1. MEDIC8 MANAGER LLC © 2008 - 2010 Dan Bernstein, Founder, dan@imedic8.com (312) 436-1926
Treatment Management
A platform & services for patients & caregivers

2. HEALTH 2.0 ADHERANCE MEETING
•The Problem , Size, Causes & Complexity
• Solutions
– Software Solutions - Dan
– Hardware Solutions – Chirag
– Contextual Reminder Stickers – Peter
• We can do better – Blue Sky

3. The Problem Defined
•Poor medication adherence
– defined as any deviation from the prescribed course
of medical treatment – is a significant source of waste
in our health care system.
*New England Health Institute

4. The Problem’s Size: Scope & Costs
•33% to 50% of all patients do not take their
medications as prescribed*
•Adverse Drug Reactions account for nearly**
• 10% of all hospital admissions in the US
• up to 140,000 deaths annually in the US, alone
• sixth leading cause of death in the US
• NEHI now estimates the current cost of drug-related
morbidity, including poor adherence, to be as much as
$290 billion annually – or 13 percent of total health care
expenditures.*
*New England Health Institute **Medscape.com-407005

5. High Adherence Cost Savings
Medical Care, 2005, vol. 43, no6, pp. 521-530 see APPENDIX via Vitality

6. Adherence Declines with Time
5
Source: AARDEX MEMS, 2010 via Health-E-Dose

7. Adherence Causes
 Problem Regimens
Financial
 Patient Behavior
 Missed doses (sporadic forgetter, active decliner)
 Gaps between refills (procrastination) (Home Delivery)
 Drug Interactions
 Psychological

8. Improving Adherence
Source: Avalere Health, NEHI Analysis
Improve Drug Regimen
Reduce Cost Barriers
Address Patient Behavior
Appropriate Medication Use

9. Adherence improvement needs more than
a tech device
Need to overcome multiple Research proved that best
BEHAVIORAL barriers solutions are multi-faceted
– reminders, alarms - gadgets
– Psychological – counseling, education on
– Financial specific condition
– human touch – nurse as a
– Behavioral coach
– Physical – automating Rx refill function
– circle of peers / patients w
same condition
– shared info with family /
caretaker / doctor
– rewards, incentives
Sources:
H McDonald et al: “Interventions to Enhance Patient Adherence 8
to Medical Prescriptions – a Scientific Review”, Journal of American Medical Ass’n, Dec. 11, 2002, vol 288, No 22
via Health-E-Dose

10. Software / Service
Reminder Services via phone
Eliza
Data Driven Healthcare Communications Solutions
Silverlink
Interactive Automated Voice & multi-Channel Communications
Medication Information
SurveyorHealth
Drug interactions & cumulative side effects
DoubleCheckMD
Drug Interactions & My Symptom Interaction Checker
iGuard
Free online Drug Interactions& Clinical Drug Trial recruitment
Mobile Applications
OnTimeRx
Email, Phone & SMS reminders
Personal Caregiver
Dose time & refill reminders & FDA Recall Alerts

11. Studies & Articles
Thinking Outside the Pillbox
New England Health Institute Report, Nov 2009
Express Scripts’ 2009 annual drug trends reportBasic
adherence can save $130B
Drug Adherence Throwdown
Disruptive Women in Healthcare -eBook
Real Solutions for Better Medication Adherence
5 recommendations

12. dan@imedic8.com
THANK YOU!