Patients prescribed high-risk medications, including opioids, have greater potential for adverse health effects, medication misuse, and increased claim length and cost. The MyMatrixx by Evernorth Clinical and Safety Evaluation: CASE Rx addresses these patient claims by merging clinical expertise with advanced analytics to comprehensively review overall medication usage to recommend lower cost, yet equally effective alternatives.
Powered by the MyMatrixx Clinical Analytics Results Engine (CARE), an industry leading clinical pharmacy data software product, the focus of CASE Rx is to identify and correct inappropriate or inefficient use of medications, as well as potential medication errors, adverse events and drug interactions.
Identify, assess and recommend
Using our extensive library of data, CARE identifies abnormal clinical utilization patterns and potentially at-risk patients. Once identified and a CASE Rx is triggered, our experienced clinical pharmacists use evidence-based guidelines to:
- Assess and report potentially inappropriate or inefficient use of medications
- Review claim to identify potential medication errors. adverse events and drug interactions.
- Recommend lower-cost, equally effective medication alternatives as appropriate
- Connect and consult with providers to discuss implementation of recommendations
Laser focused on workers’ compensation
The MyMatrixx clinical team understands the intricacies of workers’ compensation. From back aches to traumatic brain injuries, our expert clinical team is equipped to perform CASE Rx reviews for any injury or disease condition resulting in:
- Medication management for potentially at-risk patients
- Significant reduction in drug therapy costs