Evaluating short- and long-term impacts of a Medicaid "lock-in" program on opioid and benzodiazepine prescriptions dispensed to beneficiaries.

ABSTRACT:

Background

Insurance-based "lock-in" programs (LIPs) have become a popular strategy to address controlled substance (CS) (e.g., opioid) misuse. However, little is known about their impacts. We examined changes in CS dispensing to beneficiaries in the 12-month North Carolina Medicaid LIP.

Methods

We analyzed Medicaid claims linked to Prescription Drug Monitoring Program (PDMP) records for beneficiaries enrolled in the LIP between October 2010 and September 2012 (n=2702). Outcomes of interest were 1) number of dispensed CS prescriptions and 2) morphine milligram equivalents (MMEs) of dispensed opioids while a) locked-in and b) in the year following release.

Results

Compared to a period of stable CS dispensed prior to LIP enrollment, numbers of dispensed CS during lock-i

SUBMITTER: Naumann RB 

PROVIDER: S-EPMC7475002 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature