1 | arvato Healthcare | 09. Juni 2014
Medication Management
Innovative care management for better adherence
2 | arvato Healthcare | 09. Juni 2014
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
revenue 16,1 Mrd. €
employees
104.286
employees:
revenue:
63.818
4,4 Mrd. €
employees:
revenue:
> 1.100
> 140 Mio. €
Notable healthcare companies rely on
arvato
pharmacos/biopharmacos
health insurances
revenue: 140 Mio. €
employees : 1.100
(in europe)
shipping pharmacies
medtechs
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
Key challenges for the health insurances
in the near future
Key challenges
Percentage of the population
over 65 years in Europe
1. Aging Population
2. Rising financial deficits
3. Personalized medicine
4. Patient engagement
5. Data handling
Payors must optimize their HC management due to
financial deficits and growing widespread diseases
…and challenges evident
Financial Gap rising…
Sickness
benefits 5.30%
Precaution/rehabilitation 1,40%
Medical
resources/remedi
es 6.60%
Hospitals
35,60%
Prevention/ selfhelp 1.00%
Dentists incl.
dentures 6.80%
Other Services
10.10%
Doctors 16.30%
Drugs 16,90%
= 29,2 bn. EUR
 Statutory Health Insurance will face financial deficits
from 2014 onwards, again
 Optimization of medication therapy and prevention of
hospital stays are biggest drivers for efficiency
 Payors not going for priceleadership but
healthcaremanagement to drive efficiency in care
 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
Source: Federal Ministry of Health (2012), AOK, vdek, IMS Health (2013)
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
Call-based care management
(adherence)
List of potential patients
Registered patients
Analytics and
Service Center
platform
Data of patient
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
The scoring model based on three columns
Patient Service Data
Retro perspective Impact Factors
Score
Medical
Care
Adherence prognosis:
MPR ≤ 0,8
patient service data
Medication
prognosis
development MPR
Demography
retroperspective
impact factors
Morbidity
Structures
Knowledge
Morbidity
Acceptance
The forecast model is in use for 8 different
indications now and will be extended
Models in use:
•
Indications for forecast model
•
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
Pharmaceutical Service Center (arvato)
Health insurance
 Regular monitoring of interactions and
side effects
Health
insurance
 Increase compliance of therapy
 Support for drug changes
(e.g. generics)
 Secondary prevention
 Scoring to identify suitable
patients (with arvato)
Medication list
Drug A

Drug B

Drug C

Possible
care topics
Topic X
Topic Y


1x per month
Adherence check
cc: to me 1x per
quarter
 Declarations of participation
in the care program could
either be provided via the
doctors or send to the
patients directly.
Exchange of information
Patient
 Definition of the preferred
communication channel
and the service intervals
 Contacting the doctor in
cases of risks or changes

@

App
Drug A

Drug B

Doctor
Drug C

 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
Multi Channel offerings for a high acceptance
and 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
Contact
Management
 Recall service
 Click to Call
 Personalized Content
 Chat, SmS, Email
Services
 My doctors,
Appointment service
 Diagnosis
 Medication
 Reminder
Plan Research
Medication
Plan Selection
 Medication-Check
 Scan
 Gx-Substitution
 Storage of the medication
 Refill Reminder
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%
46%
49%
5%
MPR at the
starting point
MPR after 12
months of
participation
adherent bevor adherent after 12
participation
months of
participation
MPR
decrease
 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
constant
MPR
MPR
increase
Medication Management is
a great opportunity for the health insurances to
answer their key challenges
Key challenges
Customer Benefits
1. Aging Population
1. Care for chronically
ill people
2. Rising financial deficits
2. Cost reducing
3. Personalized medicine
Medication
Management
3. Offers personalized medical
care
4. Patient engagement
4. Multi channel
communication
5. Data handling
5. Secure data (Trust Center)
and analytics
(Predictive modeling)
Contact:
23 | arvato Healthcare | 09. Juni 2014
Dr. Jens Härtel
Vice President
Phone: +49 7154 173 385
Mobile +49 171 2745835
E-Mail: jens.haertel@bertelsmann.de