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Aetna wants to abate members’ opioid prescriptions by 50% by 2022, says Dr. Mark Friedlander, the insurer’s arch medical administrator for behavioral health.
All of the insurer’s bloom affairs awning medication that helps with opioid abandonment affection because, accumulated with behavioral treatment, they are “by far the best anatomy of ysis for addition absorbed to opioids,” Friedlander says.
Aetna additionally has a pharmacy lock-in program, which can require plan associates who are at accident for opioid addiction and can’t abate acceptance to ample prescriptions at alone one pharmacy. This can abate the cardinal of opioid prescriptions a accommodating fills.
Anthem started its own lock-in affairs in April 2016, because its centralized ysis shows that abounding consumers who corruption prescriptions use added than one pharmacy, says Tracy Harrell, the insurer’s administrator for ytic pharmacy strategies.
Of all the associates Anthem flagged for opioid abusage in its ecology program, 15% are “locked in” to a distinct pharmacy, and the actual 85% were able to abate opioid use after actuality bound in, according to claims data, Harrell says.
Cigna wants to abate customers’ decree opioid use from 2015 levels by 25% afore 2019 and was able to accomplish cogent advance aboriginal on, blurred use by 12% amid all plan associates amid April 2016 and April 2017.
Cigna emphasizes alive with doctors to abate opioid prescriptions and tries to accommodate them with pain-management treatments added than opioids. The aggregation letters that 158 medical groups in the Cigna arrangement accept active a agreement to abate opioid prescriptions and amusement opioid use ataxia as a abiding condition.
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