Improve Employee Health and Save Money with MedSimpleTM

Let’s meet Mike

Confidential 2012, My Diabetes Home

Mike Diabetes for 10

yearsOn two medicationsStarts Actos today

Let’s meet Gloria and MikeGloria • Diabetes for 12 years• On metformin and glipizide

• Starts Lantus today

Confidential 2012, My Diabetes Home

More rich data on Gloria

Why do patients have trouble taking the meds?

I can not keep track of my medsI don’t understand why I take themI can not remember to take themI am tired of taking all these medsI can not afford them

The Challenge of Meds! • 50% of patients with chronic

diseases do not take their meds as prescribed1

• Low adherence to diabetes regimens is associated with up to twice the medical costs and twice the hospitalization risk2

1. WHO adherence report. http://who.int/chp/knowledge/publications/adherence_report/en/index.html 2003.2. Sokol MC, McGuigan KA, Verbrugge RR, Epstein RS. Impact of medication adherence on hospitalization risk and healthcare cost. Med Care. 2005;43:521-530.

Cost of Non-Adherence• Greater Adherence To Diabetes

Drugs could – Save nearly $5 Billion Annually– Prevent nearly 700,000 ED visits– Prevent 341,000 hospitalizations

Greater Adherence To Diabetes Drugs Is Linked To Less Hospital Use And Could Save Nearly $5 Billion Annually. Health Aff (Millwood). 2012 Aug;31(8):1836-46.

Cost of Medication Non-adherence Associated With Diabetes, Hypertension, and Dyslipidemia• Total direct national cost $105.8

billion, or an average of $453 per adult, in 2010

Cost of Medication Nonadherence Associated With Diabetes, Hypertension, and Dyslipidemia, Am J Pharm Benefits. 2012;4(2):e41-e47

CVS Caremark Study on Medication Adherence• Data of 135,000 patients with

congestive heart failure, diabetes, hypertension and dyslipidemia

• Adherent patients spend as much as $1,000 more on medications

• Across the board they spend significantly less for their overall health care costsMedication Adherence Leads To Lower Health Care Use And Costs Despite Increased Drug Spending, Health Aff, January, 2011, 30:191-

99;

CVS Caremark Study on Medication Adherence• Save as much as $7,800 per patient

annually– $7,823 for congestive heart failure– $3,756 for diabetes  – $3,908 for hypertension – $1,258 for high cholesterol

Medication Adherence Leads To Lower Health Care Use And Costs Despite Increased Drug Spending, Health Aff, January, 2011, 30:191-

99;

CVS Caremark Study on Medication Adherence

Medication Adherence Leads To Lower Health Care Use And Costs Despite Increased Drug Spending, Health Aff, January, 2011, 30:191-

99;

Researchers agreed, “Actively encouraging medication adherence for chronic disease should be a top priority”

Can Technology improve Medication Adherence?• Four studies with SMS, seven with

audiovisual reminders from electronic reminder devices (ERD), and two pager messages

• Improved adherence was found in all but one study using SMS reminders, four studies using ERD and one pager intervention The effectiveness of interventions using electronic reminders to improve adherence to chronic medication Am Med Inform Assoc 2012;19:696-704 doi:10.1136/amiajnl-2011-000748

We looked for an App for Meds…

Dose Reminder Apps

Refill Apps

What we found…No Drug infoNo Money Savings optionsNo comprehensive AppOnly Apps but not platforms

Confidential 2012, My Diabetes Home

Then, we found(ed)…

WHY MedSimple?1. Most comprehensive medication

management platform on the market.

