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FICO
MEDICATION
ADHERENCE
SCORE
NON-ADHERENCE IN
AMERICA
Scale and impact of medication non-adherence in the
U.S.
ADHERENCE IS A NATIONAL
PROBLEM
• 20% of patients never fill their first prescription
• 24% take less than the recommended dosage
• Half of all people discontinue prescriptions in the first
  six months


The situation is even more challenging in some disease states:

For example, up to 72% of asthma patients report that they take their
controller medications less than prescribed. Taking that medicine can reduce
hospital and emergency visits by 80%. It‟s a huge impact on both patients and
practitioners.
THE RESULT

• Nearly 125,000 deaths each year are associated with
  non-adherence to a medication

• Poor medication compliance costs the U.S. healthcare
  system $290 billion in avoidable medical spending each
  year.

• Non-adherence is 13% of the nation‟s total healthcare
  expenditure
FICO MEDICATION
ADHERENCE SCORE
Predictors of adherence, understanding the score, and
applications
PREDICTORS OF ADHERENCE

                    Stability




                                    Personal
   Demographics
                                   Resources




          Support          Conscientiousness
PREDICTORS OF ADHERENCE
                                              Stability:
                                              • Job tenure
                                              • Transient history

                 Stability
                                              Demographics:
                                              • Age & Gender
                                              • Geography
                                              • Hobbies
                                   Personal
Demographics
                                  Resources   Support:
                                              • Family structure (spouse, children)

                                              Conscientiousness:
                                              • “Responsibility”
       Support           Conscientiousness    • Ex: People with high discretionary
                                                income who have low spending/debt

                                              Personal Resources:
                                              • Home Value
                                              • Car Ownership
                                              • Income
UNDERSTANDING THE SCORE
• Data-driven predictive model that assesses an
  individual‟s likelihood of filling future prescriptions

• Therapeutic category and brand-specific adherence
  models (not one universal score)

• Entire process and implementation are fully HIPPA
  compliant
   - Requires only a consumer‟s name & address
   - No self-reported information or Protective Patient
      Information (PPI) used
** Medication Adherence Score does not take an individual’s FICO Credit Score into
Consideration due to Fair Credit Reporting Act
UNDERSTANDING THE SCORE

              • Collect de-identified prescription records for drugs used to treat a specific condition
  Compile     • Third party „predictor‟ data is cross-referenced to create a data set
   Data




              • FICO uses data sets to identify the best predictors of medication adherence and
                non-adherence
  Analysis




              • Model is developed using the identified predictors of adherence
              • Model is validated using patient populations to ensure strength and robustness
Development
              • Results and top predictive attributes are shared with the respective FICO client


              • FICO hosts the information in its secure service bureau
              • Consumer names and addresses are run through model and scored; the scored file
Deployment      of consumers is then provided to the client
APPLICATIONS

The FICO Medication Adherence Score
provides the opportunity for pharma
marketers to OPTIMIZE their resource
allocation.
    •   Improved message targeting
    •   Develop refined intervention programs
    •   Implement „Test & Learn‟ strategies

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FICO Medication Adherence Score

  • 2. NON-ADHERENCE IN AMERICA Scale and impact of medication non-adherence in the U.S.
  • 3. ADHERENCE IS A NATIONAL PROBLEM • 20% of patients never fill their first prescription • 24% take less than the recommended dosage • Half of all people discontinue prescriptions in the first six months The situation is even more challenging in some disease states: For example, up to 72% of asthma patients report that they take their controller medications less than prescribed. Taking that medicine can reduce hospital and emergency visits by 80%. It‟s a huge impact on both patients and practitioners.
  • 4. THE RESULT • Nearly 125,000 deaths each year are associated with non-adherence to a medication • Poor medication compliance costs the U.S. healthcare system $290 billion in avoidable medical spending each year. • Non-adherence is 13% of the nation‟s total healthcare expenditure
  • 5. FICO MEDICATION ADHERENCE SCORE Predictors of adherence, understanding the score, and applications
  • 6. PREDICTORS OF ADHERENCE Stability Personal Demographics Resources Support Conscientiousness
  • 7. PREDICTORS OF ADHERENCE Stability: • Job tenure • Transient history Stability Demographics: • Age & Gender • Geography • Hobbies Personal Demographics Resources Support: • Family structure (spouse, children) Conscientiousness: • “Responsibility” Support Conscientiousness • Ex: People with high discretionary income who have low spending/debt Personal Resources: • Home Value • Car Ownership • Income
  • 8. UNDERSTANDING THE SCORE • Data-driven predictive model that assesses an individual‟s likelihood of filling future prescriptions • Therapeutic category and brand-specific adherence models (not one universal score) • Entire process and implementation are fully HIPPA compliant - Requires only a consumer‟s name & address - No self-reported information or Protective Patient Information (PPI) used ** Medication Adherence Score does not take an individual’s FICO Credit Score into Consideration due to Fair Credit Reporting Act
  • 9. UNDERSTANDING THE SCORE • Collect de-identified prescription records for drugs used to treat a specific condition Compile • Third party „predictor‟ data is cross-referenced to create a data set Data • FICO uses data sets to identify the best predictors of medication adherence and non-adherence Analysis • Model is developed using the identified predictors of adherence • Model is validated using patient populations to ensure strength and robustness Development • Results and top predictive attributes are shared with the respective FICO client • FICO hosts the information in its secure service bureau • Consumer names and addresses are run through model and scored; the scored file Deployment of consumers is then provided to the client
  • 10. APPLICATIONS The FICO Medication Adherence Score provides the opportunity for pharma marketers to OPTIMIZE their resource allocation. • Improved message targeting • Develop refined intervention programs • Implement „Test & Learn‟ strategies