Quality health plans & benefits
Healthier living
Financial well-being
Intelligent solutions




CarePass® Platform and
Medication Reminder
Developer Challenge
August 1, 2012
On Today’s Call



Jesse Givens, Head of CarePass Product
Runa Islam, CarePass Product Manager
Jeff Taylor, Pharmacy Director




Hemali Thakkar, Manager, Developer Challenge, Health 2.0

                                                     Aetna Inc.   2
Agenda

Introduction to Aetna CarePass

Overview of the CarePass Developer Challenge
Consumer Need for Medication Reminder Solutions
Evaluation Criteria for Challenge Submissions
Contest Details


Q&A




                                                  Aetna Inc.
Introduction to
Aetna CarePass




                  Aetna Inc.   4
CarePass – Delivering Convenience
The Consumer’s Healthcare “Journey”
                                     Peers & Community




     Managing Health                                            Seeking Care
     • Follow-Up & Reminders                              • Information Gathering
     • Manage Health &                                    • Provider Selection
       Wellness                                           • Make an Appointment



                                        Consumers




                                          Getting Care
                               •   Check-In
                               •   Provider Interaction
                               •   Follow-Up Steps
                               •   Checkout & Payment


                                                                                    Aetna Inc.
CarePass – Delivering Convenience
Why do this now?
• Critical to empower consumers as their responsibility for
  healthcare costs continues to grow (e.g., contribution
  levels rising 31% from 2007 to 2010)

• We want to leverage technology to both empower
  consumers, and bring down overall costs in the system

• Consumers want the high levels of convenience they
  experience in other services (e.g., mobile banking) to be
  available in healthcare


                                                        Aetna Inc.   6
CarePass enables consumers to manage
their whole health & live healthier
lives…their way

                  Behavioral
                                                                                Fitness
                    Health
                                                                              Applications
                 Applications




   Pharmacy                                                                                   Nutrition
  Applications                                                                               Applications




                                                                                Personal
                                Integration of multiple mobile applications      Health
                                                                                Records



                                                                                                     Aetna Inc.
Enabling Consumers To Manage Their
     Whole Health…
    CarePass enables consumers to securely share cloud-based health profile information
    across mobile applications, sharing information as they specifically permit

                         Description
      • Secure, cloud-based health identity
        with specific profiles to capture
        health and wellness activity data
      • Supports a user across apps,
        automatically recording their health
        and wellness activities to their
        profiles
      • Health information is stored and
        updated in one place
      • For Aetna members, demographic                          CarePass         CarePass
                                                                 Enabled          Enabled
        information is pre-populated and                                 CarePass
                                                               Applications     Applications
                                                                         Enabled
        personal health information                                    Applications

        automatically syncs
                                                                                               Aetna Inc.
Private & Confidential                                                                                      8
Serving Developers @ developer.carepass.com
We are working with companies and public entities to open up APIs that allow 3rd
party developers to create new, innovative consumer solutions




                                                                            Aetna Inc.
Overview of the
CarePass Developer
Challenge




                     Aetna Inc.
Medication Adherence


               “The degree to which the person’s behavior
               corresponds with the agreed recommendations from
               a health care provider.”




                         – World Health Organization




                                                       Aetna Inc.
Medication Adherence
    22% of U.S. patients take less of the medication than is prescribed




                                                 American Heart Association: Statistics you need to know.
                                                 http://www.americanheart.org/presenter.jhtml?identifier=107
                                                 Accessed November 21, 2007.              Aetna Inc.
Why Adherence Matters

“Of all medication-related hospital admissions in the United States, 33 to 69
percent are due to poor medication adherence, with a resultant cost of
approximately $100 billion a year.”


