• Login
    View Item 
    •   Home
    • UMass Chan Faculty and Staff Research and Publications
    • UMass Chan Faculty and Researcher Publications
    • View Item
    •   Home
    • UMass Chan Faculty and Staff Research and Publications
    • UMass Chan Faculty and Researcher Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of eScholarship@UMassChanCommunitiesPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywordsThis CollectionPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywords

    My Account

    LoginRegister

    Help

    AboutSubmission GuidelinesData Deposit PolicySearchingAccessibilityTerms of UseWebsite Migration FAQ

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    The evidence doesn't justify steps by state Medicaid programs to restrict opioid addiction treatment with buprenorphine

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Clark, Robin E.
    Samnaliev, Mihail D.
    Baxter, Jeffrey D.
    Leung, Yat (Gary)
    UMass Chan Affiliations
    Clinical and Population Health Research
    Center for Health Policy and Research
    Department of Family Medicine and Community Health
    Document Type
    Journal Article
    Publication Date
    2011-08-01
    Keywords
    Adolescent
    Adult
    Aged
    *Analgesics, Opioid
    Buprenorphine
    Databases, Factual
    Female
    Humans
    Insurance Claim Review
    Male
    Massachusetts
    *Medicaid
    Middle Aged
    Opiate Substitution Treatment
    Opioid-Related Disorders
    United States
    Young Adult
    Community Health and Preventive Medicine
    Preventive Medicine
    Primary Care
    Show allShow less
    
    Metadata
    Show full item record
    Link to Full Text
    http://dx.doi.org/10.1377/hlthaff.2010.0532
    Abstract
    Many state Medicaid programs restrict access to buprenorphine, a prescription medication that relieves withdrawal symptoms for people addicted to heroin or other opiates. The reason is that officials fear that the drug is costlier or less safe than other therapies such as methadone. To find out if this is true, we compared spending, the use of services related to drug-use relapses, and mortality for 33,923 Massachusetts Medicaid beneficiaries receiving either buprenorphine, methadone, drug-free treatment, or no treatment during the period 2003-07. Buprenorphine appears to have significantly expanded access to treatment because the drug can be prescribed by a physician and taken at home compared with methadone, which by law must be administered at an approved clinic. Buprenorphine was associated with more relapse-related services but $1,330 lower mean annual spending than methadone when used for maintenance treatment. Mortality rates were similar for buprenorphine and methadone. By contrast, mortality rates were 75 percent higher among those receiving drug-free treatment, and more than twice as high among those receiving no treatment, compared to those receiving buprenorphine. The evidence does not support rationing buprenorphine to save money or ensure safety.
    Source
    Health Aff (Millwood). 2011 Aug;30(8):1425-33. Link to article on publisher's site
    DOI
    10.1377/hlthaff.2010.0532
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/30867
    PubMed ID
    21821560
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1377/hlthaff.2010.0532
    Scopus Count
    Collections
    UMass Chan Faculty and Researcher Publications

    entitlement

    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Lamar Soutter Library, UMass Chan Medical School | 55 Lake Avenue North | Worcester, MA 01655 USA
    Quick Guide | escholarship@umassmed.edu
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.