Surescripts operates the nation’s largest health information exchange, largely around drug data. The company is owned by PBMs and pharmacies and facilitates electronic prescribing, sharing of medication histories, prior authorization and other electronic transactions. Performing these electronically saves substantial amounts of money compared to paper or fax-based methods. Surescipts issues an annual report which summarizes its work. (Surescripts Report) In 2015, it processed 9.7 billion transactions, up 48% from 2014. E-prescriptions accounted for 1.4 billion of these transactions and have doubled since 2012. One billion medication histories were also shared over the network. This is particularly important as it can avoid duplicate prescribing and allow for avoidance of inappropriate prescribing or drug interactions. Over one million health care professionals used the Surescripts network for electronic transactions in 2015. A new area of focus with significant growth was the long-term care market–nursing homes. Controlled substances is another area of growth, with e-prescriptions up over 600% as many states move to allow e-prescribing of these restricted drugs. E-prescribing of opioids can actually help track potential abuse and overuse. Another issue which electronic drug transactions can help with is medication adherence. According to the company, around 30% of all paper prescriptions are abandoned before being picked up, largely due to cost issues. E-prescribing allows for faster intervention to identify why the patient isn’t filling the prescription and to offer help. Although it was somewhat slow to fully implement the capability, Surescripts now offers electronic prior authorization, which can dramatically reduce providers’ administrative work. The Surescripts network provides significant value, but in some ways is underutilized. It connects the largest number of health plans, providers of all types, PBMs and other health system participants and could be used for information exchange and transactions beyond just medications.
✅ Subscribe via Email
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
Healthy Skeptic Podcast
This is an outstanding report on total global drug spending and trends, with projections out to 2025. It helps you understand this important area of health care, which does much...
June 1, 2021
MedPAC 2019 Report to Congress
June 18, 2019
Cano Health apparently cannot, as it declares bankruptcy due to too much debt. Building primary care centers to serve Medicare, Medicaid and commercial populations, which is Cano’s business, was hot...
February 6, 2024
Turquoise health raises a fresh $30 million in capital for its price transparency platform, as the market for funding health care companies isn’t quite dead yet.
January 24, 2024
I am co-f0under of a company that manages cell and gene therapy for health plans. Cell therapy has made a big difference for many cancer patients but like all new...
January 24, 2024
Access ACO Care Management Chronic Disease Comparative Effectiveness Consumer Directed Health Consumers Devices Disease Management Drugs EHRs Elder Care End-of-Life Care FDA Financings Genomics Government Health Care Costs Health Care Quality Health Care Reform Health Insurance Health Insurance Exchange HIT HomeCare Hospital Hospital Readmissions Legislation M&A Malpractice Meaningful Use Medicaid Medical Care Medicare Medicare Advantage Mobile Pay For Performance Pharmaceutical Physicians Providers Regulation Repealing Reform Telehealth Telemedicine Wellness and Prevention Workplace