SlideShare a Scribd company logo
1 of 12
Download to read offline
Personal Cholesterol Management System
            Gewei Ye, PhD
     Founder & CTO, Yeswici LLC
        Email: gye@yeswici.com
           Tel: 410 251 2823


         © 2012 Yeswici LLC | Patent Pending   1
Agenda
                    
1. What problem does pCMS 1.0 attempt to solve?
2. What is Personal Cholesterol Management
   System?
3. What is the financial value of pCMS 1.x?
4. What is the differentiating & innovating feature of
   pCMS 1.x? Why use Cigna health API?
5. What are the technologies used in building pCMS?
6. What are next steps?

                 © 2012 Yeswici LLC | Patent Pending     2
What Problem Does pCMS 1.0
        Attempt to Solve?
                                   
 Nearly 105 million Americans, 33% of the U.S. population, are
  struggling with high cholesterol.
 Payers such as health insurance companies and government health
  agencies are striving to engage members to lower cholesterol and
  to adopt preventive medicine for such challenges as health risks
  and chronic conditions.
 Yet most members are not adopting preventive medicine and very
  few advanced technologies (e.g., business intelligence) and tools
  have been created to effectively engage members with preventive
  medicine.
 This causes payers and members to pay over $20 billions annually
  for cholesterol lowering drugs; and over $100 billions annually for
  the acute care of heart and blood diseases due to high cholesterol.
 pCMS 1.x employs advanced technologies to effectively engage
  members to lower future cholesterol.
                       © 2012 Yeswici LLC | Patent Pending              3
What is pCMS 1.x?
              
 pCMS 1.x is a mobile and Web 2.0 based health IT system
  to enable members and patients to self-manage
  cholesterol and other health risks without unhealthy and
  expensive drugs or acute care.
 How to effectively engage members to lower bad
  cholesterol? The answer is to engage members to manage
  personal diet and exercise with pCMS 1.0 (app as Rx) to
  lower future cholesterol.
 pCMS 1.x manages (Save/Visualize/Predict) personal
  health data with business intelligence (BI) and clinical
  research based proprietary sophisticated predictive
  analytics (SPA) algorithms
                   © 2012 Yeswici LLC | Patent Pending       4
What is the Financial Value of pCMS 1.x?

                                  
 Comparing to cholesterol lowering drugs that cost more than
  $20 billions a year for payers and Americans, pCMS 1.0 may
  deliver the same result of lowering cholesterol and other health
  risks with much less cost ($5-10 millions) and without the
  drugs' side effects.
 pCMS 1.x is designed to work with payers such as health
  insurance companies (e.g., Cigna, Wellpoint, Aetna, Humana,
  United Healthcare) and government health agencies (e.g., HHS,
  VA, CMS, FDA) to engage members with proactive preventive
  medicine.
 Partnering with payers, pCMS 1.x attempts to reduce national
  healthcare spending in the long run by delivering better
  population health. The national healthcare spending is
  approaching $800 billions, 20% of the U.S. GDP.

                      © 2012 Yeswici LLC | Patent Pending            5
What is the Differentiating & Innovating
              Feature of pCMS 1.0?
                                    
 It is the clinical research based proprietary sophisticated predictive
  analytics (SPA) algorithms for predictions on top of a personal health
  data management system
 Differentiating property of the proprietary SPA technique:
    2013 NIH CFP PAR-12-198: Improving Diet and Physical Activity
        Assessment (R01) requests ““Explore new analytic methods or
        models that integrate multiple layers of diet and/or physical
        activity data.”
    Example of a SPA algo: LDL = f(CBD, SFA, PUFA, SF, EX)
         CBD: Cigna biometrics data by Cigna health API
         LDL: low density lipoprotein
         SFA: saturated fatty acid
         PUFA: polyunsaturated fatty acid
         SF: soluble fiber
         EX: exercise
                        © 2012 Yeswici LLC | Patent Pending                6
Why use Cigna Health API?
                              
 The SPA algorithms need Cigna members’ current
  biometrics data such as LDL levels to predict future
  LDL levels with the impact of diet and exercise.
 The BI visualization needs Cigna members’ past and
  current biometrics data (e.g., HDL, LDL,
  Triglycerides) to effectively inform and engage
  members for diet and exercise in the near future.




