Evidence map›Paper›PMID 28350229›Full record

ArticleJournal of psychoactive drugs

Commercial Health Plan Coverage of Selected Treatments for Opioid Use Disorders from 2003 to 2014.

Sharon Reif, Timothy B Creedon, Constance M Horgan, Maureen T Stewart, Deborah W Garnick

Abstract read
In one paragraph

Article in Journal of psychoactive drugs. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Review
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  7. Review
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  14. Article
  15. Availability of Medications for the Treatment of Alcohol and Opioid Use Disorder in the USA.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  16. Article
  17. Article
  18. Article
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

5 authors.

Sharon Reifa Senior Scientist, Institute for Behavioral Health, Heller School for Social Policy and Management , Brandeis University , Waltham , MA , USA.
Timothy B Creedonb Research Associate (TBC)1, Institute for Behavioral Health, Heller School for Social Policy and Management , Brandeis University , Waltham , MA , USA.
Constance M Horgand Professor and Director, Institute for Behavioral Health, Heller School for Social Policy and Management , Brandeis University , Waltham , MA , USA.
Maureen T Stewarte Scientist, Institute for Behavioral Health, Heller School for Social Policy and Management , Brandeis University , Waltham , MA , USA.
Deborah W Garnickf Professor, Institute for Behavioral Health, Heller School for Social Policy and Management , Brandeis University , Waltham , MA , USA.

Funding

Provision of Alcohol Services in Private Health PlansR01AA010869 · NIAAA · BRANDEIS UNIVERSITY · PI HORGAN, CONSTANCE M. · 1996 to 2012
$4.1M
Provision of Drug Abuse Treatment Services Under ParityR01DA029316 · NIDA · BRANDEIS UNIVERSITY · PI HORGAN, CONSTANCE M. · 2010 to 2014
$2.7M
NIAAA NIH HHS R01 AA010869NIDA NIH HHS R01 DA029316
6 · The paper itself

Abstract

Opioid use disorders (OUDs) are receiving significant attention in the U.S. as a public health crisis. Access to treatment for OUDs is essential and was expected to improve following implementation of the federal parity law and the Affordable Care Act. This study examines changes in coverage and management of treatments for OUDs (opioid treatment programs (OTPs) as a covered service benefit, buprenorphine as a pharmacy benefit) before, during, and after parity and ACA implementation. Data are from three rounds of a nationally representative survey conducted with commercial health plans regarding behavioral health services in benefit years 2003, 2010, and 2014. Data were weighted to be representative of health plans' commercial products in the continental United States (2003 weighted N = 7,469, 83% response rate; 2010 N = 8,431, 89% response rate; and 2014 N = 6,974, 80% response rate). Results showed treatment for OUDs was covered by nearly all health plan products in each year of the survey, but the types and patterns varied by year. Prior authorization requirements for OTPs have decreased over time. Despite the promise of expanded access to OUD treatment suggested by parity and the ACA, improved health plan coverage for treatment of OUDs, while essential, is not sufficient to address the opioid crisis.

Indexed as

BuprenorphineHealth Services AccessibilityHumansInsurance CoverageInsurance, HealthOpiate Substitution TreatmentOpioid-Related DisordersPatient Protection and Affordable Care ActPublic HealthSurveys and QuestionnairesUnited StatesBuprenorphineACAaddictioninsuranceopioidtreatment

Identifiers

PMID28350229
PMCPMC5861719

What OpenQuestion holds

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Registered trials

None linked

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.