Medicaid prescription cap policies and acute care use and mortality among enrollees with opioid use disorder.

ABSTRACT:

Background

Twelve state Medicaid programs limit the monthly number of covered prescriptions. Such cap policies may force enrollees to forego essential medications with important health consequences. We aimed to determine the impact of cap policies on acute care use and all-cause mortality among enrollees with opioid use disorder (OUD).

Methods

Using 2016-2019 T-MSIS Analytical Files, we propensity-score matched enrollees with OUD in 12 states with cap policies and 26 states without cap policies. Outcomes measured over 12 months included emergency department (ED) visits, hospitalization, and all-cause mortality and were analyzed via generalized linear regression models. We conducted subgroup analyses by use of medications for OUD (MOUD) and comorbidity level and sensitivity a

SUBMITTER: Dow PM 

PROVIDER: S-EPMC12715808 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature