Comprehensive opioid strategy includes community, provider partnerships to address pain management and addiction prevention
Regence health plans are committed to decreasing the misuse of opioids through a variety of initiatives while still supporting appropriate use for people who can benefit from opioid treatment.
As of the end of 2018, Regence achieved a 39 percent decrease in opioid prescriptions since 2015. This exceeds a company goal of reducing prescriptions 25 percent across the four-state region of Oregon, Washington, Idaho and Utah by 2020. This was but one part of a comprehensive program that included education and awareness, behavioral health care management programs, support of community partner organizations working on substance abuse treatment, sponsorships in partnership with local providers offering pain management classes and more.
“At Regence, we recognize that addressing the opioid crisis requires a comprehensive and collaborative approach,” said Dr. Cheryl Pegus, Chief Medical Officer and Senior Vice President, Healthcare Services. “We continue to partner with our members, their providers, pharmacists and the communities we serve to provide integrated care management services. This is a national epidemic and we are using best practices gleaned from across the country to continue to innovate in our approaches.”
Regence’s strategy is broad-based and follows four P’s:
Pharmacy: Ensuring that we follow appropriate prescribing guidelines, both to make sure the treatment is appropriate but also to make sure those who can benefit from opioid treatment are able to get the medications they need. We also refer members to our internal behavioral health program as needed for them and their families.
Pain: Opioid addiction often starts with chronic pain. Finding ways to help people manage their pain or identifying alternative treatments is a priority and our staff were recently trained on the new ASAM (American Society of Addiction Medicine) guidelines to enable improved outcomes.
Providers: We partner with providers by sharing claims data analysis and by providing resources through an online pain management toolkit, all in service of more informed shared-decision-making with regard to our members’ health.
People: We have worked to provide education and awareness through community partner organizations that have brought in national speakers or have specialized expertise in pain and addition. We also created a conversation guide to help people talk with their doctor about appropriate treatment, and we sponsor 38 safe medication disposal kiosks in Walgreens stores in Oregon, Washington, Idaho and Utah.
We know there is more work to do, and we continue to strengthen our policies and programs to support our members and the communities we serve.
Regence serves more than 2.6 million members through Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (select counties in Washington). Each health plan is a nonprofit independent licensee of the Blue Cross and Blue Shield Association. Regence is part of a family of companies dedicated to transforming health care by delivering innovative products and services that change the way consumers nationwide experience health care. For more information, please visit regence.com.