Improving racial equity in opioid use disorder treatment in medicaid

Ended Project Grant Awarded Last action

Award ID
R01DA055585
Recipient
Awarding agency
Obligated
$9,782,039

Award facts

Assistance listing
93.279 Drug Use and Addiction Research Programs
Completion date
Place of performance
Pittsburgh, PA 15222, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Access to medications for opioid use disorder (moud) is not equitable. Black and hispanic individuals are substantially less likely to receive moud and other overdose prevention services. The overdose death rate has risen nearly twice as fast for black individuals as for white individuals in recent years, a disparity that appears to have widened during the covid-19 pandemic. Racial/ethnic inequities in receipt of moud are rooted in the structural racism ingrained in policies governing healthcare, housing, social services, criminal justice and other systems. As the largest single payer for moud and a key source of coverage for racial/ethnic minority groups, medicaid is well-positioned to address inequities in moud. Although they have not done so to date, medicaid agencies can adopt policies to alter (a) financial incentives for moud providers, and (b) contracts with managed care plans to improve equity in moud. Medicaid programs could institute requirements for provider networks; invest in building capacity for minority-serving medicaid providers to deliver moud; include equity measures in provider performance measurement; and alter managed care contracts to incentivize plans to address inequities in moud. There is, however, little evidence on which of these levers is most likely to be effective. To inform medicaid policy development, we harness the medicaid outcomes distributed research network (modrn), which is made up of university partnerships with medicaid agencies in 11 states representing 22% of all US medicaid enrollees. Modrn is currently funded by nida to study the quality of opioid use disorder treatment in medicaid and has developed analytic infrastructure to conduct multi-state analyses of treatment with moud in medicaid. We propose analyses that examine the role of place, providers, plans and policies in driving racial/ethnic inequities in moud. First, we examine racial/ethnic inequities in geographic access to moud providers among medicaid enrollees. Second, we examine the contribution of provider- and plan-level factors to racial/ethnic equity in moud. Third, we estimate the association between state policies aimed at (a) changing delivery system reforms, and (b) managed care contracts, and equity in moud. Study outcomes are any use of moud and continuity of moud, both of which are associated with reduced mortality. We will use geospatial analyses, multi-level modeling, and difference-in difference analyses to accomplish our specific aims. Long-standing relationships with state medicaid officials allow US to share findings directly with policymakers who can act on them. Modrn facilitates rapid knowledge transfer from researchers to policymakers, allows state medicaid agencies to benchmark their performance on racial/ethnic equity in moud against other states, and supports state agencies learning from one another about the most effective policy levers for improving equity in moud.

Transactions

Action Obligated Date
Amendment Reducing variation in access to medications for opioid use disorder in medicaid - access to medications for opioid use disorder (moud) differs across the US… $695,328
Amendment $1,452,290
Amendment $103,132
Amendment $103,132
Amendment $1,425,283
Amendment $1,425,283
Amendment $1,425,283
Amendment $1,576,154
Original award $1,576,154

Subawards

Subrecipient Amount Awarded
West Virginia University Research Corporation Reducing variation in access to medications for opioid use disorder in Medicaid $30,189
The Ohio State University $34,524
The University Of Kentucky Research Foundation -$11,187
Subrecipient not on record $38,556
University Of Maine System $16,019
The Trustees Of The University Of Pennsylvania $12,124
Utah University Of $10,863
Regents Of The University Of Michigan $44,835
University Of California, LOS Angeles $9,367
University Of Maryland Baltimore County $41,965
Subrecipient not on record Improving racial equity in opioid use disorder treatment in Medicaid $87,509
University Of Maryland Baltimore County 1000 Hilltop Circle Baltimore, MD 21250-0001 $72,679
The Ohio State University Improving racial equity in opioid use disorder treatment in Medicaid $66,136
University Of California, LOS Angeles $18,647
The University Of Kentucky Research Foundation $89,658
Regents Of The University Of Michigan $112,632
The Trustees Of The University Of Pennsylvania $28,450
University Of Wisconsin System $77,139
Utah University Of $16,660
University Of Maine System $55,557
Virginia Commonwealth University $97,758
Vanderbilt University Medical Center $34,576
West Virginia University Research Corporation $46,024
University Of Delaware $86,608
Northwestern University $35,025
Utah University Of $38,091
The Ohio State University $79,329
University Of Maine System $66,866
University Of California, LOS Angeles $19,922
University Of Wisconsin System $83,555
Virginia Commonwealth University $108,118
The University Of Kentucky Research Foundation $98,896
University Of Maryland Baltimore County $79,485
Academy Health $47,216
Regents Of The University Of Michigan $126,475
The Trustees Of The University Of Pennsylvania $43,197
The Trustees Of The University Of Pennsylvania $21,599
University Of Wisconsin System $74,537
University Of Maine System $60,112
Regents Of The University Of Michigan $112,572
Virginia Commonwealth University $97,567
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Quick answers

Who received award R01DA055585?

R01DA055585 was awarded to University Of Pittsburgh - Of The Commonwealth System Of Higher Education by National Institute on Drug Abuse (National Institutes of Health) on September 1, 2022.

How much is award R01DA055585 worth?

$9,782,039 has been obligated on R01DA055585.

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