HHS Needs Better Opioid Treatment Evaluation: GAO
The Government Accountability Office (GAO) says HHS should better assess the effectiveness of its efforts to expand medication-assisted treatment (MAT) for opioid addiction. In a study report, GAO says HHS has implemented five key efforts since 2015 that focus on expanding access to MAT for opioid use disorders. There are four grant programs that focus on expanding MAT access in various settings, including rural primary practices and health centers, and regulatory changes that expand treatment capacity by increasing patient limits for buprenorphine prescribers and allowing nurse practitioners and physician assistants to prescribe buprenorphine.
HHS officials told GAO that as of 8/2017, they were finalizing plans to evaluate the HHS efforts to address the opioid epidemic. A contract to conduct an evaluation was awarded 9/2016, they said, and HHS is still working with the contractor to finalize the evaluation approach that will look at whether HHS’ efforts to address the opioid epidemic have been implemented as intended.
GAO recommended that HHS (1) establish performance measures with targets relating to expanding access to MAT, and (2) establish timeframes for evaluating its efforts to expand access to MAT. HHS concurred with both recommendations, it says.