                  © 2012 Yeswici LLC | Patent Pending    7
Demo for the Sophisticated Predictive Analytics (SPA)
       Algorithms for pCMS 1.0 Predictions

                             




                 © 2012 Yeswici LLC | Patent Pending    8
Demo for Engaging Members to Self Manage
(Track/Visualize) Cholesterol on an On-going Basis
                   Over Time
                           




               © 2012 Yeswici LLC | Patent Pending   9
What are the Technologies Used in
             Building pCMS?
                                 
   BI,
   Predictive Analytics,
   mHealth,
   Portal,
   Federated ID Management & Security (OAuth & encryption),
   Performance Engineering,
   Quantitative Modeling,
   Cloud,
   Big Data, Data Modeling & Database Management,
   Web 2.0

                     © 2012 Yeswici LLC | Patent Pending       10
What are Next Steps?
                                
1. Using Cigna health API, pCMS 1.0 attempts to address
   the leading drivers of preventive medicine: high
   cholesterol, poor diet, overweight and physical inactivity.
2. Using Cigna health API, pCMS 1.0 may be extended to a
   preventive Chronic-condition Management System
   (pCMS 1.1) for Asthma, Obesity, Diabetes, Hypertension
   etc.
3. Partnering with all payers nationally and globally, pCMS
   1.x attempts to deliver better health, better care, and
   lower cost through technology and mHealth for the
   population.

                    © 2012 Yeswici LLC | Patent Pending          11
Q&A
     




© 2012 Yeswici LLC | Patent Pending   12

More Related Content

What's hot

Health Systems Share COVID-19 Financial Recovery Strategies in First Client H...
Health Systems Share COVID-19 Financial Recovery Strategies in First Client H...Health Systems Share COVID-19 Financial Recovery Strategies in First Client H...
Health Systems Share COVID-19 Financial Recovery Strategies in First Client H...Health Catalyst
 
Health Catalyst® Introduces Closed-Loop Analytics™ Services
Health Catalyst® Introduces Closed-Loop Analytics™ ServicesHealth Catalyst® Introduces Closed-Loop Analytics™ Services
Health Catalyst® Introduces Closed-Loop Analytics™ ServicesHealth Catalyst
 
Six Ways Health Systems Use Analytics to Improve Patient Safety
Six Ways Health Systems Use Analytics to Improve Patient SafetySix Ways Health Systems Use Analytics to Improve Patient Safety
Six Ways Health Systems Use Analytics to Improve Patient SafetyHealth Catalyst
 
Ts module 1_slides_introduction_06.1 vic_final2
Ts module 1_slides_introduction_06.1 vic_final2Ts module 1_slides_introduction_06.1 vic_final2
Ts module 1_slides_introduction_06.1 vic_final2aifl
 
Harnessing the Power of Healthcare Data: Are We There Yet
Harnessing the Power of Healthcare Data: Are We There YetHarnessing the Power of Healthcare Data: Are We There Yet
Harnessing the Power of Healthcare Data: Are We There YetHealth Catalyst
 
Raising the Digital Trajectory of Healthcare
Raising the Digital Trajectory of HealthcareRaising the Digital Trajectory of Healthcare
Raising the Digital Trajectory of HealthcareHealth Catalyst
 
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...Health Catalyst
 
Stimulus Presentation
Stimulus PresentationStimulus Presentation
Stimulus Presentationrraasch
 
The Reform After the Reform Webinar Series - Session 1: How Payers Will Be Im...
The Reform After the Reform Webinar Series - Session 1: How Payers Will Be Im...The Reform After the Reform Webinar Series - Session 1: How Payers Will Be Im...
The Reform After the Reform Webinar Series - Session 1: How Payers Will Be Im...Guidon Performance Solutions
 
Alignment and Simplification of Quality Measures Across Markets – Value-Based...
Alignment and Simplification of Quality Measures Across Markets – Value-Based...Alignment and Simplification of Quality Measures Across Markets – Value-Based...
Alignment and Simplification of Quality Measures Across Markets – Value-Based...Epstein Becker Green
 
Achieving Stakeholder Engagement: A Population Health Management Imperative
Achieving Stakeholder Engagement: A Population Health Management ImperativeAchieving Stakeholder Engagement: A Population Health Management Imperative
Achieving Stakeholder Engagement: A Population Health Management ImperativeHealth Catalyst
 
