Medication non-adherence in the U.S. significantly impacts health, with 20% of patients never filling prescriptions and 125,000 deaths each year attributed to it, costing the healthcare system $290 billion annually. FICO has developed a medication adherence score that predicts an individual's likelihood of adhering to prescriptions based on various factors such as demographics and personal resources without using protected information. This score allows pharmaceutical marketers to optimize resource allocation and improve intervention strategies.

1. FICO
MEDICATION
ADHERENCE
SCORE

2. NON-ADHERENCE IN
AMERICA
Scale and impact of medication non-adherence in the
U.S.

3. ADHERENCE IS A NATIONAL
PROBLEM
• 20% of patients never fill their first prescription
• 24% take less than the recommended dosage
• Half of all people discontinue prescriptions in the first
six months
The situation is even more challenging in some disease states:
For example, up to 72% of asthma patients report that they take their
controller medications less than prescribed. Taking that medicine can reduce
hospital and emergency visits by 80%. It‟s a huge impact on both patients and
practitioners.

4. THE RESULT
• Nearly 125,000 deaths each year are associated with
non-adherence to a medication
• Poor medication compliance costs the U.S. healthcare
system $290 billion in avoidable medical spending each
year.
• Non-adherence is 13% of the nation‟s total healthcare
expenditure

5. FICO MEDICATION
ADHERENCE SCORE
Predictors of adherence, understanding the score, and
applications

6. PREDICTORS OF ADHERENCE
Stability
Personal
Demographics
Resources
Support Conscientiousness

7. PREDICTORS OF ADHERENCE
Stability:
• Job tenure
• Transient history
Stability
Demographics:
• Age & Gender
• Geography
• Hobbies
Personal
Demographics
Resources Support:
• Family structure (spouse, children)
Conscientiousness:
• “Responsibility”
Support Conscientiousness • Ex: People with high discretionary
income who have low spending/debt
Personal Resources:
• Home Value
• Car Ownership
• Income

8. UNDERSTANDING THE SCORE
• Data-driven predictive model that assesses an
individual‟s likelihood of filling future prescriptions
• Therapeutic category and brand-specific adherence
models (not one universal score)
• Entire process and implementation are fully HIPPA
compliant
- Requires only a consumer‟s name & address
- No self-reported information or Protective Patient
Information (PPI) used
** Medication Adherence Score does not take an individual’s FICO Credit Score into
Consideration due to Fair Credit Reporting Act

9. UNDERSTANDING THE SCORE
• Collect de-identified prescription records for drugs used to treat a specific condition
Compile • Third party „predictor‟ data is cross-referenced to create a data set
Data
• FICO uses data sets to identify the best predictors of medication adherence and
non-adherence
Analysis
• Model is developed using the identified predictors of adherence
• Model is validated using patient populations to ensure strength and robustness
Development
• Results and top predictive attributes are shared with the respective FICO client
• FICO hosts the information in its secure service bureau
• Consumer names and addresses are run through model and scored; the scored file
Deployment of consumers is then provided to the client

10. APPLICATIONS
The FICO Medication Adherence Score
provides the opportunity for pharma
marketers to OPTIMIZE their resource
allocation.
• Improved message targeting
• Develop refined intervention programs
• Implement „Test & Learn‟ strategies