Healthcare spending for individuals with opioid use disorder (OUD), infants born with neonatal abstinence syndrome (NAS), and family members of those diagnosed with OUD accounts for nearly one-third of the estimated national economic costs of the opioid epidemic. For state Medicaid programs, costs for OUD and excess non-OUD treatment have tripled since 1999. Averaged across commercially insured patients, Medicare and Medicaid beneficiaries, and the uninsured, patients with OUD incur $13,000 to $15,000 more in healthcare costs annually than similar patients not diagnosed with OUD.

Healthcare administrators can evaluate the health system application of state-level policies to determine gaps in evidence-based practice and develop initiatives to address weaknesses. OUD Best Practice Domains include evidence-based state-level policy responses to OUD prescribing regulation; guidelines, limits, and monitoring; referral and access to treatment for residents with OUD and their family members; prevention and education indicators encompassing prevention programs for adults, youth, and children; and continuing medical education requirements for clinicians and healthcare profession education for students; emergency response activities such as ease of naloxone access and Good Samaritan laws; mandated opioid overdose and neonatal abstinence syndrome (NAS) reporting; and Medicaid expansion and utilization for OUD treatment.

Learning Objectives:

• Assess the extent to which state executive and legislative branches have aligned opioid use disorder public health policies to existing best practice standards.
• Evaluate health system response to opioid use disorder through review of the application of state-level policies at the community level and describe pathways forward.

Speakers:

Carrie Shaver, DHA
Assistant Professor, Health Management, Administration and Policy
New Mexico State University

Richard G. Greenhill, DHA, FACHE
Program Director, BSHM/Assistant Professor
Texas Tech University Health Sciences Center

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