Pairing HIE Data with an Analytics Platform: Four Key Improvement Categories
Pairing HIE Data with an Analytics Platform: Four Key Improvement CategoriesPairing HIE Data with an Analytics Platform: Four Key Improvement Categories
Pairing HIE Data with an Analytics Platform: Four Key Improvement CategoriesHealth Catalyst
 
Healthcare Price Transparency: Three Opportunities for Transformation
Healthcare Price Transparency: Three Opportunities for TransformationHealthcare Price Transparency: Three Opportunities for Transformation
Healthcare Price Transparency: Three Opportunities for TransformationHealth Catalyst
 
Healthcare Data Management: Three Principles of Using Data to Its Full Potential
Healthcare Data Management: Three Principles of Using Data to Its Full PotentialHealthcare Data Management: Three Principles of Using Data to Its Full Potential
Healthcare Data Management: Three Principles of Using Data to Its Full PotentialHealth Catalyst
 
Survey Shows the Role of Technology in the Progress of Patient Safety
Survey Shows the Role of Technology in the Progress of Patient SafetySurvey Shows the Role of Technology in the Progress of Patient Safety
Survey Shows the Role of Technology in the Progress of Patient SafetyHealth Catalyst
 
Why Clinical Quality Should Drive Healthcare Business Strategy
Why Clinical Quality Should Drive Healthcare Business StrategyWhy Clinical Quality Should Drive Healthcare Business Strategy
Why Clinical Quality Should Drive Healthcare Business StrategyHealth Catalyst
 
Four Effective Opioid Interventions for Healthcare Leaders
Four Effective Opioid Interventions for Healthcare LeadersFour Effective Opioid Interventions for Healthcare Leaders
Four Effective Opioid Interventions for Healthcare LeadersHealth Catalyst
 
How to Accelerate Clinical Improvement Using Four Domains of Clinical Analytics
How to Accelerate Clinical Improvement Using Four Domains of Clinical AnalyticsHow to Accelerate Clinical Improvement Using Four Domains of Clinical Analytics
How to Accelerate Clinical Improvement Using Four Domains of Clinical AnalyticsHealth Catalyst
 

What's hot (20)

Health Systems Share COVID-19 Financial Recovery Strategies in First Client H...
Health Systems Share COVID-19 Financial Recovery Strategies in First Client H...Health Systems Share COVID-19 Financial Recovery Strategies in First Client H...
Health Systems Share COVID-19 Financial Recovery Strategies in First Client H...
 
Health Catalyst® Introduces Closed-Loop Analytics™ Services
Health Catalyst® Introduces Closed-Loop Analytics™ ServicesHealth Catalyst® Introduces Closed-Loop Analytics™ Services
Health Catalyst® Introduces Closed-Loop Analytics™ Services
 
Six Ways Health Systems Use Analytics to Improve Patient Safety
Six Ways Health Systems Use Analytics to Improve Patient SafetySix Ways Health Systems Use Analytics to Improve Patient Safety
Six Ways Health Systems Use Analytics to Improve Patient Safety
 
Ts module 1_slides_introduction_06.1 vic_final2
Ts module 1_slides_introduction_06.1 vic_final2Ts module 1_slides_introduction_06.1 vic_final2
Ts module 1_slides_introduction_06.1 vic_final2
 
Harnessing the Power of Healthcare Data: Are We There Yet
Harnessing the Power of Healthcare Data: Are We There YetHarnessing the Power of Healthcare Data: Are We There Yet
Harnessing the Power of Healthcare Data: Are We There Yet
 
Raising the Digital Trajectory of Healthcare
Raising the Digital Trajectory of HealthcareRaising the Digital Trajectory of Healthcare
Raising the Digital Trajectory of Healthcare
 
Future of Physcian Payments
Future of Physcian PaymentsFuture of Physcian Payments
Future of Physcian Payments
 
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...
 
Stimulus Presentation
Stimulus PresentationStimulus Presentation
Stimulus Presentation
 
The Reform After the Reform Webinar Series - Session 1: How Payers Will Be Im...
The Reform After the Reform Webinar Series - Session 1: How Payers Will Be Im...The Reform After the Reform Webinar Series - Session 1: How Payers Will Be Im...
The Reform After the Reform Webinar Series - Session 1: How Payers Will Be Im...
 
