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Using a "secret shopper" design, Patrick et al investigated the association that pregnancy and insurance status had with a woman’s ability to obtain an appointment for medication-based treatment for opioid use disorder (OUD). The study found that pregnant women were less likely than nonpregnant women to receive an appointment when seeking one from buprenorphine-waivered prescribers but not from opioid treatment programs (OTPs). In addition, many clinicians did not accept insurance and accepted appointments only when patients agreed to pay cash.
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