An Evidence-Based Opioid Prevention Program Eligible for Settlement Funding
Help your county use opioid settlement funds in a way that is defensible, sustainable, and transparent.
The Challenge for County Leaders
“How can we use settlement funds to address the root cause of the crisis in a way that is measurable, reportable, and publicly defensible?”
Why Prevention Matters
Most existing county interventions focus on downstream effects: treatment beds, overdose reversal (Narcan), and law enforcement.
While critical, these efforts do not stop the flow of new dependency.
The Upstream Solution
National data shows that many individuals entering treatment began with a valid prescription. The physician’s office is often where dependency risk begins.
OpioidRx identifies and reduces overprescribing before dependency escalates into a public cost.
What This Program Does
- Detects prescribing patterns linked to extended opioid exposure.
- Identifies risk signals months before addiction indicators appear.
- Engages prescribers with objective, CDC-aligned guidance.
- Measures reductions in high-risk prescribing rates.
*All analysis uses blinded data. No PHI required.
Alignment with Settlement Guidelines
This program supports allowable settlement expenditures by addressing root causes and producing reportable outcomes.
Transparency & Reporting
We provide quarterly reports suitable for Public Board Meetings, Budget Oversight, and Audit Review.
- Addresses Root Causes of Misuse
- Evidence-Based Prevention Strategy
- Reduces Opioid Overprescribing
- Measurable, Reportable Outcomes
- Responsible Fiscal Stewardship
Measurable Results for Counties
Results are tracked using prescriptions per 100 residents and claims-based methodologies.
75%
Reduction in high-risk
opioid prescriptions
56%
Reduction in cost per
high-risk member
41%
Reduction in ER
visits & hospitalizations
99%
Provider adoption of
CDC standards
Proven Financial & Clinical Outcomes
See how self-insured plans are using AI-driven clinical insights to reduce high-risk prescriptions and eliminate millions in avoidable medical spend.
Association Health Plan
A 6,000-member plan utilized OpioidRx-AI to reduce their high-risk opioid population by 80%, resulting in an 88% reduction in health plan cost per member.
Read Case StudyThird Party Administrator
By identifying underlying clinical risk rather than relying solely on PBM analytics, this 10,000-member plan reduced high-risk opioid prescriptions by 75%.
Read Case StudyFlorida School District
OpioidRx pharmacists successfully educated the provider network, driving a 98% adoption of CDC guidelines and reducing related hospitalizations by 39%.
Read Case StudyStreamlined Implementation
Implementation can begin within weeks using existing claims data. No new software integration required.
1
Initial Claims Review
Blinded pharmaceutical claims are analyzed to establish baseline prescribing patterns in your county.
2
Provider Engagement
Licensed pharmacists conduct structured outreach to providers identified by prescribing profiles.
3
Monitoring & Reporting
Quarterly reporting measures reductions in prescribing rates and related healthcare encounters.
Zero Administrative Burden
Launching a new health initiative shouldn't require months of IT integration. OpioidRx requires no new software, no PHI, and no disruption to your existing plan.
A Responsible Use of Settlement Funds
We offer a structured review to determine whether this program aligns with your county’s goals and settlement guidelines.
Our mission is simple: Save Money. Save Lives. We use clinical intelligence to prevent addiction and eliminate unnecessary healthcare costs before they start.
Contact Information
Opioid Clinical Management, Inc.
6151 Thornton Ave, Suite 600, Des Moines, Iowa 50321
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