Alignment and Simplification of Quality Measures Across Markets – Value-Based...
Alignment and Simplification of Quality Measures Across Markets – Value-Based...Alignment and Simplification of Quality Measures Across Markets – Value-Based...
Alignment and Simplification of Quality Measures Across Markets – Value-Based...
 
Achieving Stakeholder Engagement: A Population Health Management Imperative
Achieving Stakeholder Engagement: A Population Health Management ImperativeAchieving Stakeholder Engagement: A Population Health Management Imperative
Achieving Stakeholder Engagement: A Population Health Management Imperative
 
Pairing HIE Data with an Analytics Platform: Four Key Improvement Categories
Pairing HIE Data with an Analytics Platform: Four Key Improvement CategoriesPairing HIE Data with an Analytics Platform: Four Key Improvement Categories
Pairing HIE Data with an Analytics Platform: Four Key Improvement Categories
 
Healthcare Price Transparency: Three Opportunities for Transformation
Healthcare Price Transparency: Three Opportunities for TransformationHealthcare Price Transparency: Three Opportunities for Transformation
Healthcare Price Transparency: Three Opportunities for Transformation
 
Future Of Physcian Payments 081612
Future Of Physcian Payments 081612Future Of Physcian Payments 081612
Future Of Physcian Payments 081612
 
Healthcare Data Management: Three Principles of Using Data to Its Full Potential
Healthcare Data Management: Three Principles of Using Data to Its Full PotentialHealthcare Data Management: Three Principles of Using Data to Its Full Potential
Healthcare Data Management: Three Principles of Using Data to Its Full Potential
 
Survey Shows the Role of Technology in the Progress of Patient Safety
Survey Shows the Role of Technology in the Progress of Patient SafetySurvey Shows the Role of Technology in the Progress of Patient Safety
Survey Shows the Role of Technology in the Progress of Patient Safety
 
Why Clinical Quality Should Drive Healthcare Business Strategy
Why Clinical Quality Should Drive Healthcare Business StrategyWhy Clinical Quality Should Drive Healthcare Business Strategy
Why Clinical Quality Should Drive Healthcare Business Strategy
 
Four Effective Opioid Interventions for Healthcare Leaders
Four Effective Opioid Interventions for Healthcare LeadersFour Effective Opioid Interventions for Healthcare Leaders
Four Effective Opioid Interventions for Healthcare Leaders
 
How to Accelerate Clinical Improvement Using Four Domains of Clinical Analytics
How to Accelerate Clinical Improvement Using Four Domains of Clinical AnalyticsHow to Accelerate Clinical Improvement Using Four Domains of Clinical Analytics
How to Accelerate Clinical Improvement Using Four Domains of Clinical Analytics
 

Similar to Cigna yeswici pcms_1.1_ppt

Aman Quadri - Future Trends with Health and Wellness.
Aman Quadri - Future Trends with Health and Wellness.Aman Quadri - Future Trends with Health and Wellness.
Aman Quadri - Future Trends with Health and Wellness.Dataconomy Media
 
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...P. Kenyon Crowley
 
A Roadmap for Optimizing Clinical Decision Support
A Roadmap for Optimizing Clinical Decision SupportA Roadmap for Optimizing Clinical Decision Support
A Roadmap for Optimizing Clinical Decision SupportHealth Catalyst
 
Innovating for health mObile Health perspective
Innovating for health mObile Health perspectiveInnovating for health mObile Health perspective
Innovating for health mObile Health perspectiveRuchi Dass
 
The Digitization of Healthcare: Why the Right Approach Matters and Five Steps...
The Digitization of Healthcare: Why the Right Approach Matters and Five Steps...The Digitization of Healthcare: Why the Right Approach Matters and Five Steps...
The Digitization of Healthcare: Why the Right Approach Matters and Five Steps...Health Catalyst
 
How to Leverage Increased Data Granularity in the ICD-10 Code Set
How to Leverage Increased Data Granularity in the ICD-10 Code SetHow to Leverage Increased Data Granularity in the ICD-10 Code Set
How to Leverage Increased Data Granularity in the ICD-10 Code SetPerficient, Inc.
 