2. Customizable employer version with formulary and adherence reporting.

3. A user friendly tool that simplifies meds for your employee.

MedSimple™ Platform• iPhone• Android • Online• Seamless syncing

and integration

Confidential 2012, My Diabetes Home

MedSimple™ Platform• iPhone• Android • Online• Seamless syncing

and integration

Confidential 2012, My Diabetes Home

MedSimple™ : Key Features• Med list on the go• Important Medication Info• Cost savings• Reminders–Dose–Refills

• DEMOConfidential 2012, My Diabetes Home

Introducing Insta-Coupons

Instant Coupons

Instant Coupons

Instant Coupons

MedSimple™ on the Web

Confidential 2012, My Diabetes Home

MedSimple™ on the Web

Confidential 2012, My Diabetes Home

The MedSimple™

Difference•Information for all medications•Not just an App, a complete platform•Available on web•Comprehensive platform unmatched in market

Confidential 2012, My Diabetes Home

The Challenge of Meds! I can not keep track of my medsI don’t understand why I take themI can not remember to take themI forget to refill meds in timeI can not afford them

Introducing Employer version of

Employer Report• Adherence will be

brought to attention

MedSimple Tools for Success

• Formulary Management– Formulary alternative recommendations to decrease patient cost,

ultimately decreasing employer cost and improving medication adherence

• Adherence Questionnaires – Initial and monthly questionnaires structured to address user barriers

and concerns• Reporting

– Internal reports based upon user-entered data determines employee compliance and adherence rates

– Point system geared towards improving user adherence through rewards

Formulary Savings Process• Employee signs into MedSimple, using

provided Company Code with first sign-in– Employee will be associated with employer

formulary with each subsequent log-in• Employee enters all medications (Rx, OTC, etc)

and directions into MedSimple medication list• System automatically reviews each medication

entry for cost savings, including formulary alternatives

Formulary Savings Process• Employee is notified of less expensive formulary

alternatives via email after initial med entry into medication list– Alternatives will also appear within the employee’s

medication list• Employee will see co-pay cost savings and benefit

from increase compliance due to better affordability • Employee will receive follow-up questionnaires to

assess if have switched to less expensive alternatives

The Old System

The MedSimple System

Adherence Questionnaire• Employee is sent initial and monthly

questionnaires

• MDH team of experts review questionnaire data and note:– 1. Compliance– 2. Trends– 3. Barriers

• This is an evolving process that can change to meet employer needs

Reporting• MedSimple will be able to generate

employer reports based on user-entered medication information– Number of medications in each tier– If/when employees takes doses or fills refills– Compliance rates– Days between refills– Cost savings: DEMO

Beginning the Process: E-Code

Formulary Alternative• E-Code Automatic

Formulary Input• Direct Cost-savings

in the hand of every employee

• Employee saves, Employer saves.

Employer Report• Formulary will be

auto-generated

Employee’s ICS• We initiate

connection and interaction

• Hear direct from you employees

• Incentivize employees through a points program

Employee’s MCS• We stay in touch• Hear direct from

you employees• Becomes

instrumental part of MedSimple ROI

Employer Report• Direct to the

Employer• Full Analytics• Separate by

Department or Individual

• Employee Privacy

Points System• Based on user activity, a point system will

improve employee compliance through financial rewards

• Examples of rewarded user activity:– Med list entry– Using dose and refill reminders– Activating MedSimple coupons– Filling out monthly questionnaires– Utilizing formulary alternatives

Point System• When employee earns required amount of points in

required time, they will earn predefined financial reward– Example: patient A accrues 900 points within 365 days and

enters them into online database as required and when company is notified by MedSimple of completion they earn $100 bonus to be received on their next paycheck

• Total point goals and rewards can be customized by employer

• Users can use any device/computer to participate in MedSimple and to track points– www.mydiabeteshome.com;– A how-to document will assist users

My Diabetes Home™

Future Next few Products• Lab Tracker in Fall 2012• Visit Optimizer in Fall 2012• Glucose logs and insulin calculators –

Jan 2013• Personalized website - 2013

Confidential 2012, My Diabetes Home

Health Tracker My Diabetes Home™

• Weight • Blood pressure• A1c• Cholesterol • Others

Confidential 2012, My Diabetes Home

Visit Optimizer from My Diabetes Home™

• Gets you ready for your doctor visits • One page tool that you can print: – Meds– Labs– Goals– Questions

Confidential 2012, My Diabetes Home

Visit Optimizer

Next Steps• Call us• Meet with me or Kathy today after

this• We are offering 3 free pilots and then

at a reduced rate– Set up fee– PPPM

Improve Employee Health and Save Money with MedSimpleTM