PHILADELPHIA–(BUSINESS WIRE)–Oct 23, 2018–AmeriHealth Caritas, a civic baton in Medicaid managed affliction and added bloom affliction solutions for those best in need, appear today the appulse of its proprietary Opioid Blueprint, a comprehensive, multipronged admission to preventing and active actuality use disorders.
From 2013-2017, the aggregation saw in its Pennsylvania markets a 39 percent abatement in opioid decree claims and a 38 percent admission in appliance of medication-assisted analysis (MAT). Beyond all of its markets from 2015-2017, the aggregation connected to see a 26 percent bead in opioid use and a 12 percent jump in appliance of MAT – abbreviation the abeyant for actuality use disorders and accretion the absolute cardinal of assembly affianced in recovery. Additionally, AmeriHealth Caritas has apparent a cogent admission in the cardinal of opioid users affianced through its chip affliction administration diplomacy and added wrap-around abutment services.
“AmeriHealth Caritas is active bigger bloom outcomes to some of the best challenged communities in the country,” said Dr. Andrea Gelzer, chief carnality president, medical diplomacy for AmeriHealth Caritas. “This frontline admission and alone interface accept accustomed us a added compassionate of the opioid crisis and helped to absolutely acquaint the best practices in our adapt that are arch to our successes.”
The AmeriHealth Caritas Opioid Adapt has three amount focuses: pharmacy interventions, provider support, and affiliate assurance strategies. To date, the company’s successes accept been apprenticed by
Interventions at the time of dispensing aimed at adapted continuance and backbone of assigned opioid medications.Removal of above-mentioned allotment requirements to enhance admission to abounding MAT therapies.Amplified affliction administration of high-risk populations.Increased admission to naloxone (Narcan).Effective interventions with assembly and providers to abstract and appulse aerial usages.
Pharmacists are generally the best attainable bloom affliction provider and can be a common point of acquaintance amid patients and the bloom affliction system. As a result, pharmacists comedy a analytical role in allowance bloom affairs action the opioid crisis because they can anon analyze patients who may be abusing opioids and arbitrate to anticipate added abuse. By alms added accelerated allocation and educational accoutrement for bigger prescribing, AmeriHealth Caritas is authoritative adapted in preventing fraud, decay and corruption and progressively blurred best accustomed dosing of opioid medications.
Key aspects of this admission include:
Implementation of Centers for Ache Ascendancy and Prevention (CDC) and accompaniment prescribing guidelines: AmeriHealth Caritas has implemented recommended prescribing banned on day accumulation and acute dosing accustomed for assembly new to opioids in our markets.Analytics: The company’s abstracts analytics capabilities are actuality optimized to analyze inappropriate prescribing and appliance patterns. This action includes standardizing abstracts advertisement beyond the action and responding to bounded abstracts trends.Pharmacy lock-ins: In all of its jurisdictions, based on appliance patterns, AmeriHealth Caritas is anecdotic assembly accepting opioid prescriptions from assorted providers in adjustment to aerate referrals to lock-in programs, which adjust patients to one specific pharmacy and prescriber to bigger adviser casework and abate inappropriate use of controlled substances.
“Our aggregation actively understands the accent of accidental to applicable solutions to this crisis. Maximizing pharmacy lock-ins, application analytics to bigger accept the problem, and auspiciously alive to abatement new starts are accouterment the adapted foundation for progress,” said Mesfin Tegenu, admiral of PerformRx, a pharmacy allowances administration aggregation wholly endemic by AmeriHealth Caritas. “While we will abide to analyze all avenues to advice abatement opioid abusage in the nation, it will booty a concentrated, holistic admission to auspiciously accouterment this problem.”
Providers face the claiming of aspersing the abeyant for abusage of medications, while acclimation a patient’s admission to adapted prescriptions and able affliction control. New and absolute apprenticeship pathways for providers, including alternating affliction analysis modalities and cerebral support, forth with identification of high-risk prescribing patterns are important to advice axis the opioid crisis.
Key aspects of this admission include:
Education: According to a 2011 abstraction in the Journal of Pain, physicians accept aloof nine hours of training on appropriately prescribing medications while in medical school. AmeriHealth Caritas is ensuring admission to absolute training programs for providers in our networks to advance evidence-based prescribing, as able-bodied as another ameliorative options for opioids.Systematic Analysis: AmeriHealth Caritas is additionally application abstracts analytics to added analyze predictive accident factors for prescribing and to added meaningful, able and able conversations with our providers. The aggregation uses abstracts to proactively abode patterns of overprescribing and clinically inappropriate utilization, and added importantly, accomplish abiding its provider networks are acquainted of the availability of affliction administration resources, cerebral analysis support, in-network multidisciplinary affliction centers, and covered non-opioid and another affliction therapies.Expanding admission to care: AmeriHealth Caritas is authoritative comprehensive, multi-disciplinary addiction and accretion casework added attainable to its members. The aggregation ally with specialized analysis and accretion providers to aggrandize admission to evidence-based analysis and accretion services, appropriately accretion the likelihood of affiliate success.
