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Managing the pain of prescription drug cost defining the scope

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Kimberly George, Sedgwick

Kimberly George, Sedgwick


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  • 1. Sedgwick © 2013 Confidential – Do not disclose or distribute. Managing the pain of prescription drug costs: Defining the scope http://blog.sedgwick.com/2013/05/14/managing-the-pain-of-prescription-drug-costs-defining-the-scope/
  • 2. Sedgwick © 2013 Confidential – Do not disclose or distribute. 2 Today medication prices are rising faster than any other medical expenditure Overview • Powerful narcotics and opioids are fueling these expenditures • These narcotics are becoming more commonly prescribed in response to work-related injuries.
  • 3. Sedgwick © 2013 Confidential – Do not disclose or distribute. 3 Defining the Scope Per-claim narcotic costs have increased more than 50% over the past decade. Narcotic use now represents more than 1.4 billion of total drug spend in workers’ compensation claims
  • 4. Sedgwick © 2013 Confidential – Do not disclose or distribute. 4 Defining the Scope Many of these medications were not originally intended to treat occupational injuries. Little evidence to support benefits of their long-term or widespread use in the workers’ compensation arena. High risk for abuse
  • 5. Sedgwick © 2013 Confidential – Do not disclose or distribute. 5 Follow up appointments Employee education Pharmacy clinical reviews Strong network of pharmacies Prescribing providers Technology Strategies and Solutions
  • 6. Sedgwick © 2012 Confidential– Do not disclose or distribute. 6 Kimberly George, SVP Managed Care Practices and Client Services Kimberly.George@sedgwickcms.com http://blog.sedgwick.com/