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...Games for Health Europe
 
Current Status of Healthcare Analytics
Current Status of Healthcare AnalyticsCurrent Status of Healthcare Analytics
Current Status of Healthcare AnalyticsJames Young
 
Artificial Intelligence and Machine Learning in Healthcare: Four Real-World I...
Artificial Intelligence and Machine Learning in Healthcare: Four Real-World I...Artificial Intelligence and Machine Learning in Healthcare: Four Real-World I...
Artificial Intelligence and Machine Learning in Healthcare: Four Real-World I...Health Catalyst
 
Benefit Conference Orlando 2009
Benefit Conference Orlando 2009Benefit Conference Orlando 2009
Benefit Conference Orlando 2009dshughes
 
Using Advanced Analytics for Value-based Healthcare Delivery
Using Advanced Analytics for Value-based Healthcare DeliveryUsing Advanced Analytics for Value-based Healthcare Delivery
Using Advanced Analytics for Value-based Healthcare DeliveryMichael Joseph
 
Data Collaboration in Healthcare -- presented at VLDB 2018
Data Collaboration in Healthcare -- presented at VLDB 2018Data Collaboration in Healthcare -- presented at VLDB 2018
Data Collaboration in Healthcare -- presented at VLDB 2018Anand Deshpande
 
Medical Practices’ Survival Depends on Four Analytics Strategies
Medical Practices’ Survival Depends on Four Analytics StrategiesMedical Practices’ Survival Depends on Four Analytics Strategies
Medical Practices’ Survival Depends on Four Analytics StrategiesHealth Catalyst
 
HFMA Presentation March 31 2014
HFMA Presentation March 31 2014HFMA Presentation March 31 2014
HFMA Presentation March 31 2014Richard Beaver
 
2018 ODH Health Plan Survey - Are Health Plans Ready for Innovation?
2018 ODH Health Plan Survey - Are Health Plans Ready for Innovation?2018 ODH Health Plan Survey - Are Health Plans Ready for Innovation?
2018 ODH Health Plan Survey - Are Health Plans Ready for Innovation?ODH, Inc.
 
Rapid Response Analytics Solution Accelerates Analytics ROI
Rapid Response Analytics Solution Accelerates Analytics ROIRapid Response Analytics Solution Accelerates Analytics ROI
Rapid Response Analytics Solution Accelerates Analytics ROIHealth Catalyst
 
Using Improvement Science in Healthcare to Create True Change
Using Improvement Science in Healthcare to Create True ChangeUsing Improvement Science in Healthcare to Create True Change
Using Improvement Science in Healthcare to Create True ChangeHealth Catalyst
 

Similar to Cigna yeswici pcms_1.1_ppt (20)

Aman Quadri - Future Trends with Health and Wellness.
Aman Quadri - Future Trends with Health and Wellness.Aman Quadri - Future Trends with Health and Wellness.
Aman Quadri - Future Trends with Health and Wellness.
 
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...
 
A Roadmap for Optimizing Clinical Decision Support
A Roadmap for Optimizing Clinical Decision SupportA Roadmap for Optimizing Clinical Decision Support
A Roadmap for Optimizing Clinical Decision Support
 
Innovating for health mObile Health perspective
Innovating for health mObile Health perspectiveInnovating for health mObile Health perspective
Innovating for health mObile Health perspective
 
Catasys Presentation March 2020
Catasys Presentation March 2020Catasys Presentation March 2020
Catasys Presentation March 2020
 
Allscripts Presentation
Allscripts PresentationAllscripts Presentation
Allscripts Presentation
 
Population Health Management
Population Health ManagementPopulation Health Management
Population Health Management
 
The Digitization of Healthcare: Why the Right Approach Matters and Five Steps...
The Digitization of Healthcare: Why the Right Approach Matters and Five Steps...The Digitization of Healthcare: Why the Right Approach Matters and Five Steps...
The Digitization of Healthcare: Why the Right Approach Matters and Five Steps...
 
How to Leverage Increased Data Granularity in the ICD-10 Code Set
How to Leverage Increased Data Granularity in the ICD-10 Code SetHow to Leverage Increased Data Granularity in the ICD-10 Code Set
How to Leverage Increased Data Granularity in the ICD-10 Code Set
 
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...
Personalized Mobile-Social Medicine for Chronic Disease: Pilot Clinical Trial...
 
