Implementation of a Proactive Pilot Health Plan-Driven Opioid Tapering Program to Decrease Chronic Opioid Use for Conditions of the Back and Spine in a Medicaid Population

Journal of Managed Care & Specialty Pharmacy
Julia PageChristopher Saliba

Abstract

In 2016, the Oregon Health Authority and the Health Evidence Review Commission implemented guidance for Oregon Medicaid members who were taking opioids for chronic pain related to conditions of the back and spine. This guidance required that an individualized taper plan be developed and initiated by January 1, 2017, and a discontinuation date for all chronic opioid therapy of January 1, 2018. This program evaluated the effect of a proactive and voluntary health plan-driven opioid tapering program on morphine equivalent daily dose (MEDD) before the implementation of governmental guidance. Two mailings were sent to the providers of the targeted members with a variety of resources to facilitate an opioid taper. Pharmacy claims were analyzed to measure member opioid use, in the form of MEDD, after the provider outreach to be compared with their MEDDs before the outreach. A total of 113 members met the study inclusion criteria for the second provider outreach. Of the 19 members' providers who submitted responses via fax to the health plan in response to this outreach, 6 indicated they would initiate taper plans. Of the 6 members with taper plans, 5 had decreases in MEDD (3.6%, 4.5%, 42.9%, 45.5%, and 46.1%) after the 3-month data co...Continue Reading

References

Sep 13, 2013·Medical Care·Matthew DaubresseG Caleb Alexander
Oct 23, 2013·Clinical Therapeutics·Natalia E Morone, Debra K Weiner
Dec 19, 2015·Journal of Managed Care & Specialty Pharmacy·UNKNOWN AMCP Partnership Forum
Feb 5, 2016·The New England Journal of Medicine·Robert M CaliffStephen Ostroff
Mar 18, 2016·MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports·Deborah DowellRoger Chou
Oct 21, 2016·MMWR. Morbidity and Mortality Weekly Report·Macarena C GarcíaMichele K Bohm
Dec 30, 2016·MMWR. Morbidity and Mortality Weekly Report·Rose A RuddLawrence Scholl
Feb 24, 2017·Journal of Managed Care & Specialty Pharmacy·Catherine S RiggsJessica L Milchak

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Citations

Oct 1, 2020·Journal of Managed Care & Specialty Pharmacy·Lt Lauren HertzogLaura E Happe

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