A 2015 review of the available literature regarding healthcare costs for opioid users suggested that the average increased costs attributable to opioid use disorder (OUD) are approximately $15,000 per patient annually. Presenters will propose a solution that employs a summary of widely recognized guidelines of clinically-validated best practices for OUD treatment alongside a data management and solutions approach capable of driving high quality outcomes and lowering healthcare costs among individuals with OUD. By culling the shared elements across a number of guidelines, presenters will focus on aspects that are measurable and actionable for a health system that desires an evidence-based, consistent approach to managing OUD. Presenters will describe a strategy for linking relevant medical billing and pharmacy claims data to the measurable components of consolidated shared elements in order to correlate health plan member treatment with outcomes. This presentation will provide an overview of the solutions put in place in collaboration with partners and give the audience a glimpse into the methodology designed to impact outcomes associated with interventions. Discussion will include lessons learned and challenges faced along the way.

UPON COMPLETION OF THIS COURSE, PARTICIPANTS WILL BE ABLE TO:
- Describe a strategy by which health plan claims data can be analyzed to identify patients at-risk for OUD.
- Connect patients identified as at-risk for OUD with appropriate treatment resources, prioritizing early intervention.
- Build patient-centered solutions to support sustained recovery beyond a clinician’s office.