Medication Management
description
Transcript of Medication Management
1 | arvato Healthcare | 09. Juni 2014
2 | arvato Healthcare | 09. Juni 2014
Medication Management Innovative care management for better adherence
Agenda
1. arvato CRM Healthcare
2. Key challenges for health insurances
3. Medication Management Concept
4. Results and benefits
arvato is part of the global Bertelsmann network
16,1 Mrd. €104.286
revenueemployees
employees: 63.818revenue: 4,4 Mrd. €
employees: > 1.100revenue: > 140 Mio. €
Notable healthcare companies rely on arvato
pharmacos/biopharmacos health insurances medtechs
revenue: 140 Mio. €employees : 1.100
(in europe)
shipping pharmacies
arvato provides data driven predictive models and patient oriented solutions for public and industry for an efficient and
effective disease and care management
arvato solutions
arvato offers a proven portfolio of flexible solutions for health insurances
Agenda
1. arvato CRM Healthcare
2. Key challenges for health insurances
3. Medication Management Concept
4. Results and benefits
1. Aging Population
2. Rising financial deficits
3. Personalized medicine
4. Patient engagement
5. Data handling
Key challenges for the health insurances in the near future
Key challenges
Percentage of the population over 65 years in Europe
Payors must optimize their HC management due to financial deficits and growing widespread diseases
Financial Gap rising… …and challenges evident
Statutory Health Insurance will face financial deficits from 2014 onwards, again
Payors not going for priceleadership but healthcaremanagement to drive efficiency in care
Source: Federal Ministry of Health (2012), AOK, vdek, IMS Health (2013)
Optimization of medication therapy and prevention of hospital stays are biggest drivers for efficiency
Chronic widespread diseases (diabetes, heart conditions, etc) account for 2/3 of overall costs
IMS estimates savings due to better medication safety & management of 19.2bn € in Germany
Hospitals 35,60%
Drugs 16,90%= 29,2 bn. EUR
Doctors 16.30%
Dentists incl. dentures 6.80%
Other Services 10.10%Prevention/ self-help 1.00%
Precaution/reha-bilitation 1,40%
Sickness benefits 5.30%Medical resources/remedies
6.60%
Agenda
1. arvato CRM Healthcare
2. Key challenges for health insurances
3. Medication Management Concept
4. Results and benefits
Medication Management of arvato
• At first analytics and a predictive model of arvato identify patients and indications. • Thereafter care management increases adherence of the patients.
Health insurance
companies
Anonymized claim data of all patients
List of potential patientsPatient
Registered patients
Call-based care management (adherence)
Analytics andService Center
platform Data of patient
Participants were identified through multilevel data analytics and get a score
inclusion criteria
exclusion criteria
selection of potential participants
ranking
approach/address
consent
support
Indications, medication, age >18
e.g. specific diagnosis, age
Medication Possession Ratio (MPR) < 0,8
Indication specific Scoring
Email, letter, information documents
Testing, data transfer
Medication analysis, support, target agreement
Structures Knowledge
AcceptanceMorbidity
The scoring model based on three columns
Score
retr
oper
spec
tive
impa
ct fa
ctor
s
patie
nt se
rvic
e da
ta
prog
nosis
deve
lopm
ent M
PR
Patient Service DataRetro perspective Impact Factors
Morbidity
Medi-cation
Medical Care
Demo-graphy
Adherence prognosis:
MPR ≤ 0,8
The forecast model is in use for 8 different indications now and will be extended
• Indications for forecast model
Models in use:
• diabetes type 1 + 2
• essential hypertension
• heart insufficiency
• KHK
• hyperlipidaemia
• multiple sclerosis
• COPD
• asthma
Models being planed:
• psychiatric diseases
• pain
Next step: Involving the doctor in the concept of Medication Management
Health insurance
Drug A Drug B Drug C
Health insurance Scoring to identify suitable
patients (with arvato) Declarations of participation
in the care program could either be provided via the doctors or send to the patients directly.
Doctor Setting of the new medication and
defining a therapy plan Transmission of the medication,
therapy plan and goals of the patient to the Pharmaceutical Service Center
Exchange of information
Patient Definition of the preferred
communication channel and the service intervals
Contacting the doctor in cases of risks or changes
Pharmaceutical Service Center (arvato) Regular monitoring of interactions and
side effects Increase compliance of therapy Support for drug changes
(e.g. generics) Secondary prevention
@App
Medication listDrug A Drug B Drug C
Possiblecare topicsTopic X Topic Y 1x per month Adherence checkcc: to me 1x per quarter
Multi Channel offerings for a high acceptanceand low barrier of communication
Depending on the reason of contact different communication channels will be used.
The selection is flexible and could get changed individually during the whole care period.
The Medication App will complete our service and supports patients in Medication Management
Recall service Click to Call Personalized Content Chat, SmS, Email
My doctors, Appointment service
Diagnosis Medication Reminder
Scan Storage of the medication Refill Reminder
Medication-Check Gx-Substitution
Contact Manageme
ntServices Plan
ResearchMedication
Plan Selection
Agenda
1. arvato CRM Healthcare
2. Key challenges for health insurances
3. Medication Management Concept
4. Results and benefits
Medication Management causes a significant increase in adherence
First results in adherence of the participants in Medication Management
+10% +93%
Increase of the Medication Possession Ratio (MPR) amounts 10%
Number of adherent patients rose to 93%
49% of all participants in Medication Management could improve their MPR
MPR decrease
consta
nt MPR
MPR incre
ase
5%
46%49%
1. Care for chronically ill people
2. Cost reducing
3. Offers personalized medical care
4. Multi channel communication
5. Secure data (Trust Center)and analytics (Predictive modeling)
1. Aging Population
2. Rising financial deficits
3. Personalized medicine
4. Patient engagement
5. Data handling
Medication Management isa great opportunity for the health insurances to
answer their key challengesKey challenges Customer Benefits
Medication Management
23 | arvato Healthcare | 09. Juni 2014
Contact: Dr. Jens HärtelVice PresidentPhone: +49 7154 173 385Mobile +49 171 2745835E-Mail: [email protected]