Research ArticleOriginal Research
Reduction of Long-Term Opioid Prescribing for Back Pain in Community Health Centers After a Medicaid Policy Change
John Muench, Megan Hoopes, Meghan Mayhew, Maura Pisciotta, Susan M. Shortreed, Catherine J. Livingston, Michael Von Korff and ,Lynn L. DeBar
The Journal of the American Board of Family
Medicine March 2022, 35 (2) 352-369; DOI: https://doi.org/10.3122/jabfm.2022.02.210306
John Muench
From the Oregon Health & Science University, Portland, OR (JM); OCHIN, Inc., Portland, OR (MH and MP); Kaiser Permanente Center for Health Research, Portland, OR (MM, SMS, MVK, and LLD); and Oregon Health & Science University, Portland, OR (CJL).
MD, MPHMegan Hoopes
From the Oregon Health & Science University, Portland, OR (JM); OCHIN, Inc., Portland, OR (MH and MP); Kaiser Permanente Center for Health Research, Portland, OR (MM, SMS, MVK, and LLD); and Oregon Health & Science University, Portland, OR (CJL).
MPHMeghan Mayhew
From the Oregon Health & Science University, Portland, OR (JM); OCHIN, Inc., Portland, OR (MH and MP); Kaiser Permanente Center for Health Research, Portland, OR (MM, SMS, MVK, and LLD); and Oregon Health & Science University, Portland, OR (CJL).
MPHMaura Pisciotta
From the Oregon Health & Science University, Portland, OR (JM); OCHIN, Inc., Portland, OR (MH and MP); Kaiser Permanente Center for Health Research, Portland, OR (MM, SMS, MVK, and LLD); and Oregon Health & Science University, Portland, OR (CJL).
MSSusan M. Shortreed
From the Oregon Health & Science University, Portland, OR (JM); OCHIN, Inc., Portland, OR (MH and MP); Kaiser Permanente Center for Health Research, Portland, OR (MM, SMS, MVK, and LLD); and Oregon Health & Science University, Portland, OR (CJL).
PhDCatherine J. Livingston
From the Oregon Health & Science University, Portland, OR (JM); OCHIN, Inc., Portland, OR (MH and MP); Kaiser Permanente Center for Health Research, Portland, OR (MM, SMS, MVK, and LLD); and Oregon Health & Science University, Portland, OR (CJL).
MD, MPHMichael Von Korff
From the Oregon Health & Science University, Portland, OR (JM); OCHIN, Inc., Portland, OR (MH and MP); Kaiser Permanente Center for Health Research, Portland, OR (MM, SMS, MVK, and LLD); and Oregon Health & Science University, Portland, OR (CJL).
ScD,Lynn L. DeBar
From the Oregon Health & Science University, Portland, OR (JM); OCHIN, Inc., Portland, OR (MH and MP); Kaiser Permanente Center for Health Research, Portland, OR (MM, SMS, MVK, and LLD); and Oregon Health & Science University, Portland, OR (CJL).
PhD, MPH
References
- 1.↵
- Jalal H,
- Buchanich JM,
- Roberts MS,
- Balmert LC,
- Zhang K,
- Burke DS
- 2.↵
- 3.↵
- Alpert AE,
- Evans WN,
- Lieber EMJ,
- Powell D
- 4.↵
- 5.↵
- Olsen Y,
- Daumit GL,
- Ford DE
- 6.↵Centers for Disease Control and Prevention. 2019 Annual surveillance report of drug-related risks and outcomes - United States. Surveillance Special Report. 2019. Published November 1, 2019. Accessed December 30, 2019.
- 7.↵
- 8.↵Office of National Drug Control Policy. National drug control strategy. 2011. https://obamawhitehouse.archives.gov/sites/default/files/ondcp/ndcs2011.pdf. Accessed January 23, 2020.
- 9.↵
- 10.↵Oregon Health Authority Health Evidence Review Commission. Coverage guidance: lower back pain: non-pharmacological/non-invasive interventions. https://www.oregon.gov/oha/HPA/DSI-HERC/EvidenceBasedReports/Low-Back-Pain-Non-Pharmacologic-Non-Invasive-Interventions-11-13-14.pdf.Published2014. Accessed November 22, 2020.
- 11.↵Oregon Health Authority Health Evidence Review Commission. Coverage guidance: lower back pain: pharmacological interventions. https://www.oregon.gov/oha/HPA/DSI-HERC/EvidenceBasedReports/Low-Back-Pain-Pharmacologic-Interventions-Final-11-13-14.pdf.Published2014. Accessed November 22, 2020.
