Mobile Care for Chronic Conditions Presentation to: Wireless Future of Health IT G106, Dirksen Senat

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Mobile Care for Chronic ConditionsPresentation
to Wireless Future of Health ITG-106, Dirksen
Senate Office Building March 23, 2009BeWell
Mobile Technology, Inc.
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Agenda

• BeWell Mobile Overview
• Mobile Disease Management Platform
• Mobile Disease Management Case Examples
• Asthma
• Diabetes
• Economic Possibilities

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History - BeWell Mobile

• Incorporated in 2004
• Healthcare, software, behavioral science and
  telecom experience
• Disease management, wellness research
  applications
• Winner of Industry Awards
• 2008 Agency for Healthcare Research and Quality
  Innovation Award
• 2007 Wireless Reach Award by Qualcomm
• 2006 ABBY Award for Innovation in Healthcare

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BeWell Mobile Delivers Value

• BeWells health management applications increase
  patient compliance and adherence to therapeutic
  regimen leading to improved health outcomes and
  reduced costs of care.

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Focus on Chronic Disease and Wellness

• Chronic Disease Management
• Asthma
• Diabetes
• Hypertension
• Heart Disease
• Chronic Obstructive Pulmonary Disease (COPD)
• Depression

• Wellness Applications
• Smoking Cessation
• Weight Management

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Chronic Disease Prevalence and Costs
Prevalence of Chronic Disease
Share of 1Tr US Health Care Spend
Johns Hopkins
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Patient Non-Adherence Increases Costs

• Drugs dont work in patients who dont take them.
  
• C. Everett Koop, MD

1/3 of patients take all their medications
1/3 take some
1/3 may not even fill their prescription

• Researchers estimate that non-adherence to
  prescribed medical regimen costs the US health
  care system about 100 Bn annually

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BeWell Mobile Focus on Adherence
Medically relevantinformation
Real-timefeedback
Behavioralskills
Behavioralchange
Easy-to-use tools
Adherence
Motivation
Social support
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BeWell Patient Experience
BeWell DM Platform

• Provider Interface
• Real time access to actionable health information
• Fine tune care plan between clinic visits

• Patient Interface
• Records relevant health data
• Educates patient
• Improves self management

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BeWell Diabetes Diary - Patient Interface Example
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Mobile Disease Management Case Studies

• Asthma
• Diabetes

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Asthma Prevalence and Treatment

• Asthma Prevalence
• Most common chronic disease among children (NCHS,
  2006)
• 12 of children are diagnosed with Asthma (NCHS,
  2006)
• Asthma is Treatable
• Anti-inflammatory medications (inhaled
  corticosteroids, leukotriene inhibitors)
• Bronchodilators (methylxanthines, long-acting
  beta-agonists)
• Rescue treatments (systemic steroids,
  short-acting beta-agonists)
• Asthma goes Untreated in Children
• 74 of children with moderate to severe asthma in
  a national sample did not receive adequate
  treatment (Halterman et al., 2001)
• Minority children are less likely to receive
  adequate treatment (AAFA, 2005)
• Cell Phone Penetration
• 85 of individuals aged 7 to 26 in the US already
  have cell phones

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Mobile Asthma Management in Urban Youth

• No current mechanism for Medicaid Reimbursement

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Diabetes Prevalence and Costs

• Diabetes Prevalence
• 5.6 of all Americans are diagnosed with Diabetes
  (ADA)
• 20 of people 65 have Type 2 Diabetes (CDC)
• Diabetes Costs of Care
• 11,744/patient per year in 2007 (ADA)
• Nearly 20 of US Health Care Costs
• Blood Sugar Control and Medication Adherence
  Reduces Cost of Care
• Medical Care Charges increase significantly for
  every 1 increase above HbA1c of 7 (T. Gilmer
  Diabetes Care, Dec 1997)
• Every 10 increase in Medication Possession Ratio
  accounts for a 8.6 - 28.6 reduction in annual
  care costs among Type 2 diabetics (R.
  Balkrishnan, et. al., Clinical Therapeutics,
  2003)
• Diabetes Self Management
• Expert agree that diabetes is a disease for which
  95 of the care lies with the patient (S.
  McLaughlin, DQIP, Diabetes Spectrum, 1997)
• Only 2 of Diabetics strongly adhere to treatment
  regimen including testing, medication and diet
  (Beckles GL, et al.)
• US Cell Phone Penetration 87

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Mobile Diabetes Management

• No current mechanism for Medicare Reimbursement

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Cost Savings Example Diabetes

• Improved blood sugar control leads to lower costs
  of care (Gilmer et al.)
• Average care costs for Diabetics in 2007
  11,744/patient/year
• Predicted impact of a 1 percentage point
  reduction in HbA1c
• of costs associated with 1 point change in
  HbA1c 10
• Predicted annual reduction in cost of care
  lt1,174gt
• Program participants with HbA1c 9
• Lowered HbA1c levels by 2.22 percentage points
• of costs associated with change
  22.2
• Predicted annual reduction in cost of care
  lt2,607gt
• Program participants with HbA1c between 8 - 9
• Lowered HbA1c levels by .91 percentage points
• of costs associated with change 9.1
• Predicted annual reduction in cost of care
  lt1,069gt

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Costs of Care

• Estimated annual costs of care for diabetics with
  HbA1c 9 per 1 Million population

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Improved Health Outcomes Predict Reduced Costs

• Potential annual costs savings for diabetics with
  HbA1c 9 per 1 Million population

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BeWell Mobile Disease Management - Summary

• Demonstrated Results
• Adherence
• Health Outcomes
• Promising Economic Benefits
• Support from Medicare Medicaid could help
  translate this potential into sustainable long
  term health and economic benefits