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Provider Feedback Reports

Provider Feedback Reports. Jeffery Thompson, MD MPH. Evidence Meets Report Cards: Improving Generic Performance in State funded Drug Benefits. SB 5892 (2009) -- Engaging the community to improve generic drug use State Medicaid has 80% of the Rx spend in brands and 20% in generics

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Provider Feedback Reports

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  1. Provider Feedback Reports Jeffery Thompson, MD MPH

  2. Evidence Meets Report Cards: Improving Generic Performance in State funded Drug Benefits SB 5892 (2009) -- Engaging the community to improve generic drug use • State Medicaid has 80% of the Rx spend in brands and 20% in generics • But state’s 63% generic utilization rate (rate of all generic options) is behind private plans (> 80%) • 1,500 providers have generic fill rates under 80% • State statute allows for feed back reports with sticks and carrots to improve generic use

  3. Provider Feedback: The Data • 824 prescribers are targeted using the criteria of DAW>25% or generic use under 80% or a statistical difference from their peers. • The cohort represent ~$6.6 million in spend with ~36,000 clients. • Only 6 prescribers had 100% brand use and no provider had 100% DAW use. • 65% of the cost and 70% of the clients were in the 50-80% generic use. • 59% of the prescribers in this cohort were primary care by cost and 63% by client counts. • Of the six classes the more problematic classes for generic and DAW use were ADHD and antidepressants. • The top 50 prescribers accounted for 22% of the total cost in the 824 prescriber cohort.

  4. Dear Prescriber: See the letter

  5. Comments to Date • Top Comments from Feedback Reports • Clients come in for brands • Mine are sicker • Wrong peer group • Can you send me my profiles • I always write for generics • I am writing an Rx for a colleague

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