Welcome!

News Feed Item

Prescription Pain Medication Safety Program Shows Positive Results, Promotes Quality & Prevention

(Click to Tweet) Blue Cross Blue Shield of Massachusetts’ program to improve the safety and quality of care for its members taking prescription pain medication is showing positive results. In the first 18 months of the program Blue Cross:

  • Improved safety & quality for its members
  • Decreased painkiller prescriptions
  • Lowered addiction risk for members
  • Prevented excess pills from reaching the community

“Our program is about preventing harm by making sure our members receive the highest quality care for pain, while reducing the risks that come with such treatments,” said Dr. John A. Fallon, Senior Vice President and Chief Physician Executive for Blue Cross Blue Shield of Massachusetts. “The results are encouraging and show that, among other things, health plans can play a meaningful role in helping to prevent prescription pain medication addiction.”

The Program Goal: Best and Safest Pain Care for Our Members

In July 2012, Blue Cross became the first health plan in Massachusetts to institute new safety measures aimed at reducing the risk of addiction to prescription painkillers and preventing the harmful effects from other medications used to treat pain.

The steps were taken after the health plan’s own review showed that more than 30,000 of its members received prescriptions for powerful painkillers such as Vicodin® and Percocet® lasting longer than 30-days, which many experts believe increases the risk of addiction. Among the findings, Blue Cross also found that thousands of its members were receiving combination prescriptions containing acetaminophen at levels that could potentially be harmful.

With the help of an outside panel of physicians, pain management experts, and addiction specialists new policies were instituted to promote best practices in prescribing; improve communication between providers and patients on the risks of addiction; and prevent possible addiction by reducing the number and duration of painkillers prescribed without prior authorization for treatment lasting longer than 30-days. The plan also was designed to provide doctors valuable information to help identify patients who may be at risk for addiction.

“The goal of treating pain is to relieve suffering and not to create more problems for patients,” said Dr. Edgar Ross, Medical Director for Pain Management at Brigham and Women’s Hospital. “I was pleased to help in designing this evidence-based program, and I’m happy to see that it is improving quality and safety without creating barriers to care.”

The Results: An 18-Month Checkup

  • Improved safety of pain care and reduction in risk of addiction, misuse and diversion of prescription pain medications, while protecting vulnerable patients:
    • 20% decrease in claims for short-acting opioid painkillers such as Vicodin® and Percocet®
    • 50% decrease in claims for long-acting opioids such as OxyContin®, by working with providers to switch patients to more appropriate short-acting medications
    • Excess painkiller prescriptions avoided, resulting in an estimated 6.6 million fewer doses in the community
    • More than 90% of patients prescribed greater than the recommended daily dose for acetaminophen had their prescriptions adjusted by the prescriber
    • Accommodations made for vulnerable, chronic care patients to protect their care
  • Improved quality through better communication:
    • Fostered improved communication between doctors and patients regarding the proper use and risks associated with prescription painkillers through guidelines on prescribing pain medications to Blue Cross members
    • Promoted best practices in prescribing all pain medication, including improved safety measures on the use of acetaminophen and limiting off-label use of buprenorphine for pain management
    • Closed gaps in provider information by sharing regular reports with doctors regarding their patients’ narcotic prescriptions to help identify those at higher risk of addiction
  • Enhanced care management service for those on large amounts of narcotic medications:
    • Case managers have worked with Blue Cross members to ensure access to pain management experts, and if appropriate, to explore non-narcotic methods of pain control
    • Blue Cross medical directors consulted with prescribers to improve care coordination for its members with pain management needs – especially important when more than one provider is prescribing medication for a single patient

“This initiative is a common sense approach that balances the needs of patients while addressing a real public health concern with regard to painkillers,” said Dr. Joseph Leader, a Pediatrician from Woburn, Massachusetts who has been outspoken about the need to protect adolescents from the risk of prescription opiate abuse and addiction.

In addition to the results released today, Blue Cross also strongly underscored its commitment to providing members with a full spectrum of behavioral health and addiction services. The health plan is launching new initiatives to enhance addiction care, and will offer a new social networking tool to support members with their recovery.

“Addiction to narcotics and other substances is insidious and that’s why we need to remain laser-focused on preventing addiction before it happens,” said Dr. Fallon. “We also know that treatment saves lives. If any of our members need help with addiction, they should contact their health care provider to discuss the options. Help is available.”

About Blue Cross Blue Shield of Massachusetts

Blue Cross Blue Shield of Massachusetts (www.bluecrossma.com) is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We are the trusted health plan for more than 30,000 Massachusetts employers and are committed to working with others in a spirit of shared responsibility to make quality health care affordable. Consistent with our corporate promise to always put our 2.8 million members first, we are rated among the nation’s best health plans for member satisfaction and quality. Connect with us on Facebook, Twitter, YouTube and LinkedIn.

