Evidence map›Paper›PMID 37406230›Full record

ArticleHealth affairs (Project Hope)2023

Changes In County-Level Access To Medications For Opioid Use Disorder After Medicare Coverage Of Methadone Treatment Began.

Samantha J Harris, Courtney R Yarbrough, Amanda J Abraham

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Insurance coverage and provision of opioid disorder treatment: Evidence from Medicare.Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management] · 2026
    Article
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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

3 authors at 3 institutions in 1 country.

Samantha J HarrisSamantha J. Harris, Johns Hopkins University, Baltimore, Maryland.
Courtney R YarbroughCourtney R. Yarbrough (courtney.yarbrough@emory.edu), Emory University, Atlanta, Georgia.
Amanda J AbrahamAmanda J. Abraham, University of Georgia, Athens, Georgia.
Georgian Court University · USJohns Hopkins University · USUniversity of Georgia · US

Funding

Opioid Treatment Adoption in Primary Care Settings: Barriers and Facilitators to ImplementationK01DA051696 · NIDA · EMORY UNIVERSITY · PI YARBROUGH, COURTNEY R. · 2020 to 2024
$970k
NIDA NIH HHS K01 DA051696
6 · The paper itself

Abstract

In 2020 Medicare began reimbursing for opioid treatment program (OTP) services, including methadone maintenance treatment for opioid use disorder (OUD), for the first time. Methadone is highly effective for OUD, yet its availability is restricted to OTPs. We used 2021 data from the National Directory of Drug and Alcohol Abuse Treatment Facilities to examine county-level factors associated with OTPs accepting Medicare. In 2021, 16.3 percent of counties had at least one OTP that accepted Medicare. In 124 counties the OTP was the only specialty treatment facility offering any form of medication for opioid use disorder (MOUD). Regression results showed that the odds of a county having an OTP that accepted Medicare were lower for counties with higher versus lower percentages of rural residents and lower for counties located in the Midwest, South, and West compared with the Northeast. The new OTP benefit improved the availability of MOUD treatment for beneficiaries, although geographic gaps in access remain.

Indexed as

BuprenorphineOpioid-Related DisordersAgedAnalgesics, OpioidHealth Services AccessibilityHumansMedicareMethadoneOpiate Substitution TreatmentUnited StatesAnalgesics, OpioidBuprenorphineMethadone

Identifiers

PMID37406230
PMCPMC11332379
OpenAlexW4383199451

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.