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Prescription practices involving opioid analgesics among Americans with Medicaid, 2010.
J Health Care Poor Underserved. 2015 Feb; 26(1):182-98.JH

Abstract

Recent state-based studies have shown an increased risk of opioid overdose death in Medicaid populations. To explore one side of risk, this study examines indicators of potential opioid inappropriate use or prescribing among Medicaid enrollees. We examined claims from enrollees aged 18-64 years in the 2010 Truven Health MarketScan® Multi-State Medicaid database, which consisted of weighted and nationally representative data from 12 states. Pharmaceutical claims were used to identify enrollees (n=359,368) with opioid prescriptions. Indicators of potential inappropriate use or prescribing included overlapping opioid prescriptions, overlapping opioid and benzodiazepine prescriptions, long acting/extended release opioids for acute pain, and high daily doses. In 2010, Medicaid enrollees with opioid prescriptions obtained an average 6.3 opioid prescriptions, and 40% had at least one indicator of potential inappropriate use or prescribing. These indicators have been linked to opioid-related adverse health outcomes, and methods exist to detect and deter inappropriate use and prescribing of opioids.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25702736

Citation

Mack, Karin A., et al. "Prescription Practices Involving Opioid Analgesics Among Americans With Medicaid, 2010." Journal of Health Care for the Poor and Underserved, vol. 26, no. 1, 2015, pp. 182-98.
Mack KA, Zhang K, Paulozzi L, et al. Prescription practices involving opioid analgesics among Americans with Medicaid, 2010. J Health Care Poor Underserved. 2015;26(1):182-98.
Mack, K. A., Zhang, K., Paulozzi, L., & Jones, C. (2015). Prescription practices involving opioid analgesics among Americans with Medicaid, 2010. Journal of Health Care for the Poor and Underserved, 26(1), 182-98. https://doi.org/10.1353/hpu.2015.0009
Mack KA, et al. Prescription Practices Involving Opioid Analgesics Among Americans With Medicaid, 2010. J Health Care Poor Underserved. 2015;26(1):182-98. PubMed PMID: 25702736.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prescription practices involving opioid analgesics among Americans with Medicaid, 2010. AU - Mack,Karin A, AU - Zhang,Kun, AU - Paulozzi,Leonard, AU - Jones,Christopher, PY - 2015/2/24/entrez PY - 2015/2/24/pubmed PY - 2016/12/15/medline SP - 182 EP - 98 JF - Journal of health care for the poor and underserved JO - J Health Care Poor Underserved VL - 26 IS - 1 N2 - Recent state-based studies have shown an increased risk of opioid overdose death in Medicaid populations. To explore one side of risk, this study examines indicators of potential opioid inappropriate use or prescribing among Medicaid enrollees. We examined claims from enrollees aged 18-64 years in the 2010 Truven Health MarketScan® Multi-State Medicaid database, which consisted of weighted and nationally representative data from 12 states. Pharmaceutical claims were used to identify enrollees (n=359,368) with opioid prescriptions. Indicators of potential inappropriate use or prescribing included overlapping opioid prescriptions, overlapping opioid and benzodiazepine prescriptions, long acting/extended release opioids for acute pain, and high daily doses. In 2010, Medicaid enrollees with opioid prescriptions obtained an average 6.3 opioid prescriptions, and 40% had at least one indicator of potential inappropriate use or prescribing. These indicators have been linked to opioid-related adverse health outcomes, and methods exist to detect and deter inappropriate use and prescribing of opioids. SN - 1548-6869 UR - https://www.unboundmedicine.com/medline/citation/25702736/Prescription_practices_involving_opioid_analgesics_among_Americans_with_Medicaid_2010_ L2 - http://muse.jhu.edu/cgi-bin/resolve_openurl.cgi?issn=1049-2089&volume=26&issue=1&spage=182&aulast=Mack DB - PRIME DP - Unbound Medicine ER -