A statewide effort to reduce high-dose opioid prescribing through coordinated care organizations.

ABSTRACT:

Background

Oregon's Medicaid program is delivered through 16 Coordinated Care Organizations (CCOs) participating in a statewide performance improvement program to reduce high-dose opioid prescribing. CCOs were allowed flexibility to develop their own dose targets and any policies, trainings, guidelines, and/or materials to meet these targets. In this study, we characterize CCO strategies to reduce high-dose opioid prescribing across the 16 CCOs.

Methods

We reviewed relevant CCO documents and conducted semi-structured interviews with CCO administrators to acquire opioid-related policies, practices, timelines and contextual factors. We applied a systematic coding procedure to develop a comprehensive description of each CCO's strategy. We used administrative data from the state

SUBMITTER: Hartung DM 

PROVIDER: S-EPMC6078786 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature