Opioids

UnitedHealthcare Combats Opioid Crisis with Non-Opioid Benefits

by Kelsey Waddill

UnitedHealthcare (UHC) is combatting the opioid epidemic and high healthcare costs with new physical therapy and chiropractic care benefits to prevent, delay, or in some cases substitute for invasive...

State Medicaid Programs Enhance SUD Benefits, Lower Cost-Sharing

by Kelsey Waddill

States focused their efforts on tackling the opioid epidemic and high prescription drug spending by adding substance use disorder (SUD) benefits and lower cost-sharing to Medicaid programs in fiscal...

CVS Health Invests $2.5M in Tobacco, Opioids Substance Abuse Care

by Kelsey Waddill

CVS Health announced that it will be investing $2.5 million in Ohio community organizations to battle opioid use disorder and tobacco substance abuse care and to fortify its workforce training...

How Payers Transition from Reactive to Preventive Care

by Kelsey Waddill

In the midst of the transition to value-based care, healthcare payers are looking for key strategies to keep their populations healthier at a lower cost. To that end, most have realized that a...

Opioid Overdoses Fall by 2% from 2017 to 2018, CDC Reports

by Kelsey Waddill

The Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics released its provisional report on drug overdose deaths, showing opioid overdoses declined by two...

CMS Approves 2 Medicaid Demos to Tackle Substance Abuse Disorders

by Kelsey Waddill

CMS recently approved two section 1115 demonstration waivers that will allow Minnesota and Nebraska to improve and expand upon their Medicaid institutions for mental diseases (IMDs) over the course of...

CMS Announces Grants to Tackle Opioid Use Disorders

by Kelsey Waddill

CMS continues to wage war on the opioid epidemic with a new grant opportunity for plans to reduce opioid use disorders (OUD). “CMS is pulling every lever to combat the opioid epidemic, and...

How Major Payers Provide Substance Abuse Care for Opioid Misuse

by Kelsey Waddill

Since the Health and Human Services announced a national state of emergency regarding the opioid epidemic in 2017, the need to improve both initial responses and follow up substance abuse care...

Cigna, VA Combat Opioid Abuse in Veterans with Chronic Pain

by Jessica Kent

The Department of Veterans Affairs (VA) has partnered with Cigna to improve patient safety and care quality for chronic pain patients at risk for opioid abuse. The partnership aims to educate...

CMS: New Medicare Part D Policies to Address Opioid Epidemic

by Jessica Kent

CMS has introduced new Medicare Part D patient safety policies that will address the opioid epidemic while still preserving medically necessary access to pain management therapies. The new policies...

Employer Behavioral Health Programs Need Opioid, Suicide Focus

by Jessica Kent

Seventy percent of employers are either currently addressing or plan to address behavioral health over the next few years, according to a recent survey from Willis Towers Watson, but many of these...

Blue Shield of California Reduces Member Opioid Use by 56%

by Jessica Kent

Blue Shield of California’s Narcotic Safety Initiative has achieved a 56 percent reduction in opioid use among members with chronic pain, surpassing its 2018 year-end goal by six percentage...

PCPs, Psychiatrists Much Less Likely to Accept Medicaid

by Jennifer Bresnick

Primary care providers (PCPs) and psychiatrists are among the least likely professionals to accept Medicaid, leaving patients without some of the most fundamental resources for preventing or managing...

Engagement, Data Analytics Cut Opioid Dependency in Managed Care

by Thomas Beaton

AmeriHealth Caritas has successfully reduced opioid dependency rates among managed care beneficiaries through member engagement and data analytics techniques that promote alternatives to opioid...

Physical Therapy, Chiropractic Back Care Cut Opioid Use, Costs

by Thomas Beaton

Payers could improve outcomes, increase cost-effectiveness, and reduce opioid use for lower back pain by expanding non-pharmacological coverage such as physical therapy and chiropractic care, according...

IL Payers File Pharma Lawsuit Over Opioid Prescription Costs, Safety

by Thomas Beaton

A coalition of Illinois payers has sued prominent pharmaceutical companies in a lawsuit that argues the companies are responsible for a spike in opioid prescription costs and patient safety risks. The...

PA Expands Access to Medication Assisted Treatment for SUD

by Thomas Beaton

Commercial payers and the Pennsylvania Department of Insurance (PDI) have agreed to increase access to medication-assisted treatments (MAT) and realign prior authorization processes for beneficiaries...

How Managed Care Payers Can Improve Substance Use Treatment

by Thomas Beaton

Managed care payers can use data analytics, case management strategies, and patient engagement tools to address the needs of high-risk individuals with substance use disorders (SUDs), states a new...

BCBSA Adds Opioid Abuse Accreditation to Treatment Facilities

by Thomas Beaton

The BlueCross BlueShield Association has announced a new accreditation program for opioid abuse treatment centers as a larger part of the organization’s mission to combat the US opioid...

CMS Offers Opioid Coverage, Health IT Guidance for Medicaid Plans

by Thomas Beaton

CMS has issued new opioid coverage strategies and health IT guidance to help states improve opioid safety within Medicaid plans. The guidelines include advice for state programs about treating infants...