Barbara /news/wp-json/wp/v2/posts/136155/u201cBasia/news/wp-json/wp/v2/posts/136155/u201d Andraka-Christou is an expert in health services, health policy and substance-use disorder treatment. Photo credit: Blake Osting/news/wp-json/wp/v2/posts/136155/n/news/wp-json/wp/v2/posts/136155/u201cMedicaid covers about a third of people in the U.S. with opioid-use disorder and Medicare covers both the elderly and disabled populations,/news/wp-json/wp/v2/posts/136155/u201d she says. /news/wp-json/wp/v2/posts/136155/u201cThat/news/wp-json/wp/v2/posts/136155/u2019s important because among older Americans, the rates of opioid overdoses have also been increasing. Because people flow in and out of different types of insurance, it/news/wp-json/wp/v2/posts/136155/u2019s very important to look at all insurance sectors./news/wp-json/wp/v2/posts/136155/u201d/news/wp-json/wp/v2/posts/136155/n
What Andraka-Christou and her team found were stark differences in coverage and prior authorization barriers depending on the form of buprenorphine requested. Nearly all plans covered at least one form of immediate-release buprenorphine in 2021, and prior-authorization requirements and quantity limits gradually decreased for immediate-release buprenorphine./news/wp-json/wp/v2/posts/136155/n
The intramuscular, extended-release injection was subject to the most variance by insurer type. Their research determined that Medicare and commercial insurance were less likely to cover the cost of the buprenorphine injection /news/wp-json/wp/v2/posts/136155/u2014 with only 46% of commercial plans and 19% of Medicare Advantage plans covering it /news/wp-json/wp/v2/posts/136155/u2014 as compared to Medicaid. On the other hand, most Medicaid plans covered the extended-release version in 2021, although 37% still required prior authorization./news/wp-json/wp/v2/posts/136155/n
Despite the oral version now being largely covered by insurers, Andraka-Christou says there is a downside in that it/news/wp-json/wp/v2/posts/136155/u2019s easier for opioid-use disorder patients to relapse if they skip doses. With the monthly intramuscular injection, that is less likely to happen./news/wp-json/wp/v2/posts/136155/n
/news/wp-json/wp/v2/posts/136155/u201cThe reason prior-authorization requirements are a problem is that someone with an addiction may have a short window of time during which they’re willing to go and get treatment,/news/wp-json/wp/v2/posts/136155/u201d Andraka-Christou says. /news/wp-json/wp/v2/posts/136155/u201cFrom a public health standpoint, it/news/wp-json/wp/v2/posts/136155/u2019s very important to not have prior-authorization requirements for these types of medicines. The injection is also very expensive because it’s still on patent, so those requirements probably exist to cut costs. However, if someone had to wait days for the injection and has an overdose in that timeframe, then it might be less costly to not require prior authorization./news/wp-json/wp/v2/posts/136155/u201d/news/wp-json/wp/v2/posts/136155/n
The barriers related to the oral version of buprenorphine have been a topic of conversation in U.S. healthcare for a while, but Andraka-Christou/news/wp-json/wp/v2/posts/136155/u2019s team found that prior-authorization requirements for oral versions are minimal today compared to 10 years ago. With this new finding, she urges researchers, advocates and policymakers to shift their attention to the intramuscular injection version and work on addressing those barriers./news/wp-json/wp/v2/posts/136155/n
/news/wp-json/wp/v2/posts/136155/u201cI think providing access to life-saving treatment needs to be a priority for policymakers and community advocates, and that/news/wp-json/wp/v2/posts/136155/u2019s where my passion comes from,/news/wp-json/wp/v2/posts/136155/u201d Andraka-Christou says. /news/wp-json/wp/v2/posts/136155/u201cThe fact is that we have this ongoing, horrific crisis, but we also have tools like buprenorphine and methadone that could cut the risk of overdose deaths in half if they weren/news/wp-json/wp/v2/posts/136155/u2019t so underused. State lawmakers could help lead this effort by requiring insurers to cover extended-release buprenorphine without prior authorization./news/wp-json/wp/v2/posts/136155/u201d/news/wp-json/wp/v2/posts/136155/n
Researcher Credentials/news/wp-json/wp/v2/posts/136155/nAndraka-Christou received both her juris doctorate and doctorate in law and social science from Indiana University Bloomington. She joined UCF/news/wp-json/wp/v2/posts/136155/u2019s School of Global Health Management and Informatics, part 色花堂/news/wp-json/wp/v2/posts/136155/u2019s College of Community Innovation and Education, in 2017. Her areas of expertise include health services, health policy and substance-use disorder treatment. Much of her research on the evolving opioid epidemic is summarized in her book The Opioid Fix: America/news/wp-json/wp/v2/posts/136155/u2019s Addiction Crisis and the Solution They Don/news/wp-json/wp/v2/posts/136155/u2019t Want You to Have (Johns Hopkins University Press, 2020)./news/wp-json/wp/v2/posts/136155/n","protected":false},"excerpt":{"rendered":"While insurance coverage of some forms of buprenorphine has improved over the years, researchers say coverage of new, more effective forms of the medication is lacking./news/wp-json/wp/v2/posts/136155/n","protected":false},"author":66,"featured_media":136162,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"lazy_load_responsive_images_disabled":false,"footnotes":"","_links_to":"","_links_to_target":"","_wp_rev_ctl_limit":""},"categories":[5,23],"tags":[54208,18082,45080],"tu_author":[],"class_list":["post-136155","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-colleges","category-research","tag-barbara-andraka-christou","tag-health","tag-school-of-global-health-management-and-informatics"],"yoast_head":"/news/wp-json/wp/v2/posts/136155/n
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