Financing Buprenorphine Treatment in Primary Care: A Microsimulation Model.

ABSTRACT:

Purpose

We sought to determine the financial impact to primary care practices of alternative strategies for offering buprenorphine-based treatment for opioid use disorder.

Methods

We interviewed 20 practice managers and identified 4 approaches to delivering buprenorphine-based treatment via primary care practice that differed in physician and nurse responsibilities. We used a microsimulation model to estimate how practice variations in patient type, payer, revenue, and cost across primary care practices nationwide would affect cost and revenue implications for each approach for the following types of practices: federally qualified health centers (FQHCs), non-FQHCs in urban high-poverty areas, non-FQHCs in rural high-poverty areas, and practices outside of high-poverty areas.

SUBMITTER: Fried JE 

PROVIDER: S-EPMC7708288 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature