Evidence map›Paper›PMID 31174716›Full record

Trial reportJournal of substance abuse treatment2019

The payer's role in addressing the opioid epidemic: It's more than money.

Todd Molfenter, Dennis McCarty, Nora Jacobson, Jee-Seon Kim, Sanford Starr, Mark Zehner

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
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

9 citing papers in PubMed, 10 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Todd MolfenterUniversity of Wisconsin-Madison, 1513 University Avenue, Madison, WI 53706, United States of America. Electronic address: todd.molfenter@chess.wisc.edu.
Dennis McCartyOregon Health & Science University, United States of America.
Nora JacobsonUniversity of Wisconsin-Madison, 1513 University Avenue, Madison, WI 53706, United States of America.
Jee-Seon KimUniversity of Wisconsin-Madison, 1513 University Avenue, Madison, WI 53706, United States of America.
Sanford StarrOhio Department of Mental Health and Addiction Services (OhioMHAS), United States of America.
Mark ZehnerUniversity of Wisconsin-Madison, 1513 University Avenue, Madison, WI 53706, United States of America.
University of Wisconsin–Madison · USOhio Department of Mental Health & Addiction Services · USOregon Health & Science University · US

Funding

To Test A Payer/Treatment Agency Intervention to Increase Use of BuprenorphineR01DA030431 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI MOLFENTER, TODD DAVID · 2012 to 2016
$2.9M
Test of a Workforce Development Intervention to Expand Buprenorphine PrescribersR01DA041415 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI MOLFENTER, TODD DAVID · 2016 to 2020
$2.8M
NIDA NIH HHS R01 DA030431NIDA NIH HHS R01 DA041415
6 · The paper itself

Abstract

BACKGROUND AND

objectiveCounty, State, and Federal agencies are addressing the public health opioid crisis. Ohio's 51 county-based Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Boards finance and regulate opioid treatment services within their jurisdictions. This three-year comparative trial collaborated with ADAMHS Boards (n = 14) to test the Advancing Recovery Framework, a suite of organizational and system change strategies designed to promote use of buprenorphine for opioid agonist therapy.

methodsA multi-level intervention directed payers and treatment agencies to leverage their roles in increasing the use of buprenorphine. Half of the boards partnered with local substance use disorder treatment providers using the partnership strategies recommended by the Advancing Recovery (AR) framework. The comparison boards did not use the partnership strategies. RESULTS AND

conclusionA logistic regression analysis detected increases in the number of patients receiving buprenorphine in both conditions. Buprenorphine use, as a percentage of patients with an opioid use disorder diagnosis, was significantly greater among the boards using the Advancing Recovery strategies during the three-year experimental period (odds ratio (OR) 1.63, 95% CI, 1.50 to 1.76, p < .001) and a one-year maintenance period (OR 2.13, 95% CI, 1.85 to 2.46, p < .001). Boards in both groups provided similar levels of financial support to implement and maintain buprenorphine prescribing. Strategy differences between the study conditions existed in use of a committee that facilitated payer-provider partnering and the ADAMHS boards setting expectations for using buprenorphine. Payer-provider partnerships achieved greater improvements and maximized the effectiveness of funding in increasing access to buprenorphine.

Indexed as

Health PersonnelInsurance, Health, ReimbursementOpioid EpidemicAdultAnalgesics, OpioidBuprenorphineFemaleHumansImplementation ScienceMaleOpiate Substitution TreatmentOpioid-Related DisordersAnalgesics, OpioidBuprenorphineBuprenorphineImplementation scienceOpioid maintenance therapyOpioid use disorderPayer strategies

Identifiers

PMID31174716
PMCPMC6557437
OpenAlexW2925713328

What OpenQuestion holds

Textmetadata
LicenceTDM
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.