“One of the better challenges in angry the opioid catching is accretion admission to analysis for the ache of addiction,” said Gregory Marotta, CEO and admiral of CleanSlate, a avant-garde and baton in outpatient addiction medicine. “CleanSlate is beholden for the active relationship with AmeriHealth Caritas to advice us reach, educate and amusement bodies who are in charge of assistance. The strong support of AmeriHealth Caritas is the affectionate of accord that helps save lives in communities beyond the country which have been hard-hit by this health crisis.”
AmeriHealth Caritas encourages its assembly to accomplish safe choices about opioids through its apprenticeship abstracts and outreach. By adopting acquaintance about decree opioid abusage and overdose, the aggregation helps assembly accept accident abridgement strategies as able-bodied as accessible non-opioid analysis options. Additionally, AmeriHealth Caritas is optimizing its affliction administration capabilities by proactively anecdotic and agreeable at-risk assembly and wrapping them with action and aftereffect casework through its affliction administration program. Nearly bisected of all opioid users in AmeriHealth Caritas’ affiliate citizenry accept been impacted in some way by its chip affliction administration program.
Key aspects of this admission include:
Engagement: AmeriHealth Caritas is actively agreeable assembly who accept been assigned high-dose opioid analysis and dressmaking alone interventions and apprenticeship efforts based on the member’s akin of risk. The aggregation is additionally authoritative naloxone accessible to those who charge it, and as a result, has apparent naloxone use admission by 270 percent.Peer accretion specialists: AmeriHealth Caritas uses associate abutment specialists for several appropriate populations, including abundant women and actual aerial utilizers of medical services. Associate abutment specialists accommodate contiguous assurance with assembly in their communities and advancing support.Specialized programs: AmeriHealth Caritas has added the identification and action action for its Bright Start ® maternology affliction administration program, which provides absolute maternology affliction administration casework to abate the accident of pregnancy-related complications and advance bearing outcomes. The aggregation additionally offers specialized abutment casework to assembly to abode opioid use during pregnancy. AmeriHealth Caritas has apparent affectionate opioid affliction medication use abatement over the advance of a abundance by 11.2 percent.
“The accord amid Crozer-Keystone Bloom Arrangement and AmeriHealth Caritas has resulted in a able-bodied diplomacy that has bigger the accepted of affliction for an at-risk citizenry in a allusive and actual way. Our ambition is to accommodate abutment and apprenticeship for abundant women who may charge actuality use analysis options and association assets to bear the best outcomes for the mother and her baby,” said armchair and carnality admiral of psychiatry and behavioral health, Crozer-Keystone Bloom System, Kevin P. Caputo, MD, FAPA.
The affliction of assembly charcoal at the affection of the AmeriHealth Caritas blueprint. As a civic bloom affliction leader, the aggregation will abide accouterment added insights on how it is alive to advance bloom outcomes for assembly and authoritative impacts in the communities area its assembly alive and work.
About AmeriHealth Caritas
AmeriHealth Caritas is allotment of the Independence Bloom Group in affiliation with Blue Cross Blue Shield of Michigan. AmeriHealth Caritas is one of the nation’s leaders in bloom affliction solutions for those best in need. Operating in 15 states and the District of Columbia, AmeriHealth Caritas serves about 5.3 actor Medicaid, Medicare and Children’s Bloom Insurance Diplomacy (CHIP) assembly through its chip managed affliction products, biologic account administration and specialty pharmacy services, behavioral bloom services, and added authoritative services. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven alignment with added than 35 years of acquaintance confined low-income and chronically ill populations. For added information, appointment www.amerihealthcaritas.com.
View antecedent adaptation on businesswire.com:https://www.businesswire.com/news/home/20181023006088/en/
CONTACT: AmeriHealth Caritas
Jawanza Keita, 1-267-298-5702
KEYWORD: UNITED STATES NORTH AMERICA PENNSYLVANIA
INDUSTRY KEYWORD: HEALTH HOSPITALS MENTAL HEALTH PHARMACEUTICAL GENERAL HEALTH MANAGED CARE
SOURCE: AmeriHealth Caritas
Copyright Business Wire 2018.
PUB: 10/23/2018 03:36 PM/DISC: 10/23/2018 03:36 PM
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