Evaluating state policies to facilitate emergency department-based treatment initiation for opioid use disorder

Summary

This project aims to create a database of state emergency department (ED) policies regarding medication for opioid use disorder (MOUD), analyze MOUD initiation and retention rates after ED visits using national claims data, and evaluate the impact of these state laws on patient outcomes.

What they want

The project involves three main aims. Aim 1 is to create a longitudinal, publicly available database of state ED MOUD laws effective between 2014 and 2024, identified through an expert-guided search of NexisUni legal software. Aim 2 is to examine MOUD initiation and retention following ED visits for opioid overdose, describing national and state-level trends and associated patient, provider, and geographic factors using 2014-2024 national Medicaid, Medicare, and commercial insurance claims data. Aim 3 is to evaluate the effects of state ED MOUD laws on MOUD initiation, MOUD retention (for at least 180 days), and opioid overdose within 30 days of ED visits, utilizing difference-in-differences analyses and assessing variation by law features and patient characteristics.

Deliverables

Longitudinal, publicly available database of state ED MOUD laws
Descriptions of national and state-level trends in MOUD initiation and retention after ED visits for opioid overdose
Evaluations of ED MOUD laws' effects on MOUD initiation, retention, and opioid overdose outcomes
Knowledge to inform development and refinement of ED MOUD laws

Technical requirements

Expert guided search of NexisUni legal software
Use of 2014-2024 national Medicaid, Medicare, and commercial insurance claims data
Difference-in-differences analyses

Market context

inferred from NAICS

Professional, Scientific & Technical Services

NAICS 541720

US market size: $2.0T
Typical award: $25K – $50M

Typical buyers

All federal civilianDoDStates

Commonly required

8(a)WOSBSDVOSBPE/PMP

Sector-level estimate — full code lookup not yet in catalog.