Prospective
Utilization Review
Trigger of thorough clinical review if custom MED
levels were surpassed
Retrospective
Utilization Review
Comprehensive review of high risk patients and development of clinical plan, often including prescriber intervention
1
2
Decrease in Average
Daily MED
Decrease in Average Opioid Cost per Claim
Decrease in Claims with “Holy Trinity” Drug Use
15.6%
26%
46.3%
The personalized approach to managing a high-MED population helped Mitchell Pharmacy Solutions clients collectively reduce average daily MED levels by more than 15% over the two years reviewed. This two-pronged program included setting customized MED levels per patient and adding greater controls for higher risk patients.
Prospective
Utilization Review
Retrospective
Utilization Review
1
2
Trigger of thorough clinical review if custom MED levels were surpassed
Comprehensive review of high risk patients and development of clinical plan, often including prescriber intervention
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