A Naturalistic Experiment Evaluating the Impact of Medicaid Treatment Reimbursement Changes on Opioid Prescribing and Patient Outcomes Among Patients With Back Pain
NCT03393143 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 2748
Last updated 2021-01-11
Summary
Back on Track is a quasi-experimental, mixed-methods study of a unique natural experiment that will answer the question: what is the comparative effectiveness of different payer or health-system strategies that aim to prevent unsafe opioid prescribing? The State of Oregon is enacting a Medicaid reimbursement policy to enhance access to evidence-based non-pharmacotherapeutic treatment options while restricting reimbursement for opioids for back pain. We will assess whether the policy decreases unsafe opioid prescribing and improves patient outcomes compared with usual back pain treatment practices in a comparable state, California, that is not changing Medicaid payment policy.
Conditions
- Back Pain
- Neck Pain
Sponsors & Collaborators
-
Patient-Centered Outcomes Research Institute
collaborator OTHER -
OCHIN, Inc.
collaborator OTHER -
Harvard Pilgrim Health Care
collaborator OTHER -
Kaiser Permanente
lead OTHER
Principal Investigators
-
Lynn DeBar, PhD, MPH · Kaiser Permanente
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-05-31
- Primary Completion
- 2020-09-30
- Completion
- 2020-09-30
Countries
- United States
Study Locations
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