The Opportunity Is Measurable
See What Better Visibility Can Do.
Across employers, health plans, and healthcare organizations, opioid data can reveal opportunities that aren’t always visible in the day-to-day management of a plan.
These case studies show what happened when organizations moved from insight to action — identifying patterns, engaging providers, and creating measurable improvements in both care and cost.
The results are real. The opportunity is measurable.
Insight → Action → Savings
Protecting Employees While Reducing Plan Costs
School district
A large school district was facing rising healthcare costs with limited visibility into the underlying drivers. Like many public-sector employers, its population included a high percentage of members managing chronic pain — making opioid exposure a significant but often overlooked contributor to overall spend.
A complimentary Opioid Impact Report analyzed prescribing patterns across the district’s provider network, revealing elevated risk exposure and downstream costs associated with opioid-related complications.
Targeted pharmacist-led outreach and provider education helped align prescribing with established best practices, resulting in a meaningful reduction in opioid risk exposure and a measurable decrease in total medical claims.
Health Plan Savings: $1.45 Million
Delivering Measurable Value to Employer Clients
THIRD PARTY ADMINISTRATOR
A third-party administrator wanted to bring more actionable insights and cost-containment strategies to its employer groups — without adding complexity to plan operations.
By integrating opioid prescribing analysis into its offering, the TPA gained visibility into a significant, often overlooked cost driver across multiple client plans. The data identified providers whose prescribing patterns were contributing to increased risk and avoidable downstream costs.
Pharmacist-led interventions helped guide those providers toward established best practices, with high rates of adoption across the network.
Health Plan Savings: $2.28 Million
Reducing Risk Across a Diverse Member Population
association plan
An association health plan representing a broad and diverse membership base needed a scalable way to address rising healthcare costs — without disrupting the member experience or provider relationships.
The Opioid Impact Report uncovered prescribing variation across regions and provider types, along with significant cost exposure associated with long-term opioid use.
With a targeted intervention strategy centered on education and data transparency, the plan achieved widespread provider alignment and a substantial reduction in opioid-related risk.
Health Plan Savings: $2.14 Million
Different Plans.
Different Populations.
Measurable Results.
The opportunity isn’t simply to reduce spending. It’s to use better visibility to support better decisions — creating healthier outcomes for members while making healthcare dollars work harder.
When Better Visibility Leads to Better Decisions
The impact can extend well beyond the prescription.
Individuals
- Less unnecessary opioid exposure
- Lower disability and behavioral-health escalation
- Safer recovery → employees are working, not struggling
Workforce
- Fewer workplace injuries and workers’ compensation claims
- Reduced presenteeism and lost time
- More productive, healthier employees
Communities
- Fewer families falling into Medicaid dependency
- Reduced need for philanthropic “wrap-around” services
- Stronger families. Healthier communities