on provider-level OUD treatment quality and equity. Project 3 examines Electronic Health Record (EHR) data from 10 intervention clinics; Medicaid claims from intervention and comparison clinics and engages Ohio. Project 3 is led by Project Directors Dushka Crane, P.h.D., L.S.S.B.B. and Adam J. Gordon, M.D., M.P.H., F.A.C.P., D.F.A.S.A.M.


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Annaliese Johnson, M.P.P.

AcademyHealth - Senior Manager

Annaliese Johnson is a Senior Manager of AcademyHealth’s Evidence-Informed State Health Policy Institute, wher... Read Bio

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Caroline Hale

Senior Research Associate - AcademyHealth

Caroline Hale is a Senior Research Associate at AcademyHealth, where she supports the Evidence-Informed State ... Read Bio

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Zoe D’Angelo

Research Assistant - AcademyHealth

Zoe D’Angelo is a Research Assistant at AcademyHealth, where she supports the Evidence-Informed State Health P... Read Bio

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Aiyah Adam

Research Assistant - AcademyHealth

Aiyah Adam is a Research Assistant at AcademyHealth, where she supports the Evidence-Informed State Health Pol... Read Bio

Julie Donohue

Julie Donohue, Ph.D.

Professor & Chair - Department of Health Policy and Management, School of Public Health, University of Pittsburgh

Julie M. Donohue, Ph.D., is the principal lead on AcademyHealth's Medicaid Outcomes Distributed Research Netwo... Read Bio

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Committee Member, Member

Andrew J. Barnes, Ph.D.

Associate Professor - Virginia Commonwealth University

Andrew J. Barnes, Ph.D. is an Associate Professor of Health Behavior and Policy at Virginia Commonwealth Unive... Read Bio

Marguerite Burns

Marguerite Burns, Ph.D.

Associate Professor - University of Wisconsin

Dr. Marguerite Burns is an associate professor in the Department of Population Health Sciences at the Universi... Read Bio

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Committee Member

Evan Cole, Ph.D., M.P.H.

Research Assistant Professor - University of Pittsburgh

Evan Cole is a Research Assistant Professor in the Department of Health Policy and Management in the Graduate ... Read Bio