Opioid Prescribing to Medicare Part D Enrollees, 2013-2017: Shifting Responsibility to Pain Management Providers
| Autor: | Lin-Na Chou, Rajnish K. Gupta, Connie Hsu, Adam Romman, M. James Lozada, Yong Fang Kuo, Rene Przkora |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Analgesic Specialty Medicare Part D 01 natural sciences Opioid prescribing 03 medical and health sciences 0302 clinical medicine Medicine Humans Pain Management 030212 general & internal medicine 0101 mathematics Medical prescription Practice Patterns Physicians' OPIOIDS & SUBSTANCE USE DISORDERS health care economics and organizations Aged Retrospective Studies business.industry 010102 general mathematics Chronic pain General Medicine Pain management medicine.disease United States Analgesics Opioid Anesthesiology and Pain Medicine Cross-Sectional Studies Opioid Family medicine Neurology (clinical) business medicine.drug |
| Zdroj: | Pain Med |
| ISSN: | 1526-4637 |
| Popis: | Objective To examine opioid prescribing frequency and trends to Medicare Part D enrollees from 2013 to 2017 by medical specialty and provider type. Methods We conducted a retrospective, cross-sectional, specialty- and provider-level analysis of Medicare Part D prescriber data for opioid claims from 2013 to 2017. We analyzed opioid claims and prescribing trends for specialties accounting for ≥1% of all opioid claims. Results From 2013 to 2017, pain management providers increased Medicare Part D opioid claims by 27.3% to 1,140 mean claims per provider in 2017; physical medicine and rehabilitation providers increased opioid claims 16.9% to 511 mean claims per provider in 2017. Every other medical specialty decreased opioid claims over this period, with emergency medicine (–19.9%) and orthopedic surgery (–16.0%) dropping opioid claims more than any specialty. Physicians overall decreased opioid claims per provider by –5.2%. Meanwhile, opioid claims among both dentists (+5.6%) and nonphysician providers (+10.2%) increased during this period. Conclusions From 2013 to 2017, pain management and PMR increased opioid claims to Medicare Part D enrollees, whereas physicians in every other specialty decreased opioid prescribing. Dentists and nonphysician providers also increased opioid prescribing. Overall, opioid claims to Medicare Part D enrollees decreased and continue to drop at faster rates. |
| Databáze: | OpenAIRE |
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