Asthma Medication Adherence for Children

Asthma Medication Adherence for Children

Owen

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AsthmaAsthma

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10MCHILDREN $15B

IN COSTS

50%PREVENTABLE

AsthmaIn the US

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Main Existing Barriers

Adherence < 40%

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US Children’sAsthma

10M Children $15B

WORLDWIDE

300M People With Respiratory Diseases*

Respiratory Diseases: Market Opportunity

* Additional 100M people with asthma worldwide by 2025

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The Adherence Problem = $317B in US

ADHDAnemiaCancer

DermatologyDiabetes

IBDMental Health

* Express Scripts: “$317B in excess health costs, 69% due to procrastination and forgetfulness”

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US CHRONIC PEDI MEDICATION

Evolution of a m.Health startup in 2013:

• Gamification as a way to motivate people• How to be the best asthma consumer product• Design, UX, and UI• Who is our real customer? • ACO, a “great opportunity” for connected device

coverage?

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The Beginning

Gamification as a way to motivate people

How to be the best asthma consumer product (and stay away from healthcare)

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Design, UX, and UI Really Matter

Who is our real customer?

Kids(users &

beneficiaries)

Doctors(“trail guides”)

Parents(users &

beneficiaries)Friends

Other Caregivers

Parents of other kids with G.C.

Other kids with G.C.

Pharmacy/PBM(sellers)

Pharma(inhaler providers)

Data customers1

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ACO, a “great opportunity” for connected

device reimbursement

?

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Evolution of a m.Health Startup in 2013:

This is what bothers us NOW

• Clinically proven mobile products?

• What is the meaning of meaningful use of data?

• FDA / HIPPA / Privacy?

• What do risk holders want?

• Reimbursement process and CMS Coding for apps and mobile devices?

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Clinically Proven, Self Managed

• Grants for non-regulated mobile apps

• RCT for mobile products• Hard to measure: what are the expected

outcomes?

• What is our place in the clinical workflow?

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Meaningful Use of Data

• How do you show more than just what you measure?

• What will make a difference?

• How do you make the UX “one” with the user’s lifestyle?

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FDA, FCC, CMS, ONC

OLD regulations for NEW Solutions•FDA regulations for mobile applications•Privacy: who handles all the healthcare data in the cloud?

Vs

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What Do Risk Holders Want?

• Payers? PBMS? Drug manufacturers?

• How should we prove ROI, show clinical evidence, reduce costs?

• What can we sell? Hardware, Software, Data?

• Who will pay:

ConsumersConsumers

Pharma,PBMs

Pharma,PBMs

Payers, Providers

Payers, Providers

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HSPCS, NDC, UDI, CPT, DRG, &%$#

New Solutions –

Old Payment Systems

•Reimbursement process and Coding

•CMS Accountable Care payment system?

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[email protected]

@engelhardy

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