Opioid Overdose: Looking for the Signs

Medicaid members are prescribed opioids twice as often as other patients – and are six times more likely to overdose. That’s a startling statistic at the heart of the nation’s opioid crisis, which President Trump recently declared as a national emergency.

Doctors, social workers, elected officials and others are working closely together to seek solutions to the crisis – one of which is instituting programs that effectively increase opioid safety.

One idea is utilization management programs powered by data analysis. Conduent pharmacists researched characteristics and opioid drug use patterns of Medicaid members with opioid prescriptions and a diagnosis of overdose.

Conduent experts examined drug use patterns, care coordination issues (number of prescribing physicians seen and pharmacies used), substance abuse history and pain-related diagnoses. The findings were then compared to a non-overdose control group.

See our opioid infographic below to view the results of our survey. The infographic summarizes the results by highlighting factors that both increase prescription opioid overdose risks and can define management strategies.

For more details, view the original research poster here.

 

 

One thought on “Opioid Overdose: Looking for the Signs

  1. In my division at Conduent we are recovering medical payments on behalf of the health insurer where liability for the claim existed elsewhere. We find that both the marketing and the efficacy of many opioids was overstated. We believe that there may be situations where the health insurers can recover their payments from the manufacturers of the drugs. If it can be proven that the drugs were prescribed longer than what the drug was actually useful for and/or according to the marketing rather than studies and indications, there may be a chance for recovery.

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