BREAKTHROUGH
SOLUTIONS

FOR PAIN & OPIOID CARE

Focused exclusively on pain and opioid care, axialHealthcare partners with health insurers nationwide to optimize pain care outcomes, reduce opioid misuse, and materially improve financial performance.

THE PROBLEM

Dysfunctional pain care costs patients, health insurers, and society as a whole.

Study references

[1] Nahin, R.L. (2015). Estimates of Pain Prevalence and Severity in Adults: United States, 2012. J. Pain 16, 769–780. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562413/

[2] Han B, Compton WM, Blanco C, Crane E, Lee J, Jones CM. Prescription Opioid Use, Misuse, and Use Disorders in U.S. Adults: 2015 National Survey on Drug Use and Health. Annals of Internal Medicine [Internet]. 2017 Aug 1. https://www.ncbi.nlm.nih.gov/pubmed/28761945

[3] Institute of Medicine of the National Academies Report. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research, 2011. The National Academies Press, Washington DC. (page 303). https://www.ncbi.nlm.nih.gov/books/NBK92525/

[4] The Economic Burden of Prescription Opioid Overdose, Abuse, and Dependence in the United States, 2013.Florence CS1, Zhou C, Luo F, Xu L. https://www.ncbi.nlm.nih.gov/pubmed/27623005

[5] Estimating the Costs of Opioid Abuse and Dependence from an Employer Perspective: a Retrospective Analysis Using Administrative Claims Data, 2014. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287687/

Pain and opioid abuse in U.S. population, graph

56% of adults experience pain in a given 3-month period[1]

38% of adults use prescription opioids in a given year[2]

13% of adults prescribed opioids misuse them[2]

17% of adults misusing opioids convert to opioid use disorder[2]

$300B in direct healthcare spending due to chronic pain[3]

$78.5B in aggregate costs for prescription opioid overdose, abuse, and dependence[4]

4x average increase in healthcare costs for patients abusing opioids[5]

references
OUR SOLUTIONS

Our pain management capabilities are driven by analytics, technology-enabled, and supplemented by ongoing consultation with an expert clinical care team.

Surveil data and direct tailored interventions

Serving as our operating platform, axialINSIGHT draws on an extensive database of over 100 million lives and the latest clinical evidence to deliver a customized view of pain care and opioid misuse, and the associated high costs. The output of axialINSIGHT feeds our suite of solutions to enable the end user- patients, providers, and health plans- to make better decisions about pain care and opioid treatment.

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Improve outcomes through informed care

Informed providers give higher quality care to patients in pain and those suffering from opioid use disorder. Through an online portal, axialPRACTICE gives providers a comprehensive view of their pain and opioid patient panel and offers treatment guidance for complex cases.

Product Features

Risk Identification and Mitigation (RIM) Practitioner Report

The RIM practitioner report informs providers of the quality of their opioid prescribing patterns versus same specialty peers. 

Patient Alerts

Patient Alerts identify and detail individual patient risk factors for poor outcomes, giving providers actionable information that can be used for appropriate intervention and development of a patient’s care plan.

Care Pathways

Treatment and intervention guidelines based on clinical evidence and peer-reviewed literature that has been approved by axialHealthcare’s Scientific Advisory Board.

Pharmacist Consult

Comprised of licensed clinical pharmacists and engagement specialists, the Clinical Consult Services (CCS) team provides in-person and telephonic decision support to providers. 

Risk Informed Surgical Evaluation (RISE)

RISE assesses a patient’s risk of poor outcomes prior to undergoing elective surgery. Risk is evaluated based on three domains: behavioral health, opioid usage, and care coordination. 

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Identify the best providers and refer better care

Stronger networks result in better, more consistent care. Utilizing proprietary algorithms to assess provider patterns, axialNETWORK identifies advanced pain management and medication-assisted treatment (MAT) providers to direct members to the highest quality care at the most appropriate cost.

Product Features

Aberrant Prescribing Pattern (APP) Assessment

The APP Assessment notifies a health plan of their current state of network performance.

Centers of Pain Excellence (COPE)

COPE is a network solution that identifies practitioners and clinics providing top quality advanced pain care for member referral.

Centers of Recovery Excellence (CORE)

CORE is a network solution that identifies top-performing Medication-Assisted Treatment (MAT) facilities to refer members with opioid use disorder. 

Access

Access is a web application that allows the health plan to view and track risk trends related to opioid prescribing for provider groups over time. 

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Engage and support high risk patients 

An engaged patient is a healthier patient. axialPATIENT encourages patients to become active participants in their own care with Empower, a mobile application available to complex pain and opioid use disorder patients most in need of supplemental care. Tailored for each patient’s unique condition, Empower collects self-reported data to support personalized care plans, offers alternative therapies for pain management, and helps patients better manage symptoms and side effects.

Product Features

Empower Application

Empower extends a provider’s reach by educating patients, tracking pain triggers and medication usage, and connecting patients with axialHealthcare’s Clinical Consult Services team. 

PROVEN RESULTS

Following a year-long partnership, results* from a health plan partner covering roughly 310,000 Medicaid members are as follows: 

Multi-prescriber activity decreased by 26%

Patients on opioid scripts declined by 17%

Patients with dangerous polydrug risk dropped 25%

Opioid-related deaths decreased by 12%

Over 80% of engaged providers were receptive to the awareness campaign, transparent support, and mission of axialHealthcare

Average financial savings for health plans $3.50 per member per month

Learn More

*results validated by a third-party actuarial vendor

“If it wasn’t for BlueCare and programs like axialHealthcare’s, my doors would not still be open. Thank you for your outreach and the resources on the portal.”

– DL, family nurse practitioner, Jackson, TN

“My providers look forward to receiving their RIM reports every month and seeing if their score has improved compared to their peers. We instituted a policy regarding the RIM reports, and the providers regularly view the patient alerts.”

– SL, office manager for a pain management office, Nashville, TN

“Thank you. This is so valuable, and I’m glad your company recognizes how important this is and how much we need this vital information. I am so grateful to have access to this, and to your team of pharmacists.”

– CN, nurse practitioner, TN

“This program gives access to information that we as primary physicians need to care for our patients. It’s especially useful in a state where opioid over-prescribing is something we’re known for – thanks for these tools and for being available to help.”

– MD, AL

“While opioids can be effective in treating acute pain, there is mounting evidence that opioids are less than effective in treating chronic pain—and can actually do more harm than good. Amerigroup has taken an innovative approach to addressing opioid misuse and abuse by engaging axialHealthcare to extend tools and resources to our providers and members that can effectively improve quality of care and enhance health outcomes.”

– Dr. D. Mark Mahler, medical director of Amerigroup TN

“My providers are going to love this!” referring to the care pathways and patient alerts located on the axialPRACTICE portal.

– Janie, office manager