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Medicaid expansion and opioid prescriptions: Evidence from the Medical Expenditure Panel Survey

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  • Chandler McClellan
  • Asako Moriya

Abstract

Evidence is mixed on whether increased access to insurance, specifically through the ACA's Medicaid expansion, exacerbated the opioid public health crisis through increased opioid prescribing. Using survey data on retail prescription drug fills from 2008 to 2019, we did not find a significant relationship between Medicaid expansion and opioid prescribing in the newly eligible Medicaid population. It may be that the dangers of opioids were known well enough by the time of the Medicaid expansion that lack of access to care was no longer a binding constraint on opioid prescription receipt.

Suggested Citation

  • Chandler McClellan & Asako Moriya, 2024. "Medicaid expansion and opioid prescriptions: Evidence from the Medical Expenditure Panel Survey," Health Economics, John Wiley & Sons, Ltd., vol. 33(11), pages 2439-2449, November.
    • Handle: RePEc:wly:hlthec:v:33:y:2024:i:11:p:2439-2449
    DOI: 10.1002/hec.4886
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    1. Powell, David & Pacula, Rosalie Liccardo & Taylor, Erin, 2020. "How increasing medical access to opioids contributes to the opioid epidemic: Evidence from Medicare Part D," Journal of Health Economics, Elsevier, vol. 71(C).
    2. Robert Kaestner & Bowen Garrett & Jiajia Chen & Anuj Gangopadhyaya & Caitlyn Fleming, 2017. "Effects of ACA Medicaid Expansions on Health Insurance Coverage and Labor Supply," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 36(3), pages 608-642, June.
    3. Susan L. Averett & Julie K. Smith & Yang Wang, 2019. "Medicaid expansion and opioid deaths," Health Economics, John Wiley & Sons, Ltd., vol. 28(12), pages 1491-1496, December.
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