New Jersey proposal calls for proven patient safety compliance before opioid reimbursement

A bill introduced in New Jersey’s legislature would prohibit insurers from paying for opiate-based painkillers unless a provider completed a five-part patient-safety protocol designed to screen for addiction, reports NJ Spotlight.

Advertisement

The bill aims to ensure physicians prescribe opioids as a last resort. Part of the patient-safety protocol outlined includes documentation of failed drug-free pain relief methods and adherence to the CDC’s guidelines to limit opiate abuse.

California and Texas passed similar bills limited to workers’ compensation claims. The proposed legislation in New Jersey would also apply to commercial health plans, injury protection issued through auto insurance plans and the state’s Medicaid and NJ FamilyCare programs.

“[The bill] will help reduce casual and inappropriate opioid prescribing,” said Andrew Kolodny, MD, the executive director of Physicians for Responsible Opioid Prescribing. “And when opioids are necessary, the bill will help ensure that patients are carefully evaluated, adequately informed about opioid risks and closely monitored.”

More articles on finance issues: 

25 things to know about healthcare costs
Gainsharing under BPCI, CJR, EPM or any other alphabet soup
Moody’s affirms Stanford Health Care’s ‘Aa3,’ ‘P-1,’ ‘VMIG 1’ ratings

At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.

Download Whitepaper

The cost-saving opportunity most health systems overlook

Many hospitals and health systems scrutinize staffing, service lines, and payer contracts for savings. Fewer look at one of their largest assets: real estate.…

Advertisement

Next Up in Financial Management

Advertisement

Comments are closed.