Press Release

Çï¿ûapp Successfully Cuts Opioid Use by Forty Percent

July 30th, 2018 | 3 min read

New Program Focused on Prescribing Will Reduce Opioids Prescribed to Members by Half in 2018

(Dayton, Ohio– July 30, 2018) Çï¿ûapp, a nonprofit managed care organization, announces it has reduced the amount of opioids prescribed to its members by 40 percent in the last 18 months as a result of an innovative program working with doctors and prescribers. By the end of the year, Çï¿ûapp will have cut that amount in half.

 “We believe that managed care plans can play a key role in fighting the opioid epidemic,” said Jonas Thom, Vice President of Behavioral Health at Çï¿ûapp. “We know that helping members get on a path to recovery and self-sufficiency leads to better outcomes.”

 With 1.8 million Medicaid members in four states, Çï¿ûapp is in a position to respond to the opioid epidemic by providing oversight of prescriptions.

In 2016, Çï¿ûapp implemented a prescriber outreach program to notify providers who are prescribing high amounts of opioids to members. Using claims data, Çï¿ûapp can identify members at risk for substance use disorder, diversion, overdose or other adverse events and alert providers.

Çï¿ûapp analyzes the volume of opioids being prescribed to its members as measured by Morphine Milligram-Equivalent Doses (MED), which accounts for the number of pills, dosing schedules and strength.

Çï¿ûapp also sends letters to prescribers illustrating how their overall MED prescribing compares to their peers, then highlights strategies to reduce opioids in their practices.

The overall initiative, entitled “MED Letters,” won a Pinnacle Award from the Ohio Association of Health Çï¿ûapp and is just one piece of Çï¿ûapp's entire Behavioral Health strategy. The company also has:

  • Reduced the number of 30-day opioid prescriptions by 30 percent.
  • Increased the number of participating providers offering Medication Assisted Treatments such as Buprenorphine, Naloxone or Vivitrol, etc. by more than 50 percent.
  • Expanded pharmacy lock-in to decrease the practice of doctor and pharmacy shopping by members.
  • Expanded benefits to include transportation to recovery services.
  • Focused case management to remove additional barriers to becoming self-sufficient, such as employment, child care and vocational training.

This year, Çï¿ûapp will also begin monitoring adolescents and young adults for opioid risk. In Ohio alone, in which Çï¿ûapp has its largest number of Medicaid members, people younger than 34 accounted for 38 percent of the total opioid overdose deaths in 2016.

“We have certainly had a meaningful impact on our members’ lives and the opioid crisis through our targeted programs, but there is more to be done,” said Thom.

About Çï¿ûapp

Çï¿ûapp is a nonprofit nationally recognized as an industry leader in providing member-centric health care coverage. Founded in 1989, Çï¿ûapp administers one of the nation’s largest Medicaid managed care plans. Today, Çï¿ûapp offers individuals and families comprehensive health and life services including Marketplace and Medicare Advantage plans.

Headquartered in Dayton, Ohio, Çï¿ûapp serves nearly 2 million members in Ohio, Kentucky, Indiana, West Virginia and Georgia. Çï¿ûapp understands the challenges consumers face navigating the health system and works to put health care in reach for those it serves.

For more, visit www.caresource.com, follow @caresource on Twitter, or like Çï¿ûapp on Facebook.