You can view the webinar recording below. Supporting documents such as webinar slides and transcript are available to download by scrolling to the attachments section below.
Chronic pain is a common health concern in the United States, particularly among people dually eligible for Medicare and Medicaid.1,2 However, clinicians face challenges in treating pain in a manner that meets the needs and preferences of people experiencing pain. While opioids are commonly prescribed to treat acute and chronic pain, there are ongoing considerations surrounding their risks and benefits.3 Inappropriately treated pain may result in the increased use of illicit drugs and other substances to help relieve pain, substance use disorder, as well as increased suicide risk.4
In treating chronic pain, it is important for providers and health plans to adopt pain management strategies that are person-centered, tailored to each individual, and that optimize health, function, and quality of life.5,6 Experts recommend that pain management be integrated, multimodal, interdisciplinary, evidence-based, and individualized, in keeping with the biopsychosocial model of pain.7,8,9 Health plans and providers may also need additional strategies for adequately addressing pain needs due to the increased challenges posed by COVID-19, including less access to pain management treatment, increased stress and isolation, and increased substance use to address untreated pain.10,11
This panel discusses non-opioid pain management strategies for dually eligible individuals, including effective, person-centered pain management options; challenges health plans and clinicians face in providing effective chronic pain management support; and strategies for addressing pain needs during the COVID-19 pandemic.
- Beth Darnall, PhD, Associate Professor, Stanford University School of Medicine, Department of Anesthesiology, Perioperative and Pain Medicine
- Eve Gelb, Senior Vice President, Member and Community Health, SCAN Health Plan
- Donna Lynn Foster, Peer Advocate, SCAN Health Plan
The target audience for this webinar includes providers and health care professionals serving people experiencing pain; and staff at health plans, including Medicare-Medicaid Plans (MMPs), Dual Eligible Special Needs Plans (D-SNPs), and managed LTSS plans.
1National Institutes of Health. (n.d.) The Role of Opioids in the Treatment of Chronic Pain. Retrieved from: https://prevention.nih.gov/research-priorities/research-needs-and-gaps/pathways-prevention/role-opioids-treatment-chronic-pain.
2Dahlhamer, J., Lucas, J., Zelaya, C., Nahin, R., Mackey, S., DeBar, L., … Helmick, C. (2018). Prevalence of chronic pain and high-impact chronic pain among adults. Morbidity and Mortality Weekly Report, 67, 1001-1006. http://dx.doi.org/10.15585/mmwr.mm6736a2.
3National Institutes of Health. (n.d.)
4U.S. Department of Health and Human Services. (2019). Pain Management Best Practices Inter-Agency Task Force Report: Updates, Gaps, Inconsistencies, and Recommendations. Retrieved from: https://www.hhs.gov/sites/default/files/pmtf-final-report-2019-05-23.pdf.
5Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education. (2011). Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. National Academies Press. Available from: https://www.ncbi.nlm.nih.gov/books/NBK92510/.
6U.S. Department of Health and Human Services. (2019).
7National Academies of Sciences, Engineering, and Medicine. (2017). Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription Opioid Use. National Academies Press (US); 2, Pain Management and the Intersection of Pain and Opioid Use Disorder. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK458655/.
8U.S. Department of Health and Human Services. (2019).
9U.S. Department of Health and Human Services. (2016). National Pain Strategy: A Comprehensive Population Health-Level Strategy for Pain. Retrieved from: https://www.iprcc.nih.gov/sites/default/files/documents/NationalPainStrategy_508C.pdf.
10Haley, D.F., Saitz, R. (2020) The Opioid Epidemic During the COVID-19 Pandemic. JAMA. Retrieved from: https://jamanetwork.com/journals/jama/fullarticle/2770985.
11Eccleston, C., Blyth, F.M., Dear, B.F., Fisher, E.A., Keefe, F.J., Lynch, M. E.; Palermo, T.M., Reid, M.C., Williams, A.C. (2020). Managing patients with chronic pain during the COVID-19 outbreak: considerations for the rapid introduction of remotely supported (eHealth) pain management services. PAIN, 161(5), 889-893. Retrieved from: https://journals.lww.com/pain/fulltext/2020/05000/managing_patients_with_chronic_pain_during_the.3.aspx.