How Much Will You Save with an Opioid Impact Assessment?
Get a complimentary analysis tailored to your health plan to uncover savings potential and reduce opioid risk—through targeted provider outreach—that protects your workforce, strengthens benefits, and drives real impact.
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costs
Addiction is costing your health plan more than you think
Overprescribing opioids places a significant financial burden on health plans and their members – costing an additional $15,640 per member, per year.
Want real numbers that are impacting your bottom line? Brace yourself –
$2.7 trillion
The economic cost of the opioid epidemic in 2023 alone.
5.7 million
Americans now live with opioid use disorder (OUD) up 2.7x since 2017.
75% of addiction
Addiction didn’t start on the street—It started with a legally prescribed opioid.
$81 billion
Workplace productivity losses per year.
Why this matters to your health plan
According to the CDC, nearly one in three members are prescribed opioids. Early prevention isn’t just cost-saving – it’s life-saving.
Protecting Members on the Job
Workplace injuries are the #1 gateway to opioid prescriptions. Early prevention helps ensure members heal safely and return to work stronger—without the risk of dependency.
Reducing Plan Costs with Better Care
Opioid-related claims drive higher medical, disability, and lost-time expenses. Identifying at-risk prescribing early saves plans thousands per member and keeps benefits sustainable.
Strengthening Families & Communities
When a member struggles, entire families and communities feel the impact. Prevention programs protect not just workers—but the people who depend on them most.
Empowering Safer Care Choices
By connecting members with opioid-free providers and proven alternatives, we give every worker a voice in their care—and a path to recovery without risk.
From Awareness to Early Intervention & Education
There’s More at Risk Than Patients Know
Research shows that 10% of individuals undergoing elective surgery will develop opioid dependence – just because they were exposed during routine medical care. And on average, one in three health plan members who receive an opioid prescription for pain are at measurable risk for developing dependency.
This isn’t an issue of personal choice – it’s a predictable, preventable exposure pathway embedded in standard care today.
How Addiction Impacts Your Spend
A University of Michigan / IBM Watson study found that one opioid prescription after elective surgery = +$7,700 in total spending within 12 months.
Research further shows that plan members dependent on painkillers have three times more healthcare encounters and can cost a health plan up to eight times more.
Are Providers Truly Informed?
Unfortunately, no. Most opioid prescribers lack formal training in pain management and do not fully understand the risks associated with opioid use. This gap in education contributes to prescribing practices that may inadvertently increase the likelihood of dependency and adverse outcomes for patients.
That’s why we are focused on changing this upstream – through provider education, certification, and accountability – so safer, opioid-avoidant care becomes the standard, not the exception.
Offering Results That Matter
Opioid Free America is partnered with an AI solution built on years of data from one of the nation’s most successful addiction treatment centers – real-world patient insights turned into prevention logic. Now active in 1,700 plans across 40 states – we turn claims data into targeted action. Results include:
- 60-75% reduction in high-risk prescribing
- 3-5% total plan savings
- fewer disability claims, fewer tragedies, and stronger communities