Opioid prescribing to medicare part d enrollees, 2013-2017: Shifting responsibility to pain management providers

Adam Romman, Connie M. Hsu, Lin Na Chou, Yong Fang Kuo, Rene Przkora, Rajnish K. Gupta, M. James Lozada

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Objective. To examine opioid prescribing frequency and trends to Medicare Part D enrollees from 2013 to 2017 by medical specialty and provider type. Methods. We conducted a retrospective, cross-sectional, specialty- A nd provider-level analysis of Medicare Part D prescriber data for opioid claims from 2013 to 2017. We analyzed opioid claims and prescribing trends for specialties accounting for ≥1% of all opioid claims. Results. From 2013 to 2017, pain management providers increased Medicare Part D opioid claims by 27.3% to 1,140 mean claims per provider in 2017; physical medicine and rehabilitation providers increased opioid claims 16.9% to 511 mean claims per provider in 2017. Every other medical specialty decreased opioid claims over this period, with emergency medicine (-19.9%) and orthopedic surgery (-16.0%) dropping opioid claims more than any specialty. Physicians overall decreased opioid claims per provider by-5.2%. Meanwhile, opioid claims among both dentists (\+5.6%) and nonphysician providers (\+10.2%) increased during this period. Conclusions. From 2013 to 2017, pain management and PMR increased opioid claims to Medicare Part D enrollees, whereas physicians in every other specialty decreased opioid prescribing. Dentists and nonphysician providers also increased opioid prescribing. Overall, opioid claims to Medicare Part D enrollees decreased and continue to drop at faster rates.

Original languageEnglish (US)
Pages (from-to)1400-1407
Number of pages8
JournalPain Medicine (United States)
Volume21
Issue number7
DOIs
StatePublished - 2020

Keywords

  • Analgesic
  • Chronic Pain
  • Narcotics
  • Opioids
  • Pain Management
  • Prescriptions

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Fingerprint

Dive into the research topics of 'Opioid prescribing to medicare part d enrollees, 2013-2017: Shifting responsibility to pain management providers'. Together they form a unique fingerprint.

Cite this