More Stories By Business Wire

Copyright © 2009 Business Wire. All rights reserved. Republication or redistribution of Business Wire content is expressly prohibited without the prior written consent of Business Wire. Business Wire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
Join us at Cloud Expo June 6-8 to find out how to securely connect your cloud app to any cloud or on-premises data source – without complex firewall changes. More users are demanding access to on-premises data from their cloud applications. It’s no longer a “nice-to-have” but an important differentiator that drives competitive advantages. It’s the new “must have” in the hybrid era. Users want capabilities that give them a unified view of the data to get closer to customers and grow business. The...
Internet of @ThingsExpo, taking place October 31 - November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 21st Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The Internet of Things (IoT) is the most profound change in personal and enterprise IT since the creation of the Worldwide Web more than 20 years ago. All major researchers estimate there will be tens of billions devic...
SYS-CON Events announced today that MobiDev, a client-oriented software development company, will exhibit at SYS-CON's 21st International Cloud Expo®, which will take place October 31-November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. MobiDev is a software company that develops and delivers turn-key mobile apps, websites, web services, and complex software systems for startups and enterprises. Since 2009 it has grown from a small group of passionate engineers and business...
SYS-CON Events announced today that GrapeUp, the leading provider of rapid product development at the speed of business, will exhibit at SYS-CON's 21st International Cloud Expo®, which will take place October 31-November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. Grape Up is a software company, specialized in cloud native application development and professional services related to Cloud Foundry PaaS. With five expert teams that operate in various sectors of the market acr...
What's the role of an IT self-service portal when you get to continuous delivery and Infrastructure as Code? This general session showed how to create the continuous delivery culture and eight accelerators for leading the change. Don Demcsak is a DevOps and Cloud Native Modernization Principal for Dell EMC based out of New Jersey. He is a former, long time, Microsoft Most Valuable Professional, specializing in building and architecting Application Delivery Pipelines for hybrid legacy, and cloud ...
SYS-CON Events announced today that Ayehu will exhibit at SYS-CON's 21st International Cloud Expo®, which will take place on October 31 - November 2, 2017 at the Santa Clara Convention Center in Santa Clara California. Ayehu provides IT Process Automation & Orchestration solutions for IT and Security professionals to identify and resolve critical incidents and enable rapid containment, eradication, and recovery from cyber security breaches. Ayehu provides customers greater control over IT infras...
With major technology companies and startups seriously embracing Cloud strategies, now is the perfect time to attend 21st Cloud Expo October 31 - November 2, 2017, at the Santa Clara Convention Center, CA, and June 12-14, 2018, at the Javits Center in New York City, NY, and learn what is going on, contribute to the discussions, and ensure that your enterprise is on the right path to Digital Transformation.
Automation is enabling enterprises to design, deploy, and manage more complex, hybrid cloud environments. Yet the people who manage these environments must be trained in and understanding these environments better than ever before. A new era of analytics and cognitive computing is adding intelligence, but also more complexity, to these cloud environments. How smart is your cloud? How smart should it be? In this power panel at 20th Cloud Expo, moderated by Conference Chair Roger Strukhoff, pane...
21st International Cloud Expo, taking place October 31 - November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA, will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud strategy. Me...
DevOps at Cloud Expo, taking place October 31 - November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 21st Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The widespread success of cloud computing is driving the DevOps revolution in enterprise IT. Now as never before, development teams must communicate and collaborate in a dynamic, 24/7/365 environment. There is no time to w...
The current age of digital transformation means that IT organizations must adapt their toolset to cover all digital experiences, beyond just the end users’. Today’s businesses can no longer focus solely on the digital interactions they manage with employees or customers; they must now contend with non-traditional factors. Whether it's the power of brand to make or break a company, the need to monitor across all locations 24/7, or the ability to proactively resolve issues, companies must adapt to...
In this presentation, Striim CTO and founder Steve Wilkes will discuss practical strategies for counteracting fraud and cyberattacks by leveraging real-time streaming analytics. In his session at @ThingsExpo, Steve Wilkes, Founder and Chief Technology Officer at Striim, will provide a detailed look into leveraging streaming data management to correlate events in real time, and identify potential breaches across IoT and non-IoT systems throughout the enterprise. Strategies for processing massive ...
SYS-CON Events announced today that Cloud Academy named "Bronze Sponsor" of 21st International Cloud Expo which will take place October 31 - November 2, 2017 at the Santa Clara Convention Center in Santa Clara, CA. Cloud Academy is the industry’s most innovative, vendor-neutral cloud technology training platform. Cloud Academy provides continuous learning solutions for individuals and enterprise teams for Amazon Web Services, Microsoft Azure, Google Cloud Platform, and the most popular cloud com...
Cloud Expo, Inc. has announced today that Andi Mann and Aruna Ravichandran have been named Co-Chairs of @DevOpsSummit at Cloud Expo Silicon Valley which will take place Oct. 31-Nov. 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. "DevOps is at the intersection of technology and business-optimizing tools, organizations and processes to bring measurable improvements in productivity and profitability," said Aruna Ravichandran, vice president, DevOps product and solutions marketing...
In his session at Cloud Expo, Alan Winters, an entertainment executive/TV producer turned serial entrepreneur, presented a success story of an entrepreneur who has both suffered through and benefited from offshore development across multiple businesses: The smart choice, or how to select the right offshore development partner Warning signs, or how to minimize chances of making the wrong choice Collaboration, or how to establish the most effective work processes Budget control, or how to ma...