What is the Relationship Between Addiction Medications and Healthcare Utilization? - Scorecard - MDSpire
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Exploring the Connection Between Medications for Addiction and Healthcare Resource Use

  • By

  • Eden Y. Bernstein

  • October 1, 2026

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Clinical Scorecard: Exploring the Connection Between Medications for Addiction and Healthcare Resource Use

At a Glance

CategoryDetail
ConditionAlcohol Use Disorder (AUD) and Opioid Use Disorder (OUD)
Key MechanismsGuideline-recommended medications for AUD and OUD can reduce substance use and enhance treatment retention.
Target PopulationUS adults aged 12 years and older with past-year AUD or OUD.
Care SettingPrimary care, specialty care, emergency departments, and hospitalizations.

Key Highlights

  • Only 2% of adults with AUD and 30% with OUD received medication treatment in the past year.
  • Healthcare utilization was more frequent among patients receiving MAUD compared to those receiving no medications.
  • Significant associations were found between MAUD use and increased emergency department visits and hospitalizations.
  • Demographic distinctions indicate that those receiving treatment tend to have greater socioeconomic disadvantage and more severe disorders.
  • The study's cross-sectional design limits causal interpretations regarding medication use and healthcare encounters.

Guideline-Based Recommendations

Diagnosis

  • Utilize formal diagnostic criteria for AUD and OUD screening.

Management

  • Expand access to MAUD and MOUD to improve treatment rates.

Monitoring & Follow-up

  • Consider structured interventions to address social vulnerabilities affecting treatment retention.

Risks

  • Self-reported healthcare utilization may be subject to recall bias.

Patient & Prescribing Data

Adults with past-year AUD and OUD in the US.

MAUD and MOUD are underused despite their potential benefits in reducing healthcare utilization.

Clinical Best Practices

  • Implement care navigation to assist patients with socioeconomic disadvantages.
  • Encourage early initiation of treatment to prevent progression of addiction.

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