SAN DIEGO--(BUSINESS WIRE)--MedImpact has released a three-year case study (MedImpact Manages Opioid Overutilization) showcasing the impact of clinical intervention in reducing opioid use. Through the MedImpact Overutilization and Safety Controls Program, MedImpact limited potential opioid overuse and reduced opioid overutilization by 36 percent. The opioid coordinated care case study proves results, driven for plan sponsors through a partnership with MedImpact.
The case study focused on the results of a program from April 2013 to October 2016 to better manage opioid prescription use. During the three-year study, MedImpact identified more than 600 patients filling opioid prescriptions in excess of evidence-based guidelines. MedImpact conducted clinical interventions with prescribers that led to a 36-percent reduction of overutilization, saving plan sponsors unnecessary spending and providing better care for patients.
“Plan sponsors have been searching for an effective solution to the opioid epidemic,” states Virginia Howe, MedImpact Senior Vice President of Health Services. “We are confident that this program helps in the effort to reduce adverse events and unnecessary spending resulting from opioid abuse, as evidenced by our reduction in overutilization.”
MedImpact created the Overutilization and Safety Controls Program, an advanced retrospective intervention that reviews incoming pharmacy claims for a member’s Morphine Equivalent Dose (MED) per day that is equal to or exceeds a predetermined threshold across single or multiple opioid claims. Starting April 2013, MedImpact performed monthly claims analysis to identify members with a cumulative daily MED exceeding 120 mg for at least 90 consecutive days. It also flagged patients with three or more prescribers and three or more pharmacies over a consecutive 90-day period. MedImpact mailed intervention materials monthly to providers prescribing the highest volume of opioids to verify appropriateness of use of opioids.
The Overutilization and Safety Controls Program details MedImpact’s success in mitigating opioid overutilization, and provides the detailed methods and results that provided cost savings and better care. Download the case study here.
About MedImpact
MedImpact, an independent, trend-focused pharmacy benefit manager™ (PBM), is the nation’s largest privately held PBM, serving health plans, self-insured employers and government entities. Our business model is unique: avoiding conflicts by not owning a fulfillment pharmacy. Instead, we focus on effectively managing client pharmacy benefits for Lower Cost and Better Care through One Source. We work with clients to promote prescribing to the lowest-net cost, medically appropriate drug. Our number one goal is client satisfaction by providing solutions and patient-centric products with a focus on lowest-net cost and quality outcomes.
Founded in 1989, MedImpact manages pharmacy programs for more than 50 million lives in the U.S. and abroad. For more information, go to pbm.medimpact.com.
