United BioSource Corporation: An Express Scripts Company

United BioSource Corporation: An Express Scripts Company

Emerging Trends in Patient Engagement through Adherence and Compliance Programs

Objectives Consider patient engagement across: cloud based platforms mobile enabled platforms integrated and aggregated data social media Coordinate and streamline out sourced features of hubs to maximize specialty services, patient access, adherence and reimbursement Take full advantage of the connection that is established once the patient reaches out to seek assistance to: explore all reimbursement options improve medication adherence and overall wellness improve patient outcomes reduce long-term healthcare expenses 8/25/2014 3

Patient Engagement Detached Patient HCP: Dictator Patient Services: Data Collector Patient: Victim Consumer Patient HCP: Educator Patient Services: Broad Paintbrush Patient: Observer Engaged Patient HCP: Partner Patient Services: Motivator Patient: Participant Health matters because we want to do the things that we enjoy --Kelsey Ballance, Why is it so Challenging to Design Successful Adherence Interventions? 8/25/2014 4

How Do I Engage My Patients? Align Physician and Patient Goals Not all patients want what their doctors want Due to difficulty retaining medical information, patients misinterpret their doctors expectations Patients want to feel well, doctors want to treat diseases Reach the Patient Patients aren t homogenous, so your solutions can t be either Avenues to reach the patient vary widely across demographics and life status Even if patients love new technology, they may not have access Activate the Patient Speak the language of the patient, no lingo Build relationships over time Educate the patient as a partner It s time to actively engage the patient in effective strategies that improve adherence and health outcomes 8/25/2014 5

Using the Cloud to Engage Patients Rapid adoption of the internet by all ages gives us an opportunity 8/25/2014 6

Using the Cloud to Engage Patients Chaos is indexed and sorted in the cloud, bringing order to stakeholders 8/25/2014 7

Mobile Devices and Patient Engagement Engagement meets patients where they are, it does not impose limits 8/25/2014 8 Ruder-Finn. MHealth Report. Rep. Ruder-Finn. Web. 13 Aug. 2014

Mobile Devices and Patient Engagement Engagement can embrace the explosive growth of health and fitness apps 8/25/2014 Khalaf, Simon. "Health and Fitness Apps Finally Take Off, Fueled by Fitness Fanatics." Flurry. Flurry, 9 19 June 2014. Web. 13 Aug. 2014.

Mobile Devices and Patient Engagement As we peel away the layers, a pattern of need emerges 8/25/2014 10 Ruder-Finn. MHealth Report. Rep. Ruder-Finn. Web. 13 Aug. 2014

Mobile Devices and Patient Engagement Patients are looking for tools to support the existing system 8/25/2014 11 Ruder-Finn. MHealth Report. Rep. Ruder-Finn. Web. 13 Aug. 2014

What Consumers Want Legal and regulatory challenges slow adoption of consumer need 8/25/2014 12

Social Media s Role in Patient Engagement Pew Research Center. http://www.pewresearch.org/data-trend/media-and-technology/social-networking-use/ We can only expect continued uptake of social networks 8/25/2014 13

The Good, Bad, and Ugly of Social Networks Advantages Eager audience spending time looking for life hacks Rapidly increasing presence from Pharmaceutical manufacturers Easy format for quick sound bites Great way to engage patient advocates Disadvantages The FDA is behind on providing clear guidance, leading to broad interpretations of how to proceed Text limits create challenges in delivering fair balance Adverse events, product complaints and medical information requests Off label/controversial posts Drug pages that are not hosted or monitored by the manufacturer are rife with misconceptions and bad advice. The only way to combat misinformation is by providing a reliable, easily accessible source of information to take the place of less reliable blogs, posts, pages, tweets, and videos. Participation in Social Networks may be the best defense 8/25/2014 14

Social Media is Alive and Well Professional, attractive sites can draw patients away from damaging sites 8/25/2014 15 http://www.doseofdigital.com/healthcare-pharma-social-media-wiki/

Integration and Aggregation of Data Little Data Patient level data showing individual behaviors Big Data Population data showing trends The cloud s value lies in transforming Little Data into Big Data 8/25/2014 16

