New Analytics Tool Empowers Workers’ Comp Payers to Reduce Opioid Risk

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Healthesystems' newest analytics tool uses powerful data visualization to help payers uncover drug therapy risks in workers' compensation claims.

Payers can play a crucial role in drug therapy management. Powerful analytics may empower them to do so.

Healthesystems continues to provide ground-breaking solutions for improving drug therapy management in workers’ compensation with the introduction of Risk Management Dashboard, a comprehensive clinical analytics tool designed to help claims professionals more effectively manage opioid use among injured worker claimants.

Risk Management Dashboard, the newest addition to Healthesystems’ suite of analytics tools, visually summarizes claims that require close attention and quick action to help identify complex prescription drug therapy risks. The tool distills complex data into an intuitive, easy-to-read dashboard view. The most relevant and actionable information is presented upfront, and the user can easily drill down into claim-level detail as needed. Insight into dangerous drug combinations, opioid overprescribing, and refill patterns enables claims professionals to effectively manage opioid use and take action to improve outcomes for injured workers, employers and payers.

Innovative Analytics Provide Actionable Data

Frequently, the ability to promptly identify underlying drug therapy risks within a claim can be a challenging and time-consuming endeavor. Gleaning insight from complex data requires proper analysis and interpretation. Innovative technology becomes a significant asset in this setting, as it provides access to highly pertinent data in a timely manner, better facilitating intervention. Payers can play a crucial role in drug therapy management, and powerful analytics and transparency of data may empower them to do so.

Healthesystems’ suite of clinical analytics tools uncovers risks within workers’ compensation claims that, when unchecked, can threaten treatment outcomes and extend claim durations, driving significantly higher costs for employers and payers. Clinical analytics provide the information required for early identification of risk factors including prescription drug misuse, drug diversion, excessive therapy, polypharmacy and inappropriate prescribing.

The Risk Management Dashboard expands an established set of analytics tools from Healthesystems that enable payers to more effectively manage drug therapy. The OpioidRx RISC Score tool analyzes trends associated with patient opioid use and visually depicts the trend for quick identification of therapy risk. Claims professionals can also gain insight into multiple medication use through Polypharmacy Analytics, a reporting feature that enhances patient safety by delivering detailed medication regimen information and visually identifying concurrent drug possession that may be cause for concern.

Utilization of clinical analytics that encourage risk reduction and safety of the injured worker will not only drive successful outcomes, but reduce medical costs associated with suboptimal treatment. Silvia Sacalis, PharmD, and VP of Clinical Services at Healthesystems shared her perspective in a recent interview with Risk & Insurance magazine: “Patient safety naturally drives cost containment. When a patient’s safety is at the core of the treatment plan – for example ensuring they are on the right medication or receiving the right dose – there is a significantly higher likelihood of successful outcomes.”

Healthesystems will provide live demos of the Risk Management Dashboard at the upcoming 2014 NWC&D conference in booth #1423. Come learn more about how the Dashboard and our other clinical analytics tools deliver exceptional results for our customers. You may also request a demo at

About Healthesystems
Healthesystems is a specialty provider of innovative medical cost management solutions for the workers’ compensation industry. The company's comprehensive product portfolio includes a leading pharmacy benefit management (PBM) program, expert clinical review services, and a revolutionary ancillary benefits management (ABM) solution for prospectively managing ancillary medical services such as durable medical equipment (DME), home health, transportation and translation services. By leveraging innovation, powerful technology, clinical expertise and enhanced workflow automation tools, Healthesystems provides clients with flexible programs that reduce the total cost of medical care while improving the quality of care for injured workers. To learn more about Healthesystems visit

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Jill Holdsworth
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