1. Shatterproof Rating System for Addiction Treatment Program

2. Goal
To create a platform that provides reliable and transparent information on addiction treatment quality

3. Objectives
Consumers: to help make informed decisions when choosing a provider
States: to target quality improvement activities
Providers: to demonstrate a high quality of care and readiness for value-based payment or removal of pre-authorization for services
Payers: to aid in patient steering

4. National Principles of Care

5. What is Being Measured? Unit of Measurement
Specialty addiction treatment programs as identified by SAMHSA’s Inventory of Behavioral Health Services
Type
Process
Data Collected
From three sources:
Claims (n=5)
Provider surveys (self-report) (n=11)
Consumer surveys (n=8)

6. Measurement Selection Process
Landscape review of national measures, e.g., NQF, NCQA, ASAM, SAMHSA, etc.
Measure set created by committee of quality experts
Revised through:
Provider focus groups (ASAM, National Council, AATOD, NAATP)
Listening sessions with stakeholder groups
Expert Panel meeting convened by NQF
NQF public comment collection: February 15 – March 1
Final selection: April 1

7. Design of Rating System
Public-facing platform
Password-protected portals where:
Providers can access their own data with benchmarks against industry data for quality improvement
Payers can access data on providers in their network
States can access data to inform TA

8. State Pilots 5 State Pilots will be selected nationally
Currently, New York, Massachusetts, and Louisiana selected
At least one non-Medicaid expansion State to be selected
Hope to engage all providers in the State pilots
Plan to establish State Advisory Committees
Will conduct provider feasibility testing
Research Triangle Institute (RTI) is the data analytics contractor

9. Implementation and Future Roll-out
At this time, the ratings and composite scores have not been determined
Plan to develop additional outcome measures
Working with commercial payers to incentivize provider participation
Following pilot, will roll-out rating system nationally
Plan to go live with the public portals in approximately September 2020
Measures will evolve each year

10. Next Steps
Interested in State input individually and collectively from the Association
Would like any additional input by March 18th
Feedback can be provided directly to Shatterproof
Shatterproof will keep NASADAD informed about pilot updates and the roll-out process