Medication Adherence Mgm.(MAM)Medication Therapy Mgm. (MTM)

PillStation-View

National Full Service PBM

Yogendra JainEVP Tele-Health and Innovation

What is Medication Adherence

Less than 80%- Afford, co-pay, transportation,

organize, remember, update, travel, confused, check for interactions, organize, update, etc..

- Requires money and effort with no

immediate results- Measure: PDC, Ask, Weight/BP/Blood

Right medsRight timeRight mix

What is Non-Adherence

Consequence of Non-Adherence Who is Non-Adherent

Mental Illness and Diabetes:• Schizophrenia: 40% non-adherence; 18-25% hospitalized each year • Diabetes: hospitalized 13% with high adherence; 30% w/low Adh.

CHF – Congestive Heart Failure• 16% inappropriate Rx, 24% Rx non-compliance - top readmission causes

• 26.9% re-hospitalized in 30 days (6.2 M heart related discharges/yr)

10% of 65+

• 41% in Latino• 43% in African Americans• 41% in Euro-American

• 72 M adults in US take 5+ meds/day 60% take their meds incorrectly

• 40% of elderly Hospital admissions (60% of Nursing Home admissions are med related)

Medicare members11% have 3+ chronic diseases and Non-Adherent

- $10,500/Yr. more per Non-Adherent

Commercial members1.5% have 3+ chronic diseases and Non-Adherent

- $4,500 more Non-Adherent member costs

Medicaid members 2.4% have 3+ chronic diseases and Non-Adherent

- $3,200/Yr. more per Non-Adherent

Cost of Non-Adherence

What price point does your solution need to be at?

• 35 million discharges/yr (17.6% readmission)

• $177B in US healthcare costs

• 20-25% corporation healthcare expense

from patient non-adherence

$30,000 for CHF Related

Hospital Stay

Behavior shaping (color changes based onadherence)

Removable PillTray / Disposable optional

Press to reach an advisor

Personalized audiomessages –“grandmathanks for taking your medications”

Personalized textmessages

Responses to questions

Embedded camera

Removable bin for day or week travel

Connection to WiFi, Bluetooth, Cell, Ethernet

Light to show which dose to take

Patented

PillStation from RxAdvance

PillTray Scanned, Images Transmitted,Verified by RxAdvance Advisor

Latest Rx;

Medication

images for bin

reconciliation

Clear views of

PillStation tray

Enlarged view

of entire pills for

clarity

Personalization via Customized Audio/Text Messages: “Grandma – I love you.”

11/18/2014 7Proprietary and Confidential

AUDIO Personalized

message

Easy to navigate tabs

TEXT on PS SCREEN

Day/Time

Organizer

Reminder/Dispenser

Reminder/Dispenser/

Monitor

Active Blister Pack

Remote

Dose

Dispenser

RxAdvance’sPillStation

Medication Reconciliation/

Generic Substitution/

Dose Titration

+/- +/- ++++

Medication errors +/- +/- ++++

Familiarity to

Care Giver, Patient++++ - ++++

Behavioral Shaping/2-Way Personalized Communication

+/- - ++++

Full compliance at dose time +/- +/- - ++++

Risk of theft, abuse +/- + + ++++

Actionable Reporting -Care giver / family +/- +/- +/- - ++++

11

PillStation Versus Other Monitoring System