Cost and comorbidities associated with opioid abuse in managed care and medicaid patients in the United Stated: A comparison of two recently published studies

Sameer R. Ghate, Simon Haroutiunian, Roger Winslow, Carrie McAdam-Marx

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)251-258
Number of pages8
JournalJournal of Pain and Palliative Care Pharmacotherapy
Volume24
Issue number3
DOIs
StatePublished - Aug 2010

Keywords

  • Costs
  • Health insurance
  • Medicaid
  • Opioid abuse

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pharmacology (medical)

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