A Naturalistic Experiment Evaluating the Impact of Medicaid Treatment Reimbursement Changes on Opioid Prescribing and Patient Outcomes Among Patients With Back Pain

Completed

Conditions studied: Back Pain, Neck Pain

In brief

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.

Key facts

Study ID

NCT03393143

Run by

Kaiser Permanente

People needed

2748

Starts

2018-05-31

Expected to finish

2020-09-30

Last updated by the study team

2021-01-11

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Adults age 18-65 years
• Insured by Medicaid
• Have back or neck pain (based on ICD-CM diagnosis)
• Receive their primary health care at participating OCHIN member federally qualified health centers in Oregon and California

You may not qualify if…

• Patients with current malignant cancer diagnosis
• Any evidence of patient having received hospice or other end-of-life palliative care within the past year

Where it is running

• OCHIN, Inc. — Portland, Oregon, United States

Full record on ClinicalTrials.gov

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