gyan patra

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March 31, 2013 10:34 am

Medication compliance costs more than $300 billion in waste. It has been proven that more than 70% of the cases are because of forgetfulness and simple procrastination behavior of the patient. This needs meaningful approach that is effective and measurable.

Drug utilization review at the point of dispensing eliminates some aspects of the problem along with patient counseling which makes them knowledgeable and aware.

But this is hard to measure because providers (PBMs, Pharmacies and Physicians ) have no tool to monitor if patient is taking medication on time till next refill is performed. Study from NACDS, NCPA and others suggest that more that 50% of the medications under possession stretch by 50% of the time allocated. That means 50% of dosage are missed or skipped.

Medicines… more »

…work only if they are taken on time. Often missed medication dosage contribute to serious side effects.

This needs serious consideration while devising consumer engagement strategy.

How to achieve this?
A medication therapy management program that
1. Empower and enable patient with easy and auto scheduling with daily dosages using a connected electronic platform. – Take away the responsibility of patient to remember and make it easy on them.

2. Alert patients with unobtrusive signals in terms reminders during the course of medication including future refills. – Alerts prompt action. Unobtrusive alert make less interfering and easy on their lifestyle.

3. Create right incentive strategy for healthy behavior – Incentives always influence behavior.

4. Remotely monitor daily drug usage pattern and intervene with appropriate channel.

Time is right to address this by leveraging mobile technologies. Over 40% of beneficiaries of Medicare/Medicaid have some kind of smartphones ( Over 28% of Medicaid and over 12% Medicare recipients) as of 2012 data. Access to these devices are going to be doubled in next 3-5 years.

Note: I represent RxNetwork – a start up on consumer engagement to improve medication adherence. « less

March 31, 2013 2:20 pm

Thank you for your comment gyan patra, and welcome to Planning Room. Can you provide any examples of how patients might be unobtrusively given reminders regarding their medications? Do you know of any existing mobile technologies that provide the alert or scheduling features you suggest?

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