{"id":876037,"date":"2026-06-18T14:28:16","date_gmt":"2026-06-18T14:28:16","guid":{"rendered":"https:\/\/www.europesays.com\/us\/876037\/"},"modified":"2026-06-18T14:28:16","modified_gmt":"2026-06-18T14:28:16","slug":"philadelphia-providers-share-policy-barriers-to-opioid-use-disorder-treatment","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/us\/876037\/","title":{"rendered":"Philadelphia Providers Share Policy Barriers to Opioid Use Disorder Treatment"},"content":{"rendered":"<p>Although the number of unintentional overdose deaths in Philadelphia is estimated to have reached its <a href=\"https:\/\/www.pew.org\/en\/research-and-analysis\/reports\/2026\/04\/philadelphia-2026\" rel=\"nofollow noopener\" target=\"_blank\">lowest point in recent years<\/a>\u00a0in 2025, the crisis is far from over. Opioid use disorder (OUD) remains a significant challenge for Philadelphia, affecting individuals and communities throughout the city. Many residents still grapple with the <a rel=\"noopener noreferrer nofollow\" href=\"https:\/\/www.phila.gov\/2026-05-11-unintentional-drug-overdose-fatalities-in-philadelphia-in-2024\/\" target=\"_blank\">health impacts<\/a> of opioid use, and its influence is deeply felt: <a href=\"https:\/\/www.pew.org\/en\/research-and-analysis\/issue-briefs\/2025\/06\/philadelphians-perspectives-on-the-opioid-crisis-are-shifting\" rel=\"nofollow noopener\" target=\"_blank\">1 in 3 Philadelphians<\/a>\u00a0knows someone who has died from an overdose, and even more are familiar with someone who uses opioids.<\/p>\n<p>Buprenorphine, one of three Food and Drug Administration-approved medications for opioid use disorder, can reduce the risk of overdose and improve <a rel=\"noopener noreferrer nofollow\" href=\"https:\/\/www.jsatjournal.com\/article\/S2949-8759(25)00258-9\/fulltext\" target=\"_blank\">health and treatment outcomes<\/a> for individuals with OUD. But access to treatment <a href=\"https:\/\/www.pew.org\/en\/research-and-analysis\/articles\/2025\/06\/20\/study-highlights-variations-in-access-to-care-for-opioid-use-disorder-in-philadelphia\" rel=\"nofollow noopener\" target=\"_blank\">varies significantly by provider<\/a>\u00a0throughout the city, and <a rel=\"noopener noreferrer nofollow\" href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/73\/wr\/mm7325a1.htm?s_cid=mm7325a1_w\" target=\"_blank\">few people<\/a> receive evidence-based care relative to the number of individuals who could benefit from it.<\/p>\n<p>&#13;<br \/>\n&#13;<br \/>\n&#13;<br \/>\n\t&#13;<\/p>\n<p>A recently published <a rel=\"noopener noreferrer nofollow\" href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2850416?resultClick=3\" target=\"_blank\">University of Pennsylvania Leonard Davis Institute of Health Economics (Penn LDI) study<\/a> examined treatment providers\u2019 perspectives on the barriers that people who use opioids face in accessing and continuing to receive care. The study, funded by The Pew Charitable Trusts, involved interviews with 28 OUD providers in Philadelphia, including physicians, therapists, and other staff members, between December 2022 and July 2023.<\/p>\n<p>All providers were from outpatient facilities that provide buprenorphine as a treatment option. And they were asked to describe their medication prescribing practices and discuss how various policies, payment structures, and regulatory requirements helped or hindered their ability to provide low-barrier, evidence-based care.<\/p>\n<p>&#13;<br \/>\n&#13;<br \/>\n&#13;<br \/>\n\t&#13;<\/p>\n<p>Some state, insurance, and treatment program <a rel=\"noopener noreferrer nofollow\" href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9676870\/\" target=\"_blank\">policies and requirements<\/a>\u2014such as frequent mandatory visits, strict counseling requirements, medication restrictions, and zero-tolerance abstinence policies\u2014are not patient-centered. And those practices can make it difficult for people to access the care they need when they need it.<\/p>\n<p>That\u2019s why it\u2019s crucial to <a href=\"https:\/\/www.pew.org\/en\/research-and-analysis\/issue-briefs\/2021\/05\/policies-should-promote-access-to-buprenorphine-for-opioid-use-disorder\" rel=\"nofollow noopener\" target=\"_blank\">simplify access to buprenorphine care<\/a>. Using low-barrier approaches\u2014such as prescribing buprenorphine at the first visit, having fewer requirements for receiving medication, and not considering a return to opioid use as a reason for dismissal from care\u2014can help individuals initiate and remain in treatment.