- 12.↵
- Eaves ER,
- Hsu CW,
- DeBar LL,
- et al
- 13.↵Oregon Health Evidence Review Commission. Prioritized list archives. https://www.oregon.gov/oha/HPA/DSI-HERC/Pages/Prioritized-List-Archives.aspx. Accessed March 7, 2021.
- 14.↵
- Kuntz JL,
- Dickerson JF,
- Schneider JL,
- et al
- 15.↵
- Von Korff M,
- Dublin S,
- Walker RL,
- et al
- 16.↵
- Darnall BD,
- Juurlink D,
- Kerns RD,
- et al
- 17.↵
- Kertesz SG
- 18.↵
- 19.↵U.S. Department of Health and Human Services. HHS guide for clinicians on the appropriate dosage reduction or discontinuation of long-term opioid analgesics. https://www.cms.gov/About-CMS/Story-Page/CDCs-Tapering-Guidance.pdf. Published 2019. AS12,2.
- 20.↵Centers for Disease Control and Prevention. Pocket guide: tapering opioids for chronic pain. https://www.cdc.gov/drugoverdose/pdf/clinical_pocket_guide_tapering-a.pdf.
- 21.↵National Association of Community Health Centers. Community health center chartbook 2019. http://www.nachc.org/wp-content/uploads/2019/01/Community-Health-Center-Chartbook-FINAL-1.28.19.pdf.
- 22.↵U.S. National Library of Medicine - ClinicalTrials.gov. A Naturalistic Experiment Evaluating the Impact of Medicaid Treatment Reimbursement Changes on Opioid Prescribing and Patient Outcomes Among Patients With Back Pain (Back on Track). https://clinicaltrials.gov/ct2/show/NCT03393143.
- 23.↵
- Charlson ME,
- Charlson RE,
- Peterson JC,
- Marinopoulos SS,
- Briggs WM,
- Hollenberg JP
- 24.↵
- 25.↵Centers for Disease Control and Prevention. Data resources - oral MMEs. 2018. https://www.cdc.gov/drugoverdose/resources/data.html.
- 26.↵
- Wen H,
- Schackman BR,
- Aden B,
- Bao Y
- 27.↵
- Mauri AI,
- Townsend TN,
- Haffajee RL
- 28.↵
- Muench J,
- Fankhauser K,
- Voss RW,
- et al
- 29.↵
- Hartung DM,
- Kim H,
- Ahmed SM,
- et al
- 30.↵Oregon Health Authority Office of Delivery Systems Innovation. Statewide Performance Improvement Project. https://www.oregon.gov/oha/HPA/DSI/pages/Performance-Improvement-Project.aspx. Published 2019. AS12,2.
- 31.↵
- Harden P,
- Ahmed S,
- Ang K,
- Wiedemer N
- 32.↵
- 33.↵
- 34.↵
- 35.↵
- Ranapurwala SI,
- Ringwalt CL,
- Pence BW,
- et al
- 36.↵
- Buonora M,
- Perez HR,
- Heo M,
- Cunningham CO,
- Starrels JL
- 37.↵
- Pletcher MJ,
- Kertesz SG,
- Kohn MA,
- Gonzales R
- 38.↵
- 39.↵
- Chou R,
- Ballantyne JC,
- Fanciullo GJ,
- Fine PG,
- Miaskowski C
In this issue
Reduction of Long-Term Opioid Prescribing for Back Pain in Community Health Centers After a Medicaid Policy Change
John Muench, Megan Hoopes, Meghan Mayhew, Maura Pisciotta, Susan M. Shortreed, Catherine J. Livingston, Michael Von Korff, ,Lynn L. DeBar
The Journal of the American Board of Family
Medicine Mar 2022, 35 (2) 352-369; DOI: 10.3122/jabfm.2022.02.210306
Reduction of Long-Term Opioid Prescribing for Back Pain in Community Health Centers After a Medicaid Policy Change
John Muench, Megan Hoopes, Meghan Mayhew, Maura Pisciotta, Susan M. Shortreed, Catherine J. Livingston, Michael Von Korff, ,Lynn L. DeBar
The Journal of the American Board of Family
Medicine Mar 2022, 35 (2) 352-369; DOI: 10.3122/jabfm.2022.02.210306
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