Results of failure to adhere to prescribed medications:
Increased hospitalization
Poor health outcomes
Increased costs
Decreased quality of life
Patient death



                                 Osterberg L, Blaschke T. Adherence to Medication. NEJM
                                 2005;353:487-497


                                                                                          Aetna Inc.
Overview of the Medication Reminder
Solution
Target audience: consumers who are taking one or more maintenance
prescriptions

Goals for target audience
•   Provide them with a tool to help them stay on prescribed medications
•   Make daily life easier and more free for these consumers
•   Enable better health outcomes through improved medication adherence




                                                                           Aetna Inc.
App Features
             REQUIRED                                PREFERRED

Your app must:                          The following features are preferred,
                                        but not required:
• Enable consumers to enter
  medications                           • Provide information to help
                                           answer common medication
• Remind consumers to take their
                                           questions
  medications
                                        • Enable a consumer to share
• Allow the user to enter their
                                           medication adherence status with
  medication history (direct entry or
                                           a provider or family member
  importing)
                                        • Leverage social health (e.g.,
• Provide the cost of medications
                                           notification to caregivers) and
  and lower cost alternatives where
                                           game mechanics to improve
  appropriate
                                           adherence
• Integrate to the CarePass
                                        • Gather data to determine non-
  Platform
                                           adherence patterns

                                                                    Aetna Inc.   15
CarePass Resources for Developers

                      US Department of Health
                      and Human Services
                      • Info by National Drug
                        Code (NDC)
                      • Info by FDA application
                        number (NDA)
                      • FDA recall data

                      GoodRx
                      • Lowest available price for
                        a prescription medication

                                            Aetna Inc.   16
Challenge Timeline

            Date                             Milestone
            June 6           CarePass Challenge Announced
           August 1          Informational Webinar
                             CarePass Sync API open!
           August 6          Judges announced
          August 17          Submission Deadline
    August 20-September 14   Evaluation Period
        September 17         Winners Notified
          October 8          Winners Announced at Health 2.0




                                                               Aetna Inc.   17
$100K in Prizes!

$75K to First-Place Winner

$25K to Second-Place Winner




                              Aetna Inc.   18
Intellectual property


“Subject to these Official Rules…you retain all rights, title and
interest that you may have in and to any other intellectual
property rights embodied in or associated with your Entry.”

YOU retain IP rights to all aspects of your challenge
submission, except the integrated Aetna CarePass API
materials.




                                                           Aetna Inc.
Q&A




      Aetna Inc.   20
Thank you!

Questions?
Email: hemali@health2con.com
www.health2challenge.org




                               Aetna Inc.

