1 / 13

For Workers’ Compensation

URINE DRUG TESTING & MONITORING . For Workers’ Compensation. NCCI Reports. Pharmacy costs are 18% of the total medical spending in Worker’s Compensation. Based on adherence studies…. ► Less than 30% of claimants take their medications as prescribed

devika
Download Presentation

For Workers’ Compensation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. URINE DRUG TESTING & MONITORING For Workers’ Compensation

  2. NCCI Reports Pharmacy costs are 18% of the total medical spending in Worker’s Compensation

  3. Based on adherence studies… ► Less than 30% of claimants take their medications as prescribed ► More than 30% fill their medications but do not take them ► More than 30% take additional medications and/or substances that can reduce or eliminate the efficacy of the prescribed medications

  4. Urine Drug Testing and Monitoring can help determine exactly what medications are being ingested

  5. Adherence/Efficacy All individuals are different: Slow Metabolizers Fast Metabolizers

  6. Enzyme/Metabolizing Two enzymes metabolize the majority of opioids

  7. Inability to Metabolize ►Inhibitors ►Enzyme mutation

  8. Genetic Testing ►One test in a lifetime ►Determines individual’s metabolic rate ►Helps to create a more efficacious plan of care

  9. Types of Urine Drug Testing ►Point of Care Testing (POCT) ►Enzyme Immunoassay (EIA) ►Gas Chromatography/Mass Spectrometry (GC/MS) ►Ultra-Performance Liquid Chromatography/Tandem Mass Spectrometry (UPLC/MS/MS)

  10. Picking The Right Laboratory ►Laboratory chain of custody ►Reporting, scientific evidence? ►Knowledgeable clinical services department ►Technology ►Science

  11. Who Should Be Tested? ►Large drug spend ►Expensive and highly addictive drugs ►Extensive drug regimes ►Early refills, increase in dosage ►Settlement ►MSA

  12. Hurdles to Testing ►The treating physician… • Uses POCT • Uses a different lab • Dispenses out of office • Refuses to test ►Patient refuses

  13. QUESTIONS?

More Related