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Center for Medicare & Medicaid Services (CMS) : Payer Strategies to Reduce the Harms of Opioids

Improving the Patient Experience

  • Improving the Patient Experience

    Improving the whole patient journey to ensure a positive patient experience, from clinical and administrative, to financial, and everything in between.

Center for Medicare & Medicaid Services (CMS) : Payer Strategies to Reduce the Harms of Opioids

January 22, 2017

Prescription opioid misuse and opioid use disorder (OUD) are significant and growing public health problems in the United States (U.S.) that impact stakeholders across the healthcare sector, including private, employer-sponsored, and public health plans.(1-4)[1] Healthcare payers (herein, payers), employer organizations, and law enforcement all have strong motivations to combat the inappropriate prescribing of opioids to improve patient health and reduce expenditures for medically unnecessary services and therapies. These are largescale problems for which payers play a critical role in reducing fraud, waste, and abuse while ensuring access to medically necessary therapies

 

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