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HSS analysis finds high opioid use concentrated among older members; board calls for MME tracking and education
Summary
The San Francisco Health Service System presented APCD-based opioid findings showing about 11% of members received opioids and a small subset met a high threshold for potential misuse; staff recommended stronger MME monitoring, provider checks of the CURES database and expanded member education.
Marina Coleridge, manager of Enterprise Systems and Analytics at the Health Service System, told the board the department’s study of 2014–2015 All Payer Claims Database records shows roughly 11% of adult members received opioid prescriptions, and opioid prescriptions accounted for about 2% of the total pharmacy spend.
The analysis used a conservative threshold — recipients with more than a 450-day supply in a year — to flag potential misuse and found about 2.1% of members met that criterion. Coleridge said the population with patterns of prolonged opioid supply is disproportionately…
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