Current Status of Healthcare Analytics
Current Status of Healthcare AnalyticsCurrent Status of Healthcare Analytics
Current Status of Healthcare Analytics
 
Artificial Intelligence and Machine Learning in Healthcare: Four Real-World I...
Artificial Intelligence and Machine Learning in Healthcare: Four Real-World I...Artificial Intelligence and Machine Learning in Healthcare: Four Real-World I...
Artificial Intelligence and Machine Learning in Healthcare: Four Real-World I...
 
Benefit Conference Orlando 2009
Benefit Conference Orlando 2009Benefit Conference Orlando 2009
Benefit Conference Orlando 2009
 
Using Advanced Analytics for Value-based Healthcare Delivery
Using Advanced Analytics for Value-based Healthcare DeliveryUsing Advanced Analytics for Value-based Healthcare Delivery
Using Advanced Analytics for Value-based Healthcare Delivery
 
Data Collaboration in Healthcare -- presented at VLDB 2018
Data Collaboration in Healthcare -- presented at VLDB 2018Data Collaboration in Healthcare -- presented at VLDB 2018
Data Collaboration in Healthcare -- presented at VLDB 2018
 
Medical Practices’ Survival Depends on Four Analytics Strategies
Medical Practices’ Survival Depends on Four Analytics StrategiesMedical Practices’ Survival Depends on Four Analytics Strategies
Medical Practices’ Survival Depends on Four Analytics Strategies
 
HFMA Presentation March 31 2014
HFMA Presentation March 31 2014HFMA Presentation March 31 2014
HFMA Presentation March 31 2014
 
2018 ODH Health Plan Survey - Are Health Plans Ready for Innovation?
2018 ODH Health Plan Survey - Are Health Plans Ready for Innovation?2018 ODH Health Plan Survey - Are Health Plans Ready for Innovation?
2018 ODH Health Plan Survey - Are Health Plans Ready for Innovation?
 
Rapid Response Analytics Solution Accelerates Analytics ROI
Rapid Response Analytics Solution Accelerates Analytics ROIRapid Response Analytics Solution Accelerates Analytics ROI
Rapid Response Analytics Solution Accelerates Analytics ROI
 
Using Improvement Science in Healthcare to Create True Change
Using Improvement Science in Healthcare to Create True ChangeUsing Improvement Science in Healthcare to Create True Change
Using Improvement Science in Healthcare to Create True Change
 

More from Gewei Ye, PhD

More from Gewei Ye, PhD (6)

vihag_s
vihag_svihag_s
vihag_s
 
Week 7 2 Vihag Short1
Week 7 2 Vihag Short1Week 7 2 Vihag Short1
Week 7 2 Vihag Short1
 
