Treatment and Incarceration MARY KATE MOHLMAN, PHD, MS HEALTH - - PowerPoint PPT Presentation

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Treatment and Incarceration MARY KATE MOHLMAN, PHD, MS HEALTH - - PowerPoint PPT Presentation

Opioid Use Disorder: Treatment and Incarceration MARY KATE MOHLMAN, PHD, MS HEALTH SERVICES RESEARCHER DEPARTMENT OF VERMONT HEALTH ACCESS Expenditures and Inpatient Hospitalizations, Per Member Per Year 0.4 Utilization 0.35 0.3 0.25


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SLIDE 1

Opioid Use Disorder: Treatment and Incarceration

MARY KATE MOHLMAN, PHD, MS HEALTH SERVICES RESEARCHER DEPARTMENT OF VERMONT HEALTH ACCESS

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SLIDE 2

Expenditures and Utilization

$0 $5,000 $10,000 $15,000 $20,000 $25,000 2011 2012 2013 2014 2015 2016 2017

Expenditures Including and Excluding Treatment Costs, Unadjusted, Per Member Per Year

OUD Dx & MAT w/ Treatment Costs OUD Dx & MAT, No Treatment Costs OUD Dx & Other SUD Tx w/ Treatment Costs OUD Dx & Other SUD Tx, No Treatment Costs

OUD = Opioid Use Disorder; MAT = medication-assisted treatment; SUD = Substance Use Disorder Tx = Treatment

0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4

2011 2012 2013 2014 2015 2016 2017

Inpatient Hospitalizations, Per Member Per Year

Non-OUD OUD Diagnosis, MAT OUD Diagnosis, Other SUD Treatment

0.5 1 1.5 2 2.5 2011 2012 2013 2014 2015 2016 2017

Emergency Department Visits Per Member Per Year

Non-OUD OUD Diagnosis, MAT OUD Diagnosis, Other SUD Treatment

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SLIDE 3

Rates of Incarceration by Treatment Type

OUD = Opioid Use Disorder MAT = medication-assisted treatment SUD = Substance Use Disorder

0.2 0.4 0.6 0.8 2011 2012 2013 2014 2015 2016 2017

Average Episodes of Incareration, Per Member Per Year

Non-OUD OUD Diagnosis, MAT OUD Diagnosis, Other SUD Treatment 0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00% 2011 2012 2013 2014 2015 2016 2017

Percent Incarcerated During Year

Non-OUD OUD Dianosis, MAT OUD Diagnosis, Other SUD Treatment 5 10 15 20 25 30 35 2011 2012 2013 2014 2015 2016 2017

Average Number of Days Incarcerated, Per Member Per Year

Non-OUD OUD Diagnosis, MAT OUD Diagnosis, Other SUD Treatment

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SLIDE 4

Evaluation: Data Sources and Methodology

Vermont’s All-Payer Claims Database

  • Medicaid members age 18-64
  • Including Dually-Eligible
  • Opioid Use Disorder diagnosis
  • 2 diagnoses on separate occasions over the past 24 months.
  • Stratification by treatment
  • Medication-assisted treatment (MAT), including psycho-social

supports

  • Other non-MAT forms of substance use disorder treatment

Vermont’s Department of Corrections Offender Management System

  • Linked to APCD data,
  • Used jacket and booking numbers to follow individuals and

incarceration episodes, respectively

  • Reviewed incarceration episodes only, not community supervision