Opioid Use Disorder Care Presentations After High-deductible Health Plan Enrollment

OBJECTIVE: Determine whether employer-mandated transitions from low- to high-deductible health plans (HDHPs) are associated with delays in opioid use disorder (OUD)-related care presentations. Cost-sharing may negatively impact timely diagnosis and treatment of OUD. METHODS: Using 2003-2017 national commercial insurance claims data, we used a matched time-to-event and difference-in-differences design to examine the association between employer-mandated transitions from low to HDHPs on OUD-related care presentations. Study group included 574,058 adults aged 18-64 years continuously enrolled in low-deductible (