Evidence map›Paper›PMID 38938273›Full record

ArticleHealth affairs scholar2024

Access to treatment before and after Medicare coverage of opioid treatment programs.

Ruijie Liu, Tamara Beetham, Helen Newton, Susan H Busch

Abstract read
In one paragraph

Article in Health affairs scholar, 2024. 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
–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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. 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
  4. Article
  5. Article
  6. Article
  7. 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

4 authors.

Ruijie LiuDepartment of Health Policy and Management, Yale School of Public Health, New Haven, CT 06510, United States.ORCID https://orcid.org/0000-0002-0120-6102
Tamara BeethamDepartment of Health Policy and Management, Yale School of Public Health, New Haven, CT 06510, United States.ORCID https://orcid.org/0000-0001-7746-7459
Helen NewtonDepartment of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC 27599, United States.ORCID https://orcid.org/0000-0002-0989-953X
Susan H BuschDepartment of Health Policy and Management, Yale School of Public Health, New Haven, CT 06510, United States.ORCID https://orcid.org/0000-0001-7761-3436

Funding

Substance use disorder treatment centers and facility ownership changesR01DA057789 · NIDA · YALE UNIVERSITY · PI BUSCH, SUSAN H · 2023 to 2025
$2.2M
Effects of Medicaid IMD SUD waiver on access to addiction treatmentR36DA058877 · NIDA · YALE UNIVERSITY · PI BEETHAM, TAMARA JANELLE · 2023 to 2023
$46k
NIDA NIH HHS R01 DA057789NIDA NIH HHS R36 DA058877
6 · The paper itself

Abstract

Since January 2020, Medicare has covered opioid use disorder (OUD) treatment services at opioid treatment programs (OTPs), the only outpatient settings allowed to dispense methadone for treating OUD. This study examined policy-associated changes in Medicare acceptance and the availability of four OUD treatment services (ongoing buprenorphine, HIV/AIDS education, employment services, and comprehensive mental health assessment), by for-profit status, and county-level changes in Medicare-accepting-OTPs access, by sociodemographic characteristics (racial composition, poverty rate, and rurality). Using data from the 2019-2022 National Directory of Drug and Alcohol Abuse Treatment Facilities, we found Medicare acceptance increased from 21.31% in 2018 to 80.76% in 2021. The availability of the four treatment services increased, but no increases were significantly associated with Medicare coverage. While county-level OTP access significantly improved, counties with higher rates of non-White residents experienced an additional average increase of 0.86 Medicare-accepting-OTPs (95% CI, 0.05-1.67) compared to those without higher rates of non-White populations. Overall, Medicare coverage was associated with improved OTP access, not ancillary services.

Indexed as

access to carefor-profit facilitieshealth policyMedicaremethadoneopioid treatment program (OTP)opioid use disorder (OUD)racial differences

Identifiers

PMID38938273
PMCPMC11210307

What OpenQuestion holds

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LicenceCC BY
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.