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Shared Decision Making in Healthcare

Angel Rinaldi


Before buying a product online, most people immediately jump to the review section. While scrolling, it’s typical to come across a section showing similar products which might prompt you to check them out and compare them all to see which is the right fit for the right price. When it comes to healthcare, doctor visits, and drugs it's completely the opposite.


Over the past decade, experts have been trying to bring the same level of consumerism and engagement to healthcare in the form of “shared decision making.” Shared decision making is the discussion between patients/caregivers and healthcare providers regarding various treatment options, guided by evidence-based strategies and materials called patient decision aids.


FAIR Health, an independent, national nonprofit organization that helps consumers understand healthcare costs and health coverage, in collaboration with recognized shared decision-making expert Dr. Glyn Elwyn from the Dartmouth Institute, undertook an 18-month initiative geared for adult patients and their caregivers who face palliative care decisions. The study, which was published in September 2020, found that “providers and consumers alike deemed the shared decision-making tools — and, particularly, the associated cost information — useful and valuable to shared decision-making conversations.”


Patient decision aids and shared decision making tools come in all shapes and forms. Prior to the advent of the smartphone, most patient aids were pamphlets and leaflets available at the doctor’s office.


Dr. Paul Bradley, a board certified practicing internist in Savannah, and Co-Founder of Scripta Insights, realized that despite having a conversation about how the medication works, his patients were leaving his office without any idea how much their prescription would cost when they arrived at the pharmacy counter. When Dr. Bradley asked the patients about their medications at a follow-up visit, he often found they would avoid the question or tell him they never bought it because it was simply too expensive. This is no surprise as Scripta’s recent survey found that 66% of people think they pay too much for prescriptions, despite the fact that they have health insurance.


To support shared decision making, Scripta Insights has created a patient decision aid that is unlike anything else available. Scripta is a cloud-based healthcare IT solution that helps self-insured employers contain their pharmacy benefit spend, while helping members get The Right Meds at the Best Price™.


When patients go in to see their doctor armed with their Scripta Savings Report, a shared decision making process takes place and an honest discussion about medication, pricing and clinical outcomes is made possible. When given the right tools like this, patients are very willing to make changes if savings are involved. Our survey also found that 58% of people have been recommended a less expensive drug and the number one reaction is that they’re INTERESTED!


The Scripta process has changed the way our members look at their appointments and visits to the pharmacy. They are no longer surprised when their pharmacist hands them their bag of medication. Scripta is excited to be leading the way with a truly innovative approach to shared decision making in healthcare.


Source: https://www.benefitnews.com/opinion/how-shared-decision-making-tools-can-help-caregivers


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Scripta™ is neither a pharmacy nor a doctor. The benefit service does not tell you what drug to take and does not participate in the drug selection process. Only your physician can determine the medications that are right for you. These alternative medications are options for less costly drugs that physicians may prescribe in place of the medications you are taking now. Scripta has reviewed your current medications only for the purpose of identifying potential cost savings for you to consider with your physician. Scripta has not analyzed the effectiveness or other therapeutic aspects of these medication alternatives. Accordingly, this report and any other forms of communication received from Scripta are not, nor should they be interpreted as, any form of treatment, drug regimen review, or provision of counseling or consultation by a prescriber, pharmacist or pharmacy. Do not stop taking your medication, change your medication, or start taking a new medication without being directed to do so by your physician and filling the prescription under the oversight of a licensed pharmacist. The alternatives set forth above may not be equivalent to your current medication, may interact adversely with your other medications, may not be indicated in light of your other conditions, may cause different or severe side effects, or may be less effective at treating your condition. Medication prices are approximate based on information provided by your pharmacy benefits manager, insurance plans, and/or employer, and may vary from pharmacy to pharmacy. Check with your insurance plan to obtain a full list of pharmacies where your prescriptions can be filled. All information herein is HIPAA protected, treated as highly confidential, and never shared with your employer.

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