Preventing Abuse to Drive Down Costs
Express Scripts offers a comprehensive first-of-its-kind fraud, waste and abuse program for workers' compensation payers to better manage narcotic utilization. Narcotics comprise more than a third of the cost and utilization in workers' compensation, and given the potential for misuse and abuse, payers need a focused approach to managing their use.
"Our fraud program combines our unique data analytics with clinical expertise and investigative services in a proven solution that increases savings for payers and safety for injured workers by reducing narcotics misuse and abuse," Pokorney said
In the U.S., prescription drug overdoses result in
1.2 million emergency room visits
and more than
each year — more than cocaine and heroin combined.
"We look for patterns of behavioral red flags to find cases that may otherwise be missed," he said. "We leverage thousands of tips each year and constantly refine our algorithm and data identification process as we continue to enhance our offering."
The full Express Scripts 2012
Drug Trend Report
is available at
About Express Scripts
Express Scripts (NASDAQ: ESRX) manages more than a billion prescriptions each year for tens of millions of patients. On behalf of our clients — employers, health plans, unions and government health programs — we make the use of prescription drugs safer and more affordable. Express Scripts uniquely combines three capabilities — behavioral sciences, clinical specialization and actionable data — to create Health Decision Science
, our innovative approach to help individuals make the best drug choices, pharmacy choices and health choices. Better decisions mean healthier outcomes.
, Express Scripts provides integrated pharmacy benefit management services, including network-pharmacy claims processing, home delivery, specialty benefit management, benefit-design consultation, drug-utilization review, formulary management, and medical and drug data analysis services. The company also distributes a full range of biopharmaceutical products and provides extensive cost-management and patient-care services.
For more information, visit Lab.Express-Scripts.com or follow @ExpressScripts on Twitter.