An Exploratory Analysis of Differential Prescribing of High-Risk Opioids by Insurance Type Among Patients Seen by the Same Clinician.

ABSTRACT:

Background

Insurance status may influence quality of opioid analgesic (OA) prescribing among patients seen by the same clinician.

Objective

To explore how high-risk OA prescribing varies by payer type among patients seeing the same prescriber and identify clinician characteristics associated with variable prescribing DESIGN: Retrospective cohort study using the 2016-2018 IQVIA Real World Data - Longitudinal Prescription PARTICIPANTS: New OA treatment episodes for individuals ≥ 12 years, categorized by payer and prescriber. We created three dyads: prescribers with ≥ 10 commercial insurance episodes and ≥ 10 Medicaid episodes; ≥ 10 commercial insurance episodes and ≥ 10 self-pay episodes; and ≥ 10 Medicaid episodes and ≥ 10 self-pay episodes.

Main outcome(s) and measure(s)<

SUBMITTER: Schulson LB 

PROVIDER: S-EPMC10212884 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature