Tampa, Florida — myMatrixx®, a full-service pharmacy and ancillary medical benefits management company, announced today the release of myRisk Predictor™ a patent-pending risk assessment tool designed to identify injured workers who are at high risk for potential abuse and misuse of prescription medications. myRisk Predictor combines predictive modeling with historical data and unique algorithms developed by the myMatrixx clinical team to develop a customized risk score for injured workers. This real-time tool alerts insurance carriers, third party administrators and self-insured entities when claimants within their populations may be in need of intervention.
“Claims adjusters are typically managing so many cases that there is little time to analyze risk associated with the medications prescribed to injured workers”, stated Phil Walls, R. Ph., Chief Clinical & Compliance Officer with myMatrixx. “Additionally with alarming increases in the rates of drug costs, fraud and abuse, our clients are seeking intervention before a case may spiral out of control. This tool enhances our current processes,” added Walls.
Since the perception of risk varies between populations, myRisk Predictor allows clients to uniquely assign different weights based on their specific needs. Once individuals are identified using myRisk Predictor, myMatrixx’s clinical team can provide a complete drug regimen review, peer-to-peer intervention with the treating physician and assist with developing an alternative treatment plan. By indentifying and treating individuals at risk earlier in the claims process, myMatrixx aims to lower the costs of care and improve outcomes for injured workers, contributing to the company’s “Get Ahead of the Claim” program.
Source: myMatrixx