Aetna care pass challenge webinar 8.1.12

  • 1.
    Quality health plans& benefits Healthier living Financial well-being Intelligent solutions CarePass® Platform and Medication Reminder Developer Challenge August 1, 2012
  • 2.
    On Today’s Call JesseGivens, Head of CarePass Product Runa Islam, CarePass Product Manager Jeff Taylor, Pharmacy Director Hemali Thakkar, Manager, Developer Challenge, Health 2.0 Aetna Inc. 2
  • 3.
    Agenda Introduction to AetnaCarePass Overview of the CarePass Developer Challenge Consumer Need for Medication Reminder Solutions Evaluation Criteria for Challenge Submissions Contest Details Q&A Aetna Inc.
  • 4.
  • 5.
    CarePass – DeliveringConvenience The Consumer’s Healthcare “Journey” Peers & Community Managing Health Seeking Care • Follow-Up & Reminders • Information Gathering • Manage Health & • Provider Selection Wellness • Make an Appointment Consumers Getting Care • Check-In • Provider Interaction • Follow-Up Steps • Checkout & Payment Aetna Inc.
  • 6.
    CarePass – DeliveringConvenience Why do this now? • Critical to empower consumers as their responsibility for healthcare costs continues to grow (e.g., contribution levels rising 31% from 2007 to 2010) • We want to leverage technology to both empower consumers, and bring down overall costs in the system • Consumers want the high levels of convenience they experience in other services (e.g., mobile banking) to be available in healthcare Aetna Inc. 6
  • 7.
    CarePass enables consumersto manage their whole health & live healthier lives…their way Behavioral Fitness Health Applications Applications Pharmacy Nutrition Applications Applications Personal Integration of multiple mobile applications Health Records Aetna Inc.
  • 8.
    Enabling Consumers ToManage Their Whole Health… CarePass enables consumers to securely share cloud-based health profile information across mobile applications, sharing information as they specifically permit Description • Secure, cloud-based health identity with specific profiles to capture health and wellness activity data • Supports a user across apps, automatically recording their health and wellness activities to their profiles • Health information is stored and updated in one place • For Aetna members, demographic CarePass CarePass Enabled Enabled information is pre-populated and CarePass Applications Applications Enabled personal health information Applications automatically syncs Aetna Inc. Private & Confidential 8
  • 9.
    Serving Developers @developer.carepass.com We are working with companies and public entities to open up APIs that allow 3rd party developers to create new, innovative consumer solutions Aetna Inc.
  • 10.
    Overview of the CarePassDeveloper Challenge Aetna Inc.
  • 11.
    Medication Adherence “The degree to which the person’s behavior corresponds with the agreed recommendations from a health care provider.” – World Health Organization Aetna Inc.
  • 12.
    Medication Adherence 22% of U.S. patients take less of the medication than is prescribed American Heart Association: Statistics you need to know. http://www.americanheart.org/presenter.jhtml?identifier=107 Accessed November 21, 2007. Aetna Inc.
  • 13.
    Why Adherence Matters “Ofall medication-related hospital admissions in the United States, 33 to 69 percent are due to poor medication adherence, with a resultant cost of approximately $100 billion a year.” Results of failure to adhere to prescribed medications: Increased hospitalization Poor health outcomes Increased costs Decreased quality of life Patient death Osterberg L, Blaschke T. Adherence to Medication. NEJM 2005;353:487-497 Aetna Inc.
  • 14.
    Overview of theMedication Reminder Solution Target audience: consumers who are taking one or more maintenance prescriptions Goals for target audience • Provide them with a tool to help them stay on prescribed medications • Make daily life easier and more free for these consumers • Enable better health outcomes through improved medication adherence Aetna Inc.
  • 15.
    App Features REQUIRED PREFERRED Your app must: The following features are preferred, but not required: • Enable consumers to enter medications • Provide information to help answer common medication • Remind consumers to take their questions medications • Enable a consumer to share • Allow the user to enter their medication adherence status with medication history (direct entry or a provider or family member importing) • Leverage social health (e.g., • Provide the cost of medications notification to caregivers) and and lower cost alternatives where game mechanics to improve appropriate adherence • Integrate to the CarePass • Gather data to determine non- Platform adherence patterns Aetna Inc. 15
  • 16.
    CarePass Resources forDevelopers US Department of Health and Human Services • Info by National Drug Code (NDC) • Info by FDA application number (NDA) • FDA recall data GoodRx • Lowest available price for a prescription medication Aetna Inc. 16
  • 17.
    Challenge Timeline Date Milestone June 6 CarePass Challenge Announced August 1 Informational Webinar CarePass Sync API open! August 6 Judges announced August 17 Submission Deadline August 20-September 14 Evaluation Period September 17 Winners Notified October 8 Winners Announced at Health 2.0 Aetna Inc. 17
  • 18.
    $100K in Prizes! $75Kto First-Place Winner $25K to Second-Place Winner Aetna Inc. 18
  • 19.
    Intellectual property “Subject tothese Official Rules…you retain all rights, title and interest that you may have in and to any other intellectual property rights embodied in or associated with your Entry.” YOU retain IP rights to all aspects of your challenge submission, except the integrated Aetna CarePass API materials. Aetna Inc.
  • 20.
    Q&A Aetna Inc. 20
  • 21.

Editor's Notes

  • #8 In our current system, the patient is the only one connected to every aspect of their care. In some ways, we are like an assembly line without the line. Imagine if we had a way to coordinate our efforts Doctors to other doctors and dentistsFacilities to other facilities, pre- and post-carePharmacists to multiple doctors and facilitiesIndividuals and families to one care coordinator or one central teamInsurance providers as part of the care conversationDoctors and insurers creating connected networks that pool information, research and care deliveryWe would be making some very uncommon connections.Enter the CarePass digital platformCarePass will deliver an integrated health care solution that securely provides information when and where consumers want it. The open, digital platform enables consumers to share information across applications and create a personalized, coherent experience to manage their whole health, from getting care to staying well, all with one secure sign-on. ***ROLL CAREPASS VIDEO (90 SECONDS)***