April D Summers1, Elizabeth C Ailes1, Michele K Bohm2, Emmy L Tran3, Cheryl S Broussard1, Meghan T Frey1, Suzanne M Gilboa1, Jean Y Ko4, Jennifer N Lind5, Margaret A Honein1. 1. Division of Birth Defects and Infant Disorders, National Center on Birth Defects and Developmental Disabilities, CDC, Chamblee, Georgia. 2. Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, CDC, Chamblee, Georgia. 3. Division of Birth Defects and Infant Disorders, National Center on Birth Defects and Developmental Disabilities, CDC, Chamblee, Georgia; Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee. 4. Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Chamblee, Georgia; United States Public Health Service, Commissioned Corps. 5. Division of Birth Defects and Infant Disorders, National Center on Birth Defects and Developmental Disabilities, CDC, Chamblee, Georgia; United States Public Health Service, Commissioned Corps.
Abstract
OBJECTIVE: To estimate the annual percentage of women of reproductive age with private insurance or Medicaid who had opioid prescription claims during 2013-2017 and describe trends over time. DESIGN: A secondary analysis of insurance claims data from IBM MarketScan® Commercial and Multi-State Medicaid Databases to assess outpatient pharmacy claims for prescription opioids among women aged 15-44 years during 2013-2017. PARTICIPANTS: Annual cohorts of 3.5-3.8 million women aged 15-44 years with private insurance and 0.9-2.1 million women enrolled in Medicaid. MAIN OUTCOME MEASURE: The percentage of women aged 15-44 years with outpatient pharmacy claims for opioid prescriptions. RESULTS: During 2013-2017, the proportion of women aged 15-44 years with private insurance who had claims for opioid prescriptions decreased by 22.1 percent, and among women enrolled in Medicaid, the proportion decreased by 31.5 -percent. CONCLUSIONS: Opioid prescription claims decreased from 2013 to 2017 among insured women of reproductive age. However, opioid prescription claims remained common and were more common among women enrolled in Medicaid than those with private insurance; additional strategies to improve awareness of the risks associated with opioid prescribing may be needed.
OBJECTIVE: To estimate the annual percentage of women of reproductive age with private insurance or Medicaid who had opioid prescription claims during 2013-2017 and describe trends over time. DESIGN: A secondary analysis of insurance claims data from IBM MarketScan® Commercial and Multi-State Medicaid Databases to assess outpatient pharmacy claims for prescription opioids among women aged 15-44 years during 2013-2017. PARTICIPANTS: Annual cohorts of 3.5-3.8 million women aged 15-44 years with private insurance and 0.9-2.1 million women enrolled in Medicaid. MAIN OUTCOME MEASURE: The percentage of women aged 15-44 years with outpatient pharmacy claims for opioid prescriptions. RESULTS: During 2013-2017, the proportion of women aged 15-44 years with private insurance who had claims for opioid prescriptions decreased by 22.1 percent, and among women enrolled in Medicaid, the proportion decreased by 31.5 -percent. CONCLUSIONS: Opioid prescription claims decreased from 2013 to 2017 among insured women of reproductive age. However, opioid prescription claims remained common and were more common among women enrolled in Medicaid than those with private insurance; additional strategies to improve awareness of the risks associated with opioid prescribing may be needed.
Authors: Jennifer N Lind; Julia D Interrante; Elizabeth C Ailes; Suzanne M Gilboa; Sara Khan; Meghan T Frey; April L Dawson; Margaret A Honein; Nicole F Dowling; Hilda Razzaghi; Andreea A Creanga; Cheryl S Broussard Journal: Pediatrics Date: 2017-06 Impact factor: 7.124
Authors: Mary-Margaret A Fill; Angela M Miller; Rachel H Wilkinson; Michael D Warren; John R Dunn; William Schaffner; Timothy F Jones Journal: Pediatrics Date: 2018-09 Impact factor: 7.124
Authors: Jean Y Ko; Stephen W Patrick; Van T Tong; Roshni Patel; Jennifer N Lind; Wanda D Barfield Journal: MMWR Morb Mortal Wkly Rep Date: 2016-08-12 Impact factor: 17.586
Authors: Elizabeth C Ailes; April L Dawson; Jennifer N Lind; Suzanne M Gilboa; Meghan T Frey; Cheryl S Broussard; Margaret A Honein Journal: MMWR Morb Mortal Wkly Rep Date: 2015-01-23 Impact factor: 17.586
Authors: Rishi J Desai; Krista F Huybrechts; Sonia Hernandez-Diaz; Helen Mogun; Elisabetta Patorno; Karol Kaltenbach; Leslie S Kerzner; Brian T Bateman Journal: BMJ Date: 2015-05-14
Authors: Gery P Guy; Kun Zhang; Michele K Bohm; Jan Losby; Brian Lewis; Randall Young; Louise B Murphy; Deborah Dowell Journal: MMWR Morb Mortal Wkly Rep Date: 2017-07-07 Impact factor: 17.586
Authors: Sarah C Haight; Jean Y Ko; Van T Tong; Michele K Bohm; William M Callaghan Journal: MMWR Morb Mortal Wkly Rep Date: 2018-08-10 Impact factor: 17.586
Authors: Lyna Z Schieber; Gery P Guy; Puja Seth; Randall Young; Christine L Mattson; Christina A Mikosz; Richard A Schieber Journal: JAMA Netw Open Date: 2019-03-01