Aug 20, 2015 at 1:35pm
Abuse of medication is a real issue. What about the case where a member is unable to afford their medication? In the EIT meeting on 8/18/2015 our keynote speaker pointed out the fact that some of our members cannot afford their perscribed medication. He said that he has a friend that needs to take about 12 different meds. The friend can only afford about 7 of those meds each month. For that reason they rotate the medication that they refill each month. In this case the patient is overriding the physician's perscription. It appears innocent, but is forced upon the memeber due to financial reasons. Down the road this will drive up BCBSM/BCN's costs due to complications incured by this finacually imposed behaviour. Abuse of perscription drugs is a real issue that we (BCBSM/BCN) must address and monitor. How can we automate a process to monitor perscription drug use? What data do we already have that we can utilize for this purpose? What can we do to make sure medication is more affordable for our members so they are not forced to make decisions that only their doctor should be making?