Prescription Practices/Third Party Payer
A variety of policy changes and private actions have aimed to move the country towards better insurance coverage for the treatment of opioid use disorders (OUD). However, tracking the actual implementation of these changes on a large and in-depth scale has been limited. There is currently a gap in understanding around the barriers and tools insurers have for supporting the delivery of evidence-based OUD treatment, which is critical to promoting change in this space.
The research conducted by Shatterproof and the University of Pennsylvania’s Leonard Davis Institute of Health Economics is a unique initiative aimed at developing, testing, and implementing a system for tracking the insurance coverage of OUD treatment across the national landscape. Over six months, the research team surveyed key informants within the insurance industry, analyzed claims data, and examined state regulations to understand the feasibility of a national tracking system, identify barriers and solutions, and illuminate areas of variation across markets. The team has extrapolated these findings to a national scale to impact change in payment and policies around OUD that both reduce costs and improve the quality of care.
This session will provide an overview of the research methodology and findings, as well as a discussion of how this research is currently being used to encourage coverage of evidence-based OUD services. Insights from this session may serve to influence future research on tracking in the OUD payment space or modifications to current payment structures. Payer-based strategies to promote quality OUD treatment will also be discussed.
This session is accredited for the following accreditation types: CME, CNE, CPE, APA, AAFP, AAHCPAD*, NAADAC*, ASWB*
*State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit.