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 receive an instant estimate of the potential financial opportunity associated with opioid risk in your health plan.
Want to understand the opportunity specific to your population? Reach out to request a complimentary, customized Opioid Impact Report.
Built from your plan’s Rx claims data, the report provides a deeper look at opioid utilization, emerging risk patterns, financial impact, and opportunities to improve outcomes and plan performance.
One Florida school district identified an opportunity worth $1.45 million in first-year savings. What could your data reveal?
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
Clinicians understand the importance of thoughtful opioid prescribing. What they can benefit from is greater visibility into prescribing patterns that may signal elevated risk.
Our Rx Program uses advanced analytics to identify prescribing patterns associated with increased risk of dependence, often months before dependence becomes apparent. That earlier visibility creates an opportunity to support clinicians with objective information, clinical resources, and best practices in opioid stewardship.
It’s not about taking medication away from patients who need it. It’s about creating more visibility, earlier — so there is more opportunity to support the right care at the right time.
School District
Identified opportunities within a large employee population and aligned providers with best practices through targeted intervention.
Health Plan SAVINGS: $1.45 Million
TPA
Equipped a TPA with actionable prescribing insights to identify opportunities across client plans and support meaningful provider engagement.
Health Plan SAVINGS: $2.28 Million
Association Plan
Analyzed prescribing variation across a diverse membership to identify opportunities for improvement and support more consistent, evidence-based care.
Health Plan SAVINGS: $2.14 Million
Why this matters to your health plan
Better Visibility Can Create Better Value
Research has found that members identified as at risk for opioid-related complications can incur an average of $14,810 in additional annual healthcare costs. Understanding where risk is emerging gives health plans an opportunity to support members earlier while improving overall plan performance.
A prevention-first approach can create value across the health plan — from supporting recovery after an injury to improving utilization, workforce outcomes, and long-term health.
Supporting Members From the Start
Workplace injuries can be an important point of entry into opioid use. Earlier visibility creates an opportunity to support members with thoughtful pain-management approaches, appropriate alternatives, and a clearer path to recovery.
Improving Health Plan Performance
Understanding prescribing patterns can reveal opportunities to improve utilization and reduce avoidable downstream costs. A data-driven approach to opioid risk management has the potential to improve overall health plan performance by 4–8%.
Supporting Healthier Families & Communities
Healthier employees contribute to healthier families and communities. Prevention can help people recover, remain productive, and avoid unnecessary progression toward dependency.
Creating More Options for Better Care
When clinicians and members have greater visibility into risk and access to evidence-based, opioid-sparing options, there is more opportunity to make informed choices that support recovery and long-term health.
The Opportunity Is Measurable. The Impact Is Meaningful.
Request a Detailed Report
Your claims data already contains valuable insight into opioid utilization, emerging risk, and opportunities for improvement.
Start with a complimentary estimate. Then take a deeper look with your Opioid Impact Report.
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.