<\/p>\n<p>Among the study\u2019s key findings:<\/p>\n<ul>\n<li><strong>Lack of insurance coverage and inadequate reimbursement rates<\/strong> <strong>caused significant financial strain and instability for healthcare facilities. <\/strong>Many providers rely on unsustainable alternative funding sources, such as federal grants and state funding through Centers of Excellence payment models, to bridge the gaps.<\/li>\n<li><strong>Payor policies<\/strong> <strong>that imposed strict requirements and other administrative hurdles limited patients\u2019 access to treatment and patient retention and led to delays in care. <\/strong>Such policies included prior authorization and patient attendance requirements, which providers noted are not aligned with patients\u2019 needs.<\/li>\n<li><strong>Licensure and regulatory requirements<\/strong> <strong>impeded the delivery of flexible, low-barrier OUD treatment models. <\/strong>Policies such as strict treatment program classifications, unrealistic staffing mandates, and requirements for government identification restrict the integration of harm reduction and mental health services, limiting the quality of and access to care, especially for the most vulnerable people.<\/li>\n<\/ul>\n<p>&#13;<br \/>\n\t&#13;<\/p>\n<blockquote class=\"pull-quote__blockquote text-pullquote\" cite=\"#\"><p>&#13;<\/p>\n<p class=\"pull-quote__quote\">&#13;<br \/>\n\t\t\t\t\u201cThe amount that we receive for our services is extremely low \u2026 and often not even enough to cover the patients\u2019 care. \u2026 It\u2019s not a sustainable model; not even at a break-even point\u2014and we haven\u2019t been for years because of the payment structure that we\u2019re provided with.\u201d&#13;\n\t\t\t<\/p>\n<p>&#13;\n\t\t<\/p><\/blockquote>\n<p>&#13;<br \/>\n\t\t&#13;<br \/>\n\t\t\t\tProvider participating in Penn LDI study&#13;<br \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t&#13;<br \/>\n&#13;<br \/>\n&#13;<br \/>\n\t&#13;<\/p>\n<p>The study suggests that reforms such as better matching reimbursement with the cost of care delivery, reducing administrative hurdles to program participation and prescribing, and bolstering other policies with evidence-based practices could help providers offer the best care for their patients\u2014care that is aligned with healthcare facilities\u2019 fiscal and clinical workflow needs.<\/p>\n<p>Jennifer Clendening works on The Pew Charitable Trusts\u2019 Philadelphia research and policy initiative.<\/p>\n","protected":false},"excerpt":{"rendered":"Although the number of unintentional overdose deaths in Philadelphia is estimated to have reached its lowest point in&hellip;\n","protected":false},"author":3,"featured_media":876038,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_share_on_mastodon":"0"},"categories":[5132],"tags":[1308,5229,347,159014,1307,1141,1314,1448,2830,1312,1311,1310,67,586,132,5230,68,120300,2969],"class_list":["post-876037","post","type-post","status-publish","format-standard","has-post-thumbnail","category-philadelphia","tag-advance-health-and-well-being","tag-america","tag-article","tag-build-communities","tag-building-civic-infrastructure","tag-health-care","tag-jennifer-clendening","tag-pa","tag-pennsylvania","tag-pew-charitable-trusts","tag-philadelphia","tag-philadelphia-research-and-policy","tag-united-states","tag-united-states-of-america","tag-unitedstates","tag-unitedstatesofamerica","tag-us","tag-us-state-policy","tag-usa"],"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@us\/116771586631617751","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/876037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/comments?post=876037"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/posts\/876037\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media\/876038"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/media?parent=876037"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/categories?post=876037"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/us\/wp-json\/wp\/v2\/tags?post=876037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}