University of Michigan Ross School of Business
701 Tappan Ave
Ann Arbor, MI 48109
Institutional Affiliation: University of Michigan
NBER Working Papers and Publications
|August 2019||How Well Do Doctors Know Their Patients? Evidence from a Mandatory Access Prescription Drug Monitoring Program|
with , : w26159
Many opioid control policies target the prescribing behavior of health care providers. In this paper, we study the first comprehensive state-level policy requiring providers to access patients' opioid history before making prescribing decisions. We compare prescribers in Kentucky, which implemented this policy in 2012, to those in a control state, Indiana. Our main difference-in-differences analysis uses the universe of prescriptions filled in the two states to assess how the information provided affected prescribing behavior. As many as forty percent of low-volume opioid prescribers stopped prescribing opioids altogether after the policy was implemented. Among other providers, the major margin of response was to prescribe opioids to approximately sixteen percent fewer patients. While pr...