Long-Term Implications Of A Short-Term Policy: Redacting Substance Abuse Data

Health Aff (Millwood). 2018 Jun;37(6):975-979. doi: 10.1377/hlthaff.2017.1524.

Abstract

From 2013 to 2017 the Centers for Medicare and Medicaid Services redacted Medicare claims that included diagnosis or procedure codes related to substance abuse. The redaction policy was in effect as the Affordable Care Act and the opioid epidemic changed the health care landscape. The policy substantially altered prevalence estimates of common chronic conditions that co-occur with substance abuse.

Keywords: Hepatitis C; Medicare claims; Mental Health/Substance Abuse; Redaction.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Age Factors
  • Databases, Factual
  • Female
  • Health Care Costs
  • Health Policy / legislation & jurisprudence
  • Humans
  • Male
  • Medicaid / economics
  • Medicaid / statistics & numerical data*
  • Medicare / economics
  • Medicare / statistics & numerical data*
  • Middle Aged
  • Patient Protection and Affordable Care Act / legislation & jurisprudence*
  • Policy Making
  • Retrospective Studies
  • Risk Assessment
  • Sex Factors
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / prevention & control*
  • Time Factors
  • United States
  • Young Adult