Journal article
Plan Type and Opioid Prescriptions for Children in Medicaid
Medical care, Vol.59(5), pp.386-392
05/01/2021
DOI: 10.1097/MLR.0000000000001504
PMCID: PMC8026560
PMID: 33528236
Abstract
Background:
Opioids are generally an inappropriate acute pain management strategy in children, particularly because of the risk for diversion and subsequent misuse and abuse.
Objectives:
To examine associations between Medicaid plan type [coordinated care organization (CCO), managed care (MC), fee-for-service (FFS)] and whether a child received an opioid prescription.
Research Design:
Secondary analysis of Oregon Medicaid data (January 1, 2016 to December 31, 2017).
Subjects:
Medicaid-enrolled children ages 0-17 (N=200,169).
Measures:
There were 2 outcomes: whether a child received an opioid prescription from (a) any health provider or (b) from a visit to the dentist. Predictor variables included Medicaid plan type, age, sex, race, and ethnicity.
Results:
About 6.7% of children received an opioid from any health provider and 1.2% received an opioid from a dentist visit. Children in a CCO were significantly more likely than children in a MC (P<0.01) or FFS (P=0.02) plan to receive an opioid from any health provider. Children in a CCO were also significantly more likely than children in MC or FFS to receive an opioid from a dentist visit (P<0.01).
Conclusions:
Pediatric opioid prescriptions vary by plan type. Future efforts should identify reasons why Medicaid-enrolled children in a CCO plan are more likely to be prescribed opioids.
Details
- Title: Subtitle
- Plan Type and Opioid Prescriptions for Children in Medicaid
- Creators
- Jordan Banks - University of WashingtonCourtney Hill - University of WashingtonDonald L. Chi - University of Washington
- Resource Type
- Journal article
- Publication Details
- Medical care, Vol.59(5), pp.386-392
- DOI
- 10.1097/MLR.0000000000001504
- PMID
- 33528236
- PMCID
- PMC8026560
- NLM abbreviation
- Med Care
- ISSN
- 0025-7079
- eISSN
- 1537-1948
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 7
- Grant note
- William T. Grant Foundation Scholars Program K08DE020856 / US National Institute of Dental and Craniofacial Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR)
- Language
- English
- Date published
- 05/01/2021
- Academic Unit
- Public Policy Center (Archive)
- Record Identifier
- 9984283701002771
Metrics
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