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Trends in Methadone Dispensing for Opioid Use Disorder After Medicare Payment Policy Changes

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Key Points Question Did rates of methadone dispensing for opioid use disorder increase after Medicare payment and COVID-19 policy changes in 2020, and did these rates vary by beneficiary age… Click to show full abstract

Key Points Question Did rates of methadone dispensing for opioid use disorder increase after Medicare payment and COVID-19 policy changes in 2020, and did these rates vary by beneficiary age and dual eligibility for Medicaid? Findings In this cross-sectional study of 9 870 791 Medicare Advantage enrollees, increased rates of methadone dispensing were observed, largely driven by beneficiaries dually eligible for Medicare and Medicaid and those younger than 65 years. Meaning These findings suggest that policies designed to increase access to methadone treatment appear to have increased access to medication treatment for Medicare beneficiaries with opioid use disorder, helping to meet national policy priorities.

Keywords: opioid use; use disorder; policy; methadone dispensing

Journal Title: JAMA Network Open
Year Published: 2023

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