The Relationship Between Nonadherence, Opioid Medication Use, And Mental Illness With Health Care Utilization

1240 Words Aug 23rd, 2016 5 Pages
This study is the first, to our knowledge, to examine the relationship between nonadherence, opioid medication use, and mental illness with health care utilization in super-utilizers with MCC. In our sample of super-utilizing Medicare population with MCC, we found higher incidences of inpatient hospitalizations and ED visits among beneficiaries who were not adherent to their essential chronic medications. Specifically, we found that among elderly Medicare beneficiaries, nonadherence was associated with a 53% increase in inpatient hospitalizations, and among younger beneficiaries, nonadherence was associated with 29% increase in inpatient stays and 39% increase in ED visits. Similar associations were found across all therapy classes examined (diabetes, cardiovascular, and COPD/asthma) in both age groups. However, nonadherence to diabetes drugs was not significantly associated with ED visits. Furthermore, we found that while the effects of nonadherence on inpatient stays were seen in both age groups, the effects of nonadherence on ED visits were more pronounced for younger patients, especially among those using cardiovascular and COPD/asthma medications. These findings suggest that nonelderly Medicare beneficiaries are at particular risk for nonadherence that results in higher ED use and may need to be targeted medication management interventions to lower their ED use.

Our results provide critical evidence and are consistent with prior research conducted on Medicare…

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