Value Insurance
Value InsuranceValue Insurance
Value Insurance
 
Value Insurance
Value InsuranceValue Insurance
Value Insurance
 
Value Insurance
Value InsuranceValue Insurance
Value Insurance
 
Value Insurance
Value InsuranceValue Insurance
Value Insurance
 

Cigna yeswici pcms_1.1_ppt

  • 1. Personal Cholesterol Management System Gewei Ye, PhD Founder & CTO, Yeswici LLC Email: gye@yeswici.com Tel: 410 251 2823 © 2012 Yeswici LLC | Patent Pending 1
  • 2. Agenda  1. What problem does pCMS 1.0 attempt to solve? 2. What is Personal Cholesterol Management System? 3. What is the financial value of pCMS 1.x? 4. What is the differentiating & innovating feature of pCMS 1.x? Why use Cigna health API? 5. What are the technologies used in building pCMS? 6. What are next steps? © 2012 Yeswici LLC | Patent Pending 2
  • 3. What Problem Does pCMS 1.0 Attempt to Solve?   Nearly 105 million Americans, 33% of the U.S. population, are struggling with high cholesterol.  Payers such as health insurance companies and government health agencies are striving to engage members to lower cholesterol and to adopt preventive medicine for such challenges as health risks and chronic conditions.  Yet most members are not adopting preventive medicine and very few advanced technologies (e.g., business intelligence) and tools have been created to effectively engage members with preventive medicine.  This causes payers and members to pay over $20 billions annually for cholesterol lowering drugs; and over $100 billions annually for the acute care of heart and blood diseases due to high cholesterol.  pCMS 1.x employs advanced technologies to effectively engage members to lower future cholesterol. © 2012 Yeswici LLC | Patent Pending 3
  • 4. What is pCMS 1.x?   pCMS 1.x is a mobile and Web 2.0 based health IT system to enable members and patients to self-manage cholesterol and other health risks without unhealthy and expensive drugs or acute care.  How to effectively engage members to lower bad cholesterol? The answer is to engage members to manage personal diet and exercise with pCMS 1.0 (app as Rx) to lower future cholesterol.  pCMS 1.x manages (Save/Visualize/Predict) personal health data with business intelligence (BI) and clinical research based proprietary sophisticated predictive analytics (SPA) algorithms © 2012 Yeswici LLC | Patent Pending 4
  • 5. What is the Financial Value of pCMS 1.x?   Comparing to cholesterol lowering drugs that cost more than $20 billions a year for payers and Americans, pCMS 1.0 may deliver the same result of lowering cholesterol and other health risks with much less cost ($5-10 millions) and without the drugs' side effects.  pCMS 1.x is designed to work with payers such as health insurance companies (e.g., Cigna, Wellpoint, Aetna, Humana, United Healthcare) and government health agencies (e.g., HHS, VA, CMS, FDA) to engage members with proactive preventive medicine.  Partnering with payers, pCMS 1.x attempts to reduce national healthcare spending in the long run by delivering better population health. The national healthcare spending is approaching $800 billions, 20% of the U.S. GDP. © 2012 Yeswici LLC | Patent Pending 5
  • 6. What is the Differentiating & Innovating Feature of pCMS 1.0?   It is the clinical research based proprietary sophisticated predictive analytics (SPA) algorithms for predictions on top of a personal health data management system  Differentiating property of the proprietary SPA technique:  2013 NIH CFP PAR-12-198: Improving Diet and Physical Activity Assessment (R01) requests ““Explore new analytic methods or models that integrate multiple layers of diet and/or physical activity data.”  Example of a SPA algo: LDL = f(CBD, SFA, PUFA, SF, EX)  CBD: Cigna biometrics data by Cigna health API  LDL: low density lipoprotein  SFA: saturated fatty acid  PUFA: polyunsaturated fatty acid  SF: soluble fiber  EX: exercise © 2012 Yeswici LLC | Patent Pending 6
  • 7. Why use Cigna Health API?   The SPA algorithms need Cigna members’ current biometrics data such as LDL levels to predict future LDL levels with the impact of diet and exercise.  The BI visualization needs Cigna members’ past and current biometrics data (e.g., HDL, LDL, Triglycerides) to effectively inform and engage members for diet and exercise in the near future. © 2012 Yeswici LLC | Patent Pending 7
  • 8. Demo for the Sophisticated Predictive Analytics (SPA) Algorithms for pCMS 1.0 Predictions  © 2012 Yeswici LLC | Patent Pending 8
  • 9. Demo for Engaging Members to Self Manage (Track/Visualize) Cholesterol on an On-going Basis Over Time  © 2012 Yeswici LLC | Patent Pending 9
  • 10. What are the Technologies Used in Building pCMS?   BI,  Predictive Analytics,  mHealth,  Portal,  Federated ID Management & Security (OAuth & encryption),  Performance Engineering,  Quantitative Modeling,  Cloud,  Big Data, Data Modeling & Database Management,  Web 2.0 © 2012 Yeswici LLC | Patent Pending 10
  • 11. What are Next Steps?  1. Using Cigna health API, pCMS 1.0 attempts to address the leading drivers of preventive medicine: high cholesterol, poor diet, overweight and physical inactivity. 2. Using Cigna health API, pCMS 1.0 may be extended to a preventive Chronic-condition Management System (pCMS 1.1) for Asthma, Obesity, Diabetes, Hypertension etc. 3. Partnering with all payers nationally and globally, pCMS 1.x attempts to deliver better health, better care, and lower cost through technology and mHealth for the population. © 2012 Yeswici LLC | Patent Pending 11
  • 12. Q&A  © 2012 Yeswici LLC | Patent Pending 12