Patient Opioid Abuse Detection and Prevention: New Discovery Analytic Approaches

Derek Pederson, MA, MBA, Vice President Medical Informatics, and Peter N. Toensing, MD, Medical Director for Episode Analytics, Optum.  The increasing power of data and analytics capabilities to help providers identify, address and prevent opioid abuse can be augmented by combining pharmacy utilization and benefit claims data to create a holistic view of opioid abuse patterns and risks. Derek and Dr. Toensing share current approaches to working with physician prescribing data and benchmarks to detect physician script patterns, and to help monitor, predict and protect patients from high-risk opioid behavior.  These discovery analytics strategies also incorporate cost analysis of high-profile episode treatment groups, to identify where opioid utilization and abuse is contributing to higher treatment costs.