Evidence map›Paper›PMID 30676789›Full record

ArticleAmerican journal of public health2019

Impact of Medicaid Restrictions on Availability of Buprenorphine in Addiction Treatment Programs.

Christina M Andrews, Amanda J Abraham, Colleen M Grogan, Melissa A Westlake, Harold A Pollack, Peter D Friedmann

Abstract read
In one paragraph

Article in American journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

6 authors.

Christina M AndrewsChristina M. Andrews and Melissa A. Westlake are with the College of Social Work, University of South Carolina, Columbia. Amanda J. Abraham is with the School of Public and International Affairs, University of Georgia, Athens. Colleen M. Grogan and Harold A. Pollack are with the School of Social Service Administration, University of Chicago, Chicago, IL. Peter D. Friedmann is with Baystate Medical Center, Springfield, MA, and the University of Massachusetts, Baystate Campus, Springfield.
Amanda J AbrahamChristina M. Andrews and Melissa A. Westlake are with the College of Social Work, University of South Carolina, Columbia. Amanda J. Abraham is with the School of Public and International Affairs, University of Georgia, Athens. Colleen M. Grogan and Harold A. Pollack are with the School of Social Service Administration, University of Chicago, Chicago, IL. Peter D. Friedmann is with Baystate Medical Center, Springfield, MA, and the University of Massachusetts, Baystate Campus, Springfield.
Colleen M GroganChristina M. Andrews and Melissa A. Westlake are with the College of Social Work, University of South Carolina, Columbia. Amanda J. Abraham is with the School of Public and International Affairs, University of Georgia, Athens. Colleen M. Grogan and Harold A. Pollack are with the School of Social Service Administration, University of Chicago, Chicago, IL. Peter D. Friedmann is with Baystate Medical Center, Springfield, MA, and the University of Massachusetts, Baystate Campus, Springfield.
Melissa A WestlakeChristina M. Andrews and Melissa A. Westlake are with the College of Social Work, University of South Carolina, Columbia. Amanda J. Abraham is with the School of Public and International Affairs, University of Georgia, Athens. Colleen M. Grogan and Harold A. Pollack are with the School of Social Service Administration, University of Chicago, Chicago, IL. Peter D. Friedmann is with Baystate Medical Center, Springfield, MA, and the University of Massachusetts, Baystate Campus, Springfield.
Harold A PollackChristina M. Andrews and Melissa A. Westlake are with the College of Social Work, University of South Carolina, Columbia. Amanda J. Abraham is with the School of Public and International Affairs, University of Georgia, Athens. Colleen M. Grogan and Harold A. Pollack are with the School of Social Service Administration, University of Chicago, Chicago, IL. Peter D. Friedmann is with Baystate Medical Center, Springfield, MA, and the University of Massachusetts, Baystate Campus, Springfield.
Peter D FriedmannChristina M. Andrews and Melissa A. Westlake are with the College of Social Work, University of South Carolina, Columbia. Amanda J. Abraham is with the School of Public and International Affairs, University of Georgia, Athens. Colleen M. Grogan and Harold A. Pollack are with the School of Social Service Administration, University of Chicago, Chicago, IL. Peter D. Friedmann is with Baystate Medical Center, Springfield, MA, and the University of Massachusetts, Baystate Campus, Springfield.

Funding

Impact of health reform on outpatient substance abuse treatment programsR01DA034634 · NIDA · RHODE ISLAND HOSPITAL · PI FRIEDMANN, PETER D · 2013 to 2017
$4.0M
NIDA NIH HHS R01 DA034634
6 · The paper itself

Abstract

objectivesTo examine how utilization restrictions on state Medicaid benefits for buprenorphine are related to addiction treatment programs' decision to offer the drug.

methodsWe used data from 2 waves of the National Drug Abuse Treatment System Survey conducted in 2014 and 2017 in the United States to assess the relationship of utilization restrictions to buprenorphine availability.

resultsThe proportion of programs offering buprenorphine was 43.2% in states that did not impose any utilization restrictions, 25.5% in states that imposed only annual limits, 17.3% in states that imposed only prior authorization, and 12.8% in states that imposed both. Programs in states requiring prior authorization from Medicaid had substantially lower odds of offering buprenorphine (odds ratio = 0.50; 95% confidence interval = 0.29, 0.87).

conclusionsMedicaid prior authorization was linked to lower odds of buprenorphine provision among addiction treatment programs. Public Health Implications. State Medicaid prior authorization requirements are linked to reduced odds of buprenorphine provision among addiction treatment programs and may discourage prescribing.

Indexed as

AdultAgedAged, 80 and overBuprenorphineEquipment and Supplies, HospitalFemaleHumansMaleMedicaidMiddle AgedOpioid-Related DisordersSubstance Abuse Treatment CentersUnited StatesBuprenorphine

Identifiers

PMID30676789
PMCPMC6366513

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.