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December 2, 2002

Research Report:

ShareWorkplace Solutions: Treating Alcohol Problems Through Employment-Based Health Insurance

Eric Goplerud
Marlene Cimons

December 2002

This study looked at how well employment-based insurance benefits cover the services needed by people with alcohol problems. Alcoholism treatment experts developed detailed recommendations for treating four hypothetical but representative people with serious alcohol problems. Each has an alcohol problem and other health issues that could bring them into contact with different parts of the health care system; an adolescent with serious depression, a young pregnant woman, a middle-aged person who crashes her car after drinking, and a man with poorly controlled diabetes.

The consensus recommendations of the expert panel were compared with the alcohol treatment benefits of health plans representing two types of insurers - self-insured plans which are exempt from state laws and health plans that must conform to state laws. Thirty-two health plans covering the largest number of workers and their families in a sample of 25 states were compared with the health plans of 16 large self-insured employers. A detailed explanation of the methodology is in the complete report.

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