November 14, 2017

Addressing Prescription Non-Adherence

There are many variables that can affect a member and their adherence to prescribed medications. “Studies have consistently shown that 20 percent to 30 percent of medication prescriptions are never filled, and that approximately 50 percent of medications for chronic disease are not taken as prescribed,” according to a review in Annals of Internal Medicine. 

This lack of adherence, the Annals authors wrote, is estimated to cause approximately 125,000 deaths and at least 10 percent of hospitalizations, and to cost the American health care system between $100 billion and $289 billion a year.

Our partners at ActiveHealth Management have developed 80 new Health Actions in their CareEngine database to communicate the problem to members and help drive adherence. These new Health Actions are aimed at people taking medications for chronic conditions such as diabetes, cardiovascular disease, mental health, asthma/COPD, epilepsy, osteoporosis, rheumatoid arthritis, chronic kidney disease, and hypothyroidism.

Since the addition of these Health Alerts just over six months ago, more than nine thousand Health Actions have been sent to alert people about medication non-adherence.

About ActiveHealth Management: Serving as a foundation for Unified Wellness, all medical claims and prescription data is uploaded into the CareEngine on a daily basis. The CareEngine, powered by ActiveHealth Management, reviews the entire patient record and compares the information against thousands of clinical rule sets derived from evidence-based sources. When an opportunity for better care has been determined, a Health Action is created. All Health Actions are then communicated to the treating physician and participant, resulting in better patient care.