FRIDAY, Jan. 10, 2020 -- Medicaid expansion is associated with a reduction in total opioid overdose deaths and with increases in methadone-related mortality, according to a study published online Jan. 10 in JAMA Network Open.
Nicole Kravitz-Wirtz, Ph.D., M.P.H., from the University of California Davis School of Medicine in Sacramento, and colleagues used cross-sectional data from 3,109 counties within 49 states and the District of Columbia to examine annual county-level mortality for overdoses involving any opioid, natural and semisynthetic opioids, methadone, heroin, and synthetic opioids other than methadone.
The researchers observed 383,091 opioid overdose fatalities across U.S. counties during the study period, with a mean of 7.25 deaths per county. The rate of total opioid overdose deaths was 6 percent lower with adoption of Medicaid expansion versus the rate in nonexpansion states (relative rate, 0.94). Compared with counties in nonexpansion states, ……