Medicaid expansion and opioid deaths
Medicaid expansion and opioid deaths
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DOI：
10.1002/hec.3945
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发表时间：
2019-12-01
期刊：
影响因子：
2.1
通讯作者：
Wang, Yang
中科院分区：
文献类型：
--
作者：
Averett, Susan L.;Smith, Julie K.;Wang, Yang
美国正处于阿片类药物流行之中，药物过量死亡正在成为死亡的主要原因。与此同时，2010年，美国通过了全面的医疗保健改革，为数百万以前缺乏医疗保健的人提供了获得医疗保健的机会。部分新的机会来自扩大医疗补助计划，这是一项针对低收入个人的保险计划。扩大医疗补助是各州的选择。那些生活在扩张州的人获得了处方药的覆盖范围，因此更多地获得了已知会上瘾的阿片类止痛药。然而，他们也获得了药物辅助戒毒治疗。本文使用差异中的差异方法和2010年至2017年的州一级数据来比较扩张和非扩张州的阿片类药物死亡率，以确定医疗补助扩张是否是阿片类药物死亡率上升的潜在原因。我们没有发现任何证据表明医疗补助的扩大与阿片类药物死亡有关。
The United States is in the midst of an opioid epidemic, and drug overdose deaths are becoming a leading cause of death. Meanwhile, in 2010, the United States passed comprehensive health care reform providing access to care for millions of individuals who previously lacked care. Part of the new access came from expanding Medicaid, the insurance program for low-income individuals. Expanding Medicaid was optional for states. Those individuals living in expansion states gained prescription drug coverage and hence more access to opioid pain-relievers that are known to be addictive. However, they also gained access to medication-assisted treatment for addiction. This paper uses a difference-in-differences approach and state-level data from 2010 to 2017 to compare opioid death rates in expansion and non-expansion states to determine if Medicaid expansion was a potential cause of rising opioid deaths. We find no evidence that Medicaid expansion is related to opioid deaths.