Evidence map›Paper›PMID 42018324›Full record

ArticleJAMA network open2026

Cascade of Care for Opioid Use Disorder Among Medicaid Beneficiaries.

Thanh T Lu, William N Dowd, Tami L Mark, Marianne Kluckman, Barrett Wallace Montgomery, Chelsea Katz, Dylan E DeLisle, Gary A Zarkin

Abstract read
In one paragraph

Article in JAMA network open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Thanh T LuRTI International, Research Triangle Park, North Carolina.
William N DowdRTI International, Research Triangle Park, North Carolina.
Tami L MarkRTI International, Research Triangle Park, North Carolina.
Marianne KluckmanRTI International, Research Triangle Park, North Carolina.
Barrett Wallace MontgomeryRTI International, Research Triangle Park, North Carolina.
Chelsea KatzRTI International, Research Triangle Park, North Carolina.
Dylan E DeLisleRTI International, Research Triangle Park, North Carolina.
Gary A ZarkinRTI International, Research Triangle Park, North Carolina.

Funding

HEAL Initiative: Research to Foster an Opioid Use Disorder Treatment System Patients Can Count OnRM1DA059375 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI TAMI L MARK · 2023 to 2026
$6.4M
NIDA NIH HHS RM1 DA059375
6 · The paper itself

Abstract

Importance: Opioid use disorder (OUD) is a major cause of death and disability among Medicaid beneficiaries. Understanding progress on engaging Medicaid beneficiaries in effective treatment is vital for reducing burden. Objective: To examine changes over time and state variation in rates of OUD diagnosis, receipt of medications for OUD (MOUD), MOUD continuity, and OUD-related hospitalization or emergency department (ED) visits among Medicaid beneficiaries. Design, Setting, and Participants: This repeated cross-sectional study used 2018-2023 Medicaid claims data for measurement years 2019 to 2023. The study included non-dual eligible Medicaid beneficiaries aged 18 to 64 years residing in 47 states and the District of Columbia. The data analyses were performed between July 1 and December 11, 2025. Exposure: Medicaid coverage. Main Outcomes and Measures: The main outcome was the percentage of Medicaid beneficiaries with (1) an OUD diagnosis, (2) MOUD, (3) MOUD continuity for at least 180 days, and (4) OUD-related hospitalization or emergency department visit. Results: Among 126 430 422 Medicaid beneficiary-year observations (aged 35-64 years range, 47.7%-52.3%; female range, 59.5%-61.2%), the percentage diagnosed with OUD declined from 4.2% in measurement year 2019 to 3.6% in measurement year 2023 and declined in 34 states. The percentage of all Medicaid beneficiaries with OUD who received MOUD increased from 60.0% to 69.1% and increased in 45 states. The percentage of Medicaid beneficiaries who continued MOUD for at least 180 days decreased from 62.6% to 57.6% and decreased in 29 states. The percentage of beneficiaries with OUD who had an OUD-related hospitalization or ED visit decreased from 10.9% to 10.6% but increased in 31 states. Conclusions and Relevance: This cross-sectional study found a substantial increase in the percentage of individuals with OUD who received MOUD among almost all states. The increase in MOUD use may have contributed to reductions in overdose deaths, but more research is needed.

Indexed as

MedicaidOpioid-Related DisordersAdolescentAdultCross-Sectional StudiesEmergency Room VisitsEmergency Service, HospitalFemaleHospitalizationHumansMaleMiddle AgedUnited StatesYoung Adult

Identifiers

PMID42018324
PMCPMC13103807

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.