The implementation of opioid prescribing report cards in Medicaid managed care: a community quality collaborative.

Learn how you can help with a new
Autism, ADHD, Anxiety & Depression study.

CAR stands united with the Black Lives Matter movement
against racism and social injustice. Read more...

TitleThe implementation of opioid prescribing report cards in Medicaid managed care: a community quality collaborative.
Publication TypeJournal Article
Year of Publication2021
AuthorsShen, S, Candon, M, Fadeyibi, O, Kaplan, K, Lim, S, Mandell, DS, Neimark, G, Olubiyi, O, Pizzicato, LN, Tjoa, C, Washington, R, Rothbard, A
JournalAm J Manag Care
Volume27
Issue12
Paginatione429-e434
Date Published2021 Dec 01
ISSN1936-2692
Abstract

Philadelphia, Pennsylvania, is an urban epicenter of the opioid epidemic, and inappropriate opioid prescribing remains a top concern. To help address this issue, the Philadelphia Medicaid Opioid Prescribing Initiative, a type of community quality collaborative, mailed thousands of local Medicaid providers an individualized prescribing report card in 2017 and 2018. The report card featured details of providers' opioid prescribing, including peer comparison measures and inappropriate prescribing measures like concomitant opioid and benzodiazepine prescribing. This case study describes the unique process of developing and distributing the opioid prescribing report cards, with a particular focus on the role of Medicaid managed care organizations. Using Medicaid pharmacy claims, the extensive variation in prescribing measures within and across specialties is also illustrated. The report card's implementation points to the potential value of collaborations between public health departments and Medicaid managed care organizations and can provide insight for other locally grown policies.

DOI10.37765/ajmc.2021.88798
Alternate JournalAm J Manag Care
PubMed ID34889586