Mother Jones

TAKING PAINS

One medical group’s quest to sidestep dangerously addictive opioids

IN 2013, leaders at Partnership HealthPlan, the main public insurance provider for Medi-­Cal patients in rural Northern California, discovered an alarming trend: Many counties where Partnership operated had among the highest rates of opioid prescribing and overdose in the state. Hydrocodone was the top-prescribed medication among Partnership patients, who include more than 570,000 Medi-­Cal recipients from the vineyards of Sonoma County to the redwoods on the Oregon border. In Lake County, a poor, rural area bordering Sonoma, enough opioid painkillers were prescribed in 2013 to provide every man, woman, and child with opioids

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