Overview - The Washington Circle
Overview - The Washington Circle
Overview - The Washington Circle
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Data Fragmentation Caused by<br />
Carve-Out Pathways<br />
Pathway<br />
Health plans with<br />
internal provision of<br />
AOD services<br />
Health plans with<br />
carve-out contracts<br />
to MBHOs<br />
Data Available<br />
• Medical data for all enrollees<br />
• AOD data only for enrollees whose employers do not<br />
carve-out to MBHOs.<br />
• Medical data for all enrollees<br />
• May be able to obtain AOD data from their own MBHO<br />
• Cannot easily obtain AOD data for enrollees<br />
whose employers carve out to multiple vendors<br />
MBHOs<br />
• AOD data only<br />
• For most vendors, enrollees come from a range of<br />
MCO and employer contracts<br />
www.washingtoncircle.org<br />
3/30/04<br />
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