Overall, the projected 5-year budgetary impact to the Massachusetts health care system of the no MOUD approach from the health care sector perspective was $28.79 billion, and from a modified societal perspective it was $29.40 billion . The higher cost from the modified societal perspective reflects $607 million cost due to incarceration.
The budgetary impact of the XR-naltrexone–only strategy was $28.96 billion from the health care sector perspective and $29.56 billion from the modified societal perspective. The XR-naltrexone–only strategy reduced person-time spent in carceral settings by 1%, corresponding to savings of $6 million dollars in criminal justice costs.
The budgetary impact of the all-MOUD strategy was $28.80 billion, assuming the health care sector perspective, and $29.40 billion assuming modified societal perspective. The all-MOUD strategy reduced time in carceral setting by 2% compared with no MOUD and by 1% compared with XR-naltrexone only .
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