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: jens.haertel@bertelsmann.de