Document Detail


Cost and comorbidities associated with opioid abuse in managed care and Medicaid patients in the United Stated: a comparison of two recently published studies.
MedLine Citation:
PMID:  20718646     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Opioid abuse places a large burden on the U.S. society. Two similarly designed studies recently identified the economic and health impact of opioid abuse in patients with private or Medicaid insurance. The prevalence of opioid abuse was estimated to be over 10 times higher in Medicaid beneficiaries than private insurance populations, 87 versus 8 per 10,000, respectively. Opioid abusers incurred annual medical costs that were $14,054 to $6650 higher than nonabusers in patients with private insurance or Medicaid beneficiaries, respectively (P < .01 for both). Annual costs were similar for abusers with private insurance ($15,884) or Medicaid beneficiaries ($13,658). Costs for nonabuser Medicaid beneficiaries were $7008 versus $1830 for those with private insurance, which likely reflects the lower health status of the overall Medicaid population. In both studies, the prevalence of comorbidities associated with substance abuse or chronic pain were significantly higher in abusers than nonabusers. These studies confirm that opioid abuse is associated with comorbidities that increase direct medical costs for patients with private insurance and for Medicaid beneficiaries, increasing the societal burden of opioid abuse.
Authors:
Sameer R Ghate; Simon Haroutiunian; Roger Winslow; Carrie McAdam-Marx
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of pain & palliative care pharmacotherapy     Volume:  24     ISSN:  1536-0539     ISO Abbreviation:  J Pain Palliat Care Pharmacother     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101125608     Medline TA:  J Pain Palliat Care Pharmacother     Country:  England    
Other Details:
Languages:  eng     Pagination:  251-8     Citation Subset:  IM    
Affiliation:
Pharmacotherapy Outcomes Research Center, University of Utah, Salt Lake City, Utah 84108, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Chronic Disease
Comorbidity
Female
Health Care Costs / statistics & numerical data*
Humans
Insurance Claim Review / economics
Male
Managed Care Programs
Medicaid
Middle Aged
Opioid-Related Disorders / economics*,  epidemiology*
Pain / epidemiology*
Prevalence
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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