How to Make Outsourcing Work for You and the Patient The key challenge to outsourcing work is maintaining transparency, data integrity and a seamless patient and prescriber experience Indexing and sorting in the cloud can assist with data aggregation and analytics to provide transparency to stakeholders Rules based entry can help maintain data integrity Cloud technology can increase access to information, to provide a more seamless experience The cloud can provide integration where there is segmentation 8/25/2014 17

The Patient Has Connected, Now What? Once the patient connects with the manufacturer program, it s time to take full advantage of the connection that is established to: explore all reimbursement options improve medication adherence and overall wellness improve patient outcomes reduce long-term healthcare expenses The first contact will inform the entire experience, the patient s individual needs must be addressed efficiently and effectively. Agents need to connect with the patient at a level that is relevant to the patient, their culture, their stage of therapy, and their preferred means of contact. When the patient connects with us, it is our moment of truth 8/25/2014 18

Enhancing Reimbursement Programs Real time benefit verification Patient Assistance Programs Patient Financial Needs Co-Pay Assistance Alternate funding First, remove the obvious barriers to adherence--cost 8/25/2014 19

Improving Adherence and Overall Wellness Determine Adherence Curve Assess Barriers Develop Interventions Assess Outcomes and Revise Strategies Leverage every contact with the patient to increase adherence 8/25/2014 20

Improving Patient Outcomes Ultimately, our reason for being is to improve patient outcome. PhRMA. "Improving Prescription Medicine Adherence Is Key to Better Health Care: Taking Medicines as Prescribed Can Lower Costs and Improve Health Outcomes." 8/25/2014 PhRMA. Pharmaceutical Research and Manufacturers of America, 1 Jan. 2011. Web. 15 Aug. 2014. 21

Reducing Long Term Healthcare Expenses 125,000 deaths 1 $300 Billion Healthcare Costs 1 Costing industry $30 billion 2 70% of patients are non-adherent 2 1 Ringler, Jennifer. The Adherence Fight: A TKO? PharmExec.com, August 1, 2011. Accessed August 8, 2011. 2 Bates, A. Ensuring Profitable Patient Adherence Programs: Using analytics and Metrics to Improve the Bottom Line 2 nd Edition; DTC Perspectives; March 2010 The current healthcare system can no longer afford non-adherence 8/25/2014 22

Sources Cited Ballance, Kelsey. "Why Is It So Challenging to Design Successful Adherence Interventions? Don't We All Want to Be Healthy?" Web blog post. LinkedIn. LinkedIn, 5 June 2014. Web. 15 Aug. 2014. Pew Internet & American Life Project Surveys, April 2000-April 2012. http://pewinternet.org/trend-data/internet- Adoption.aspx. Web. 25 Apr. 2014. Pew Internet & American Life Project Surveys, April 2000-April 2012. http://pewinternet.org/trend-data/media-andtechnology/social-networking-use/. Web. 25 Apr. 2014. Ruder-Finn. MHealth Report. Rep. Ruder-Finn, 2012. Web. 13 Aug. 2014. Khalaf, Simon. "Health and Fitness Apps Finally Take Off, Fueled by Fitness Fanatics." Flurry. Flurry, 19 June 2014. Web. 13 Aug. 2014. Dose of Digital. "Social Media Wiki." Web log post. Dose of Digital. Dose of Digital, 2014. Web. 15 Aug. 2014. PhRMA. "Improving Prescription Medicine Adherence Is Key to Better Health Care: Taking Medicines as Prescribed Can Lower Costs and Improve Health Outcomes." PhRMA. Pharmaceutical Research and Manufacturers of America, 1 Jan. 2011. Web. 15 Aug. 2014. Ringler, Jennifer. The Adherence Fight: A TKO? PharmExec.com, August 1, 2011. Accessed August 8, 2011. Bates, A. Ensuring Profitable Patient Adherence Programs: Using analytics and Metrics to Improve the Bottom Line 2 nd Edition; DTC Perspectives; March 2010 8/25/2014 23