Ahead of the marcus evans ACO & Payer Leadership Summit 2022, Sebastian Seiguer discusses why medication adherence should be a top priority for payers and ACOs.
How Solving Medication Non-Adherence Would Radically Transform Healthcare-Sebastian Seiguer, emocha Health
1. Interview with: Sebastian Seiguer,
Chief Executive Officer, emocha
Health
“Medication is one of the most expen-
sive parts of patient care, yet
healthcare providers can’t always
ensure patients are on the right
regimen and taking medication as
prescribed. Solving medication non-
adherence would radically transform
healthcare. This intervention hits
multiple endpoints: health outcomes,
costs, and the patient’s quality of life,”
according to Sebastian Seiguer, Chief
Executive Officer, emocha Health.
emocha Health is a service provider at
the marcus evans ACO & Payer
Leadership Summit 2022.
Why is taking medication properly
a challenge for some patients?
It is a complicated problem. Many
people assume the problem is behav-
ioral only, that some patients are just
forgetful, but it is not that simple. A
medication may not be the best one
for the patient, or it might conflict with
other medications they are on. There
are also social determinants of health.
Can they afford medication? Can they
access the healthcare system often
enough to get or change medication?
When is assessment of medication
technique necessary?
For some medications, the administra-
tion or technique is as important as
the medication itself. Take asthma.
Corticosteroids don’t work as well if
they are not delivered into the lungs.
The breathing technique is not instinc-
tive for human beings. It needs to be
taught almost like a physical skill. It is
the same for injecting insulin for
diabetes. Timing is also important.
Each medication and condition are
different.
How can increasing adherence
lower hospital admissions and ER
visits thereby reducing cost of
care?
Poor medication adherence leads to
33-69 percent of hospital readmis-
sions, and results in a 2.5 times higher
chance of a 30-day readmission. For
many chronic conditions, medications
are a very important part of managing
the disease. We know that the medica-
tions are effective, clinical trials proved
that, but they are only effective if
properly taken.
How can increasing adherence
impact quality metrics?
Using technology and human engage-
ment to solve medication non-
adherence issues is one of the lowest
hanging fruit in healthcare today. The
good news is that one solution has
been shown to establish a really high
rate of adherence, and that is direct
observation. emocha has a proven
solution that improves the outcomes of
people treated with medications by
leveraging human engagement and
asynchronous technology to directly
observe their therapy.
Having a person who is there for the
patient, for a certain amount of time,
who can make sure they are taking the
right medication properly and consist-
ently, until it becomes a habit, is a
cornerstone of directly observed
therapy. This can take 30 days or 60
days, but it needs to be done until the
patient can self-manage. When that is
established, monitoring can continue
more passively, especially for those
having the most trouble, by tracking if
they refill their medication every
month, for example.
In short, true medication adherence
support is not only possible, it is ideal.
Improving medication adherence
should be a top priority for risk-
bearing healthcare entities.
Using
technology
and human
engagement
to solve
medication
non-adherence
issues is one
of the lowest
hanging fruit
in healthcare
today
How Solving Medication Non-Adherence
Would Radically Transform Healthcare
2. About emocha Health
emocha Health (emocha) improves medication adherence through asynchronous video technology and scalable, personalized
human engagement. As a Johns Hopkins University spin-out, emocha is grounded in clinical care and health outcomes
improvement. By helping health plan and ACO members take the right medication at the right time, we help your organization
meet quality metrics and improve health outcomes in less than 90 days.
emocha is a category 1 mobile medical application registered with the FDA.
www.emocha.com
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