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来源类型Brief
规范类型简报
Medicaid Prescriptions for Opioid Use Disorder under Fee-for-Service and Managed-Care Arrangements in 2018
Victoria Lynch; Emma Winiski; Lisa Clemans-Cope
发表日期2020-04-20
出版年2020
语种英语
概述Despite strong evidence that medications for opioid use disorder and overdose (MOUDs) are effective, research indicates that many people with opioid use disorder (OUD) do not receive them. Though access to these treatments is especially important in Medicaid, because Medicaid covers a large share of those with OUD and most enrollees are in managed care, no estimates are available on MOUD prescriptions paid via
摘要

Despite strong evidence that medications for opioid use disorder and overdose (MOUDs) are effective, research indicates that many people with opioid use disorder (OUD) do not receive them. Though access to these treatments is especially important in Medicaid, because Medicaid covers a large share of those with OUD and most enrollees are in managed care, no estimates are available on MOUD prescriptions paid via managed-care versus fee-for-service arrangements in Medicaid. Thus, we estimate Medicaid enrollment by payment arrangement and use Medicaid State Drug Utilization Data to calculate MOUD prescriptions per 1,000 enrollees for buprenorphine, naloxone for reversing opioid overdose, and naltrexone. We find the following:

  • On average, the numbers of MOUD prescriptions per 1,000 Medicaid enrollees were similar in states paying for MOUDs in fee-for-service arrangements and in states primarily paying for MOUDs through managed care.
  • However, prescriptions per 1,000 Medicaid enrollees varied substantially within these two groups of states, suggesting enrollees may face other barriers to accessing MOUDs.

To learn more about our methodology, see the accompanying technical appendix.

主题Health and Health Policy
URLhttps://www.urban.org/research/publication/medicaid-prescriptions-opioid-use-disorder-under-fee-service-and-managed-care-arrangements-2018
来源智库Urban Institute (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/480972
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Victoria Lynch,Emma Winiski,Lisa Clemans-Cope. Medicaid Prescriptions for Opioid Use Disorder under Fee-for-Service and Managed-Care Arrangements in 2018. 2020.
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