Evidence map›Paper›PMID 26566761›Full record

ArticleSubstance abuse2016

Policies related to opioid agonist therapy for opioid use disorders: The evolution of state policies from 2004 to 2013.

Rachel M Burns, Rosalie L Pacula, Sebastian Bauhoff, Adam J Gordon, Hollie Hendrikson, Douglas L Leslie, Bradley D Stein

Abstract read
In one paragraph

Article in Substance abuse, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Methocinnamox Reverses and Prevents Fentanyl-Induced Ventilatory Depression in Rats.The Journal of pharmacology and experimental therapeutics · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rachel M Burnsa RAND Corporation , Pittsburgh , Pennsylvania , USA.
Rosalie L Paculaa RAND Corporation , Pittsburgh , Pennsylvania , USA.
Sebastian Bauhoffa RAND Corporation , Pittsburgh , Pennsylvania , USA.
Adam J Gordonb University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA.
Hollie Hendriksond National Conference of State Legislatures , Denver , Colorado , USA.
Douglas L Lesliee Penn State College of Medicine , Hershey , Pennsylvania , USA.
Bradley D Steina RAND Corporation , Pittsburgh , Pennsylvania , USA.

Funding

Opioid Agonist Treatment Expansion in Medicaid: The Role of BuprenorphineR01DA032881 · NIDA · RAND CORPORATION · PI STEIN, BRADLEY D · 2012 to 2014
$1.8M
NIDA NIH HHS 1R01DA032881-01A1NIDA NIH HHS R01 DA032881
6 · The paper itself

Abstract

backgroundState Medicaid policies play an important role in Medicaid enrollees' access to and use of opioid agonists, such as methadone and buprenorphine, in the treatment of opioid use disorders. Little information is available, however, regarding the evolution of state policies facilitating or hindering access to opioid agonists among Medicaid enrollees.

methodsDuring 2013-2014, we surveyed state Medicaid officials and other designated state substance abuse treatment specialists about their state's recent history of Medicaid coverage and policies pertaining to methadone and buprenorphine. We describe the evolution of such coverage and policies and present an overview of the Medicaid policy environment with respect to opioid agonist therapy from 2004 to 2013.

resultsAmong our sample of 45 states with information on buprenorphine and methadone coverage, we found a gradual trend toward adoption of coverage for opioid agonist therapies in state Medicaid agencies. In 2013, only 11% of states in our sample (n = 5) had Medicaid policies that excluded coverage for methadone and buprenorphine, whereas 71% (n = 32) had adopted or maintained policies to cover both buprenorphine and methadone among Medicaid enrollees. We also noted an increase in policies over the time period that may have hindered access to buprenorphine and/or methadone.

conclusionsThere appears to be a trend for states to enact policies increasing Medicaid coverage of opioid agonist therapies, while in recent years also enacting policies, such as prior authorization requirements, that potentially serve as barriers to opioid agonist therapy utilization. Greater empirical information about the potential benefits and potential unintended consequences of such policies can provide policymakers and others with a more informed understanding of their policy decisions.

Indexed as

Opiate Substitution TreatmentBuprenorphineHealth PolicyHealth Services AccessibilityHumansMedicaidMethadoneNarcotic AntagonistsOpioid-Related DisordersUnited StatesBuprenorphineMethadoneNarcotic AntagonistsBuprenorphineopioid use disorderpolicy

Identifiers

PMID26566761
PMCPMC4801690

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.