Trends in average days' supply of opioid medications in Medicaid and commercial insurance

dc.contributor.authorTehrani, Ali Bonakdar
dc.contributor.authorHenke, Rachel Mosher
dc.contributor.authorAli, Mir M.
dc.contributor.authorMutter, Ryan
dc.contributor.authorMark, Tami L.
dc.date.accessioned2021-07-12T20:15:35Z
dc.date.available2021-07-12T20:15:35Z
dc.date.issued2017-08-19
dc.description.abstractObjectives To calculate trends in adult average days' supply for six commonly prescribed opioids: hydrocodone, hydromorphone, morphine, oxycodone, oxymorphone, and tapentadol to assess whether physicians changed prescribing practices at the time of the intensifying epidemic. Methods We used 2005–2015 Truven Health MarketScan Commercial Claims and Encounters data to measure trends in opioid average days' supply among commercially insured individuals and 2005–2014 MarketScan Multi-State Medicaid data to measure trends in opioid average days' supply among Medicaid beneficiaries. Results For Medicaid, we found an increase in days' supply for all drugs except morphine. The largest percentage increase was for oxycodone, which increased 4.5 days (37%). Opioid days' supply for individuals with commercial insurance exhibited similar but steeper trends. The largest increase was also for oxycodone, which increased 6 days (56%). Between 2013 and 2015, when the opioid epidemic had begun to be widely publicized, there was no decline in the median days supplied for any of the opioids. Conclusions Our results find that days' supply of opioids are increasing despite public health campaigns and media attention on the risks of opioid prescribing. More effective interventions to curb opioid prescribing are needed to reverse these trends.en_US
dc.description.sponsorshipThis was funded through a contract from the Substance Abuse and Mental Health Services Administration (SAMHSA) 283-12-3102. The views expressed are those of the authors and do not necessarily reflect the views of the Substance Abuse and Mental Health Services Administration or the U.S. Department of Health and Human Services.en_US
dc.description.urihttps://www.sciencedirect.com/science/article/abs/pii/S0306460317302940?via%3Dihub#!en_US
dc.format.extent5 pagesen_US
dc.genrejournal articlesen_US
dc.identifierdoi:10.13016/m2nkkt-wnwz
dc.identifier.citationTehrani, Ali Bonakdar et al.; Trends in average days' supply of opioid medications in Medicaid and commercial insurance; Addictive Behaviors, Volume 76, January 2018, Pages 218-222; https://doi.org/10.1016/j.addbeh.2017.08.005en_US
dc.identifier.urihttps://doi.org/10.1016/j.addbeh.2017.08.005
dc.identifier.urihttp://hdl.handle.net/11603/21902
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC School of Public Policy Collection
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.rightsPublic Domain Mark 1.0*
dc.rightsThis work was written as part of one of the author's official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 U.S.C. 105, no copyright protection is available for such works under U.S. Law.
dc.rights.urihttp://creativecommons.org/publicdomain/mark/1.0/*
dc.titleTrends in average days' supply of opioid medications in Medicaid and commercial insuranceen_US
dc.typeTexten_US

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