Association between insurance cost-sharing subsidy and postoperative opioid prescription refills among Medicare patients.

ABSTRACT:

Background

Models of health care coverage with varying degrees of patient cost-sharing have been shown to influence health care behaviors for chronic conditions including medication adherence. The effect of insurance cost-sharing subsidies on the probability of postoperative opioid refill, however, is unclear.

Methods

This retrospective cohort study examined 100% Medicare claims data among patients (N = 21,781) ages 65 and older undergoing orthopedic procedures in Michigan between January 2013 and September 2016. Patients were classified based on the presence of low-income subsidy and on prior opioid exposure using Medicare Part D prescription files of drug events. We investigated the association of these factors with the probability of both initial and second postoperative

SUBMITTER: Kirsch M 

PROVIDER: S-EPMC8489972 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature