This report examines how 6 state Medicaid agencies have used data to develop strategies to address the opioid crisis. The report describes how states use data from medical and pharmacy claims, prescription drug monitoring projects (PDMPS), health information exchanges (HIE) and admission, discharge and transfer (ADT) databases to identify providers and patients with problematic opioid-related behaviors and what they do to address these behaviors. Case studies of initiatives in South Dakota, Minnesota and Tennessee are featured.
Funding/Support: This research was funded by a grant from the Consumer and Prescriber Education Grant Program (CPGP).
Use of Medicaid Data Sources to Identify and Manage Patients and Providers with Problematic Opioid Behavior
A report on how 6 state Medicaid agencies use data to address problematic opioid behaviors in providers and payers.