Opioids are costing your health plan more than you think…
Find out how much with an Opioid Impact Estimate
Get Your Complimentary Estimate
Start by filling out the form to get your instant estimate, including the financial impact of opioids and potential savings.
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This Florida school district realized $1.45 million in first-year savings. Imagine what that could mean for your health plan.
Please note this report does not account for indirect economic impacts such as absenteeism, presenteeism, avoided workplace injuries, or lives saved.
RX PROGRAM – OPPORTUNITY STARTS WITH VISIBILITY
Recognize Risk Before it Becomes Dependence
Most clinicians don’t need to be told that opioid risk matters. They need better visibility into the patterns that can signal risk early – and practical, evidence-based information to support the care decisions they’re already making.
Our Rx Program identifies prescribing patterns associated with increased risk of dependence – often months before dependence becomes apparent.
The goal isn’t to take mediation away from patients who need it. It’s to identify risk early enough to give clinicians an opportunity to intervene before unnecessary exposure becomes a bigger problem.
School District
Identified hidden opioid-related cost drivers within a large employee population and aligned providers to best practices through targeted intervention.
Health Plan SAVINGS: $1.45 Million
TPA
Equipped a TPA with actionable prescribing insights to uncover avoidable costs across client plans and drive provider behavior change.
Health Plan SAVINGS: $2.28 Million
Association Plan
Analyzed prescribing variation across a diverse membership to identify risk and standardize care through provider education.
Health Plan SAVINGS: $2.14 Million
Why this matters to your health plan
The moment an opioid is prescribed, it costs your health plan an additional $14,810 per year. Opioid use on the job introduces risk that directly impacts cost, safety, and workforce performance. By addressing prescribing early and carving out opioid overprescribing, employers can reduce total health plan spend while improving outcomes across the plan.
Protecting Members at the Point of Injury
Workplace injuries are one of the most common entry points into opioid use. Intervening early ensures members recover safely, avoid unnecessary exposure, and return to work without added risk.
Reducing Total Plan Spend
Opioid-related prescribing drives higher medical costs, extended disability, and lost productivity. Identifying and addressing risk early can reduce total health plan spend by 6–8%, while avoiding thousands in downstream costs per member.
Protecting What Matters Beyond the Workplace
When dependency develops, the impact extends far beyond the individual—affecting families, stability, and communities. Prevention safeguards not just employees, but the people who rely on them.
Enabling Better Care Decisions
When members are connected to opioid-free options and informed choices, outcomes improve. Safer pathways lead to faster recovery, fewer complications, and more confident decision-making.
The Dollars Are Measurable. The Human Cost is Priceless.
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Opioid Prevention / Rx Program Development & Delivery
The clinical, pharmacy, analytical, and prescriber-outreach services associated with the Opioid Prevention / Rx Program are provided and serviced by a specialized third-party clinical and technology partner on behalf of Opioid Free America. The underlying technology, proprietary algorithms, methodologies, and related intellectual property associated with the program are owned and controlled by that partner, which is responsible for the development, operation, and delivery of the associated services.