Rising Cost of Nonadherence
Nonadherence to medication is a serious and pervasive problem across healthcare, and the backdrop of workers’ compensation presents unique challenges to treatment management. The nature of injuries and their associated medications – which include opioids and other products with abuse potential – open the door for aberrant drug behaviors. These behaviors may include selective adherence or chemical coping, as the patient relies on these drugs to relieve symptoms or emotional stress of injury, while abandoning medications that can better restore functionality. Consequences of nonadherence include delayed return to work, poor health outcomes, and higher costs for the payer.
Healthesystems examines the key drivers of nonadherence in workers’ comp, solutions for monitoring adherence, and the shared responsibility of managing treatment in the Fall 2014 issue of RxInformer clinical journal, available at booth #1423.
For insights on other trending topics in workers’ comp, visit the new RxInformer website at www.healthesystems.com/rxinformer.
Visualizing Opioid Risk
With studies suggesting that up to 30% of patients who use opioids become addicted, the monitoring of injured workers on opioid therapy becomes critical to their safety and to treatment success. However, the complexity of most claims renders this more easily said than done. Claims professionals often must dig through a pile of data to uncover potential signs of risk. Often, the information is there, but not easily discernible among the static of multiple prescribers and pharmacies, complex drug regimens, comorbidities, inconsistent refill patterns, and other contributors to data overload.
Risk Management Dashboard, the newest addition to Healthesystems’ suite of analytics tools, eliminates the data overload to reveal the most relevant and actionable information. The intuitive dashboard provides a visual summary that helps claims professionals easily identify areas that require close attention and quick action – enabling them to more effectively manage opioid use.
View a demo of the Risk Management Dashboard at booth #1423.
Evolving Strategies in Patient Management
Driving more successful outcomes in the treatment of injured workers requires continued innovation. The challenges of managing patient care evolve, and therefore so must strategies for monitoring and intervention. Relying on the status quo means missed opportunities – and missed information.
According to clinical analysis from Healthesystems, a comprehensive
review of medical history identifies underlying treatment concerns in 75% of cases. Nonadherence, comorbidity, psychosocial factors – these all threaten treatment outcomes.
Yet standard monitoring methods (e.g., prescription history) may fail to
identify these concerns, often leaving payers and prescribers with incomplete information on which to base treatment decisions.
Successful management requires a more holistic approach than has historically been performed, especially in high-risk claims that drive the majority of spend. Comprehensive clinical analysis uncovers critical insights that can better inform treatment decisions and improve outcomes.
Come to booth #1423 to pick up a copy of Healthesystems’ RxInformer clinical journal for a more in-depth look at holistic patient management.