Cost-Effectiveness Analysis of Peer-delivered Services in South Africa
The fight against HIV in South Africa is complicated by alcohol and other drug use (AOD), which has been cited as a common barrier to adherence of antiretroviral therapy (ART). The economic burden of disordered alcohol use further strains the country’s public health resources through increased healthcare utilization, social welfare payments, crime, and lost productivity. […]
Pilot Grant Analysis Examines Prior Authorization Trends for MOUD in Private Insurance
There is a growing body of research illustrating a movement to remove prior authorization for medications for opioid use disorder (MOUD). Prior authorization requires providers to request approval from an insurer before providing a medication or service. This process is historically enforced for a wide range of medications, including certain MOUD, and has been found […]
CHERISH Pilot Grantee Highlight Low PrEP Use Among Women
The introduction of pre-exposure prophylaxis (PrEP) for HIV prevention has been paramount to reducing HIV transmission and improving the lives of people living with HIV. However, trends in HIV cases and PrEP uptake suggest unaddressed opportunities to reach women and other communities at risk of contracting HIV. Cis-gender women represent 20% of new HIV cases […]
Understanding the Costs of Using Implementation Facilitation to Implement Emergency Department-Initiated Buprenorphine
Buprenorphine, when prescribed in the emergency department (ED), increases the chances for treatment engagement and retention among patients with opioid use disorder (OUD). The patient uptake and clinical administration of ED-initiated buprenorphine for OUD, however, has been slow despite evidence of its effectiveness. Implementation facilitation (IF), a strategy that leverages external facilitators and a local […]
Health and Economic Outcomes of Addressing Encampments of Individuals Using Opioids
Lead author Hana Zwick, a research data analyst at the Syndemics Lab, and colleagues published a new simulation modeling study in JAMA Network Open to understand the public health and economic outcomes of strategies that arrest, disperse, or house people who live in encampments and experience high-risk opioid use compared to the encampment status quo. […]
Cost of Implementing Substance Use Disorder Treatment Strategies for Youth in the Legal System
In a new article in the Journal of Substance Use and Addiction Treatment, lead author and CHERISH Methodology Core Director Kathryn McCollister and colleagues conducted a cost analysis of implementing evidence-based interventions to improve substance use disorder (SUD) treatment among youth in the legal system (YLS). By analyzing implementation costs, this study offers insights about […]
Health Economic Outcomes of a Minimal Monitoring Approach to Providing HCV Therapy
In a new article in Hepatology Communications, lead author and CHERISH Population Data & Modeling Core Director Benjamin Linas and colleagues report new economic analyses from MINMON, an AIDS Clinical Trial Group (ACTG 5360) study that used a minimal monitoring approach to provide treatment for chronic hepatitis C virus (HCV). Findings suggest that the simplified […]
Hepatitis C Virus Screening in Pregnant and Nonpregnant Women After Universal Screening Guidelines
Hepatitis C virus (HCV) testing guidelines were updated in 2020 to provide universal, one-time screening for adults ages 18 through 79 and during each pregnancy. This departure from their 2013 recommendation not only aims to improve early detection of HCV across age groups but also acknowledges pregnancy as a critical period for diagnosing and treating […]
Research Highlights Prevention Efforts in Fentanyl Overdoses
The overwhelming majority of those in New York City who obtained a naloxone kit to counteract opioid overdose had a high need for the drug, according to a new study by Weill Cornell Medicine investigators and the New York City Department of Health and Mental Hygiene. The study, published Jan. 16 in the Journal of Urban Health, […]
Offering Buprenorphine in Homeless Shelters in Massachusetts Projects Life- and Cost-saving Results
Overdose is the leading cause of death among people with opioid use disorder (OUD) who are experiencing homelessness. Innovative care models that meet this population outside of office-based settings can improve access to buprenorphine, a medication for treating OUD, and avert fatal overdoses. In this study, Avik Chatterjee, lead author and addiction specialist at Boston […]
We’re barely using a key resource to help people with addiction
Rachel was making her 25th visit to the emergency department. The wound on her leg from injecting drugs had spread to her entire calf and required a lengthy course of antibiotic treatment in the hospital. The few times she had been admitted to the hospital, she had left without finishing treatment because the pain and […]
Cost-Effectiveness of Fibrosis Staging
More than 4 million people in the U.S. live with a hepatitis C virus (HCV) diagnosis. However, as of 2022, fewer than one-third of individuals infected with HCV have been cured due to barriers related to high direct-acting antiviral (DAA) pricing and the steps involved in determining someone’s degree of liver disease or fibrosis. In […]
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