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Personal Chronic-condition (Cholesterol) Management
            System: a Big Data App as Rx
                   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 Chronic-condition (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 payers (e.g., Aetna, 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 is a big data app as Rx: use advanced technologies to effectively
  engage members to lower future cholesterol to replace Rx such as Lipitor



                         © 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 Payers’ Health API?
                              
 The SPA algorithms need payers (Cigna or Aetna)
  members’ current biometrics data such as LDL levels
  to predict future LDL levels with the impact of diet
  and exercise. The alternative approach is to ask
  patients to enter LDL scores via pCMS.
 The BI visualization needs Cigna and Aetna
  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 payers’ health API, pCMS 1.0 attempts to address
   the leading drivers of preventive medicine: high
   cholesterol, poor diet, overweight and physical inactivity.
2. Using payers’ 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

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Cigna yeswici pcms_1.2_ppt

  • 1. Personal Chronic-condition (Cholesterol) Management System: a Big Data App as Rx 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 Chronic-condition (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 payers (e.g., Aetna, 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 is a big data app as Rx: use advanced technologies to effectively engage members to lower future cholesterol to replace Rx such as Lipitor © 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 Payers’ Health API?   The SPA algorithms need payers (Cigna or Aetna) members’ current biometrics data such as LDL levels to predict future LDL levels with the impact of diet and exercise. The alternative approach is to ask patients to enter LDL scores via pCMS.  The BI visualization needs Cigna and Aetna 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 payers’ health API, pCMS 1.0 attempts to address the leading drivers of preventive medicine: high cholesterol, poor diet, overweight and physical inactivity. 2. Using payers’ 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