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Implementation of a Proactive Pilot Health Plan-Driven Opioid Tapering Program to Decrease Chronic Opioid Use for
Julia Page1, Robin Traver1, Sital Patel1
11 Pharmacy Services, Moda Health, Portland, Oregon.
Journal of Managed Care & Specialty Pharmacy
|February 28, 2018
Summary
A health plan
Area of Science:
- Health Services Research
- Public Health
- Pain Management
Background:
- Oregon implemented guidance in 2016 for Medicaid members on chronic opioid therapy for back and spine pain.
- This guidance mandated individualized opioid taper plans by January 2017 and discontinuation by January 2018.
Purpose of the Study:
- To evaluate a voluntary, health plan-driven opioid tapering program's effect on morphine equivalent daily dose (MEDD).
- To assess the program's impact prior to the governmental guidance implementation.
Main Methods:
- A proactive outreach program mailed resources to providers to facilitate opioid tapering.
- Pharmacy claims data analyzed member MEDD before and after provider outreach.
Main Results:
- Of 113 members, 16.8% showed a decrease in MEDD, 20.4% had no change, and 63.7% experienced an increase.
- Among 6 members with initiated taper plans, 5 showed decreased MEDD (3.6%–46.1%).
Conclusions:
- Physician enrollment in health-plan driven programs may decrease opioid use (MEDD).
- Further research with larger samples and longer follow-up is needed to confirm long-term adherence and program attribution.
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