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TEAMKY Demonstration

Approval Period: January 1, 2025 through December 31, 2029

Page 110 of 155 Evaluation Question 2: Did beneficiaries receiving SUD services experience improved health outcomes? Demonstration Goal: Reduced utilization of emergency department services for SUD for beneficiaries receiving SUD care. Evaluation Hypothesis: Among beneficiaries receiving care for SUD, the demonstration will decrease the rate of emergency department visits for SUD. Primary Driver (Reduce utilization of ED and inpatient hospital settings for SUD treatment) Emergency department visits with primary SUD (OUD) related diagnosis for individuals receiving SUD (OUD) treatment N/A Number of emergency department visits with primary SUD (OUD) related diagnosis among beneficiaries who used SUD (OUD) services within 30 days Number of beneficiaries who used SUD (OUD) services within 30 days

Claims data

Descriptive statistics

Interrupted time series without comparison group Emergency department visits with primary SUD (OUD) related diagnosis for individuals receiving outpatient SUD (OUD) treatment N/A Number of emergency department visits with primary SUD (OUD) related diagnosis among beneficiaries receiving outpatient SUD (OUD) services within 30 days Number of beneficiaries who used outpatient SUD (OUD) services within 30 days Emergency department visits with primary SUD (OUD) related diagnosis, following ED discharge for SUD (OUD) NQF #2605 Number of emergency department visits with primary SUD (OUD) related diagnosis within 7 days ED discharge for SUD (OUD)

Number of emergency department visits with primary SUD (OUD) related diagnosis within 30 days ED discharge for SUD (OUD) Number of beneficiaries discharged from ED with primary diagnosis of SUD (OUD) Demonstration Goal: Fewer hospital readmissions for SUD for beneficiaries receiving SUD care. Evaluation Hypothesis: Among beneficiaries receiving care for SUD, the demonstration will reduce hospital readmissions for SUD care. Primary Driver (Reduce utilization of ED and inpatient hospital settings for SUD treatment) 30-day readmission rate following hospitalization with SUD (OUD) related diagnosis N/A Number of beneficiaries readmitted to the hospital within 30 days of an index hospitalization with SUD (OUD) related diagnosis Total number of beneficiaries who were admitted to the hospital with SUD (OUD) related diagnosis

Claims data Descriptive statistics

Interrupted time series without comparison group