From Health Affairs Today <[email protected]>
Subject County-Level Access To Opioid Treatment Programs
Date August 3, 2023 8:08 PM
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Forefront: Remembering Lowell Weicker, Who Stood Up For Public Health
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Thursday, August 3, 2023 | The Latest Research, Commentary, And News
From Health Affairs

Dear John,

Today's newsletter features Samantha Harris and colleagues on the
benefits and opportunities with Medicare beginning to cover
participation in opioid treatment programs in 2020.

Gaps in Opioid Treatment Programs

Medicare began reimbursing for opioid treatment program (OTP) services
for the first time in 2020 under the Substance Use-Disorder Prevention
that Promotes Opioid Recovery and Treatment for Patients and Communities
(SUPPORT) Act. The benefit also included methadone maintenance
treatment, which is restricted to OTPs.

Samantha Harris and her coauthors analyze county-level factors
associated with OTPs accepting Medicare.

They find that while the new OTP benefit expanded access to an OTP or
non-OTP that accepted Medicare and offered medication for opioid use
disorder to nearly 7 million beneficiaries, more than 20 million
beneficiaries lived in a county without an OTP that accepted Medicare.
The authors identify seventy-seven counties with an OTP that did not
accept Medicare.

Harris and coauthors conclude that "the odds of a county having an OTP
that accepted Medicare were lower for counties with higher percentages
of residents in rural areas...," pointing to rural-urban disparities in
access to the Medicare OTP benefit.

**Read**
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