Peer Recovery Program Leads To Better Treatment Adherence And Lower Healthcare Costs When Coupled With A PCP And Medication-Assisted Treatment

In a review of peer recovery coaching and its partnership with the Anchor Recovery Community Center, a program of The Providence Center, Blue Cross & Blue Shield of Rhode Island (BCBSRI) found that peer recovery participants were more likely to stay in substance use disorder treatment when peer recovery is combined with medication-assisted treatment (MAT) and the participant has a primary care provider (PCP). The review also found that peer recovery can reduce short-term healthcare costs and is predicted to reduce long-term costs.

“Peer recovery, when combined with having a primary care provider and receiving medication-assisted treatment, has a significant impact on whether someone stays connected to treatment. This is an important distinction and highlights the critical factors needed to help those dealing with substance use disorders,” said Rena Sheehan, MBA, LICSW, managing director, clinical integration, BCBSRI. “The Providence Center, through its Anchor Recovery Community Center, has been an incredible partner and our review of member data underscores how important a peer recovery program can be.”

BCBSRI’s review of the Anchor Peer Recovery Coaching Program examined three years of data from its commercial member population. Members could access the program through a number of different channels such as self-referral, provider referral, through an emergency department visit, or an inpatient stay. The goals of the program are to connect participants with the appropriate level of care to recover from addiction and to provide counseling and social support for participants on their recovery journey.

“I am very pleased to have the results of the BCBSRI evaluation of the Anchor Peer Recovery Coaching Program validate the work that the peer recovery coaches have accomplished with those in the community experiencing a substance use disorder. This year, Anchor celebrates 10 years helping those who are struggling with addiction find not only hope, but a way back to a healthy lifestyle. While there are many paths to recovery, providing a network of peers and recovery-oriented programming is crucial. Since its inception, Anchor has become a national leader in the peer recovery movement,” said Deb O’Brien, president and COO, The Providence Center.

The data review of the partnership showed that of the 50 percent of participants whose treatment included MAT, those participants are 65 percent more likely to stay connected to treatment. Peer recovery participants studied are also 73 percent more likely to be admitted to treatment if they have a PCP. The review also found that participation in MAT was higher in younger ages (mean age of 33).

In addition to staying better connected to treatment, the review found that participants’ medical and pharmacy costs decreased by 12 percent, following the initial program engagement. And through a regression analysis, it is predicted that there will be a 67 percent decrease in long-term healthcare costs.

“We are encouraged by these results, but we also know we still need to focus on connecting more people to treatment and making sure they stay connected to treatment,” said Sarah Fleury, LICSW, CPHQ, BCBSRI manager, behavioral health. “These results give us a clear path to continue our efforts to encourage MAT and helping connect participants with a primary care provider if they don’t already have one.”

To learn more about the Anchor Peer Recovery Coaching Program and other behavioral health initiatives BCBSRI supports, please visit www.bcbsri.com/individual/member/mentalhealth.

About BCBSRI

Blue Cross & Blue Shield of Rhode Island (bcbsri.com) is a non-profit, community-focused health plan established in 1939 to help Rhode Islanders finance their healthcare needs. Today, that purpose is still foundational to our work. We have a vision to passionately lead a state of health and well-being across Rhode Island. And we are committed to improving the health and peace of mind of our more than 400,000 members by facilitating their access to affordable, high-quality healthcare. We are an independent licensee of the Blue Cross and Blue Shield Association. Connect with us on Twitter, Facebook, LinkedIn and Instagram. Listen to BCBSRI’s podcast, The Rhode to Health, at soundcloud.com/therhodetohealth.

 

About Blue Cross Blue Shield Association

The Blue Cross and Blue Shield Association is a national federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. BCBSA provides health care insights through The Health of America Report series and the national BCBS Health Indexsm. For more information on BCBSA and its member companies, please visit BCBS.com. We also encourage you to connect with us on Facebook, check out our videos on YouTube and follow us on Twitter.

The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or Blue Shield companies.