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