FICOMEDICATIONADHERENCESCORE

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

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.

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

FICO MEDICATIONADHERENCE SCOREPredictors of adherence, understanding the score, and applications

Stability

Personal Resources

ConscientiousnessSupport

Demographics

PREDICTORS OF ADHERENCE

PREDICTORS OF ADHERENCE

Stability

Personal Resources

ConscientiousnessSupport

Demographics

Stability: • Job tenure• Transient history

Demographics:• Age & Gender• Geography• Hobbies

Support:• Family structure (spouse, children)

Conscientiousness:• “Responsibility”• Ex: People with high discretionary

income who have low spending/debt

Personal Resources:• Home Value• Car Ownership• Income

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

UNDERSTANDING THE SCORE

Compile Data

• Collect de-identified prescription records for drugs used to treat a specific condition• Third party ‘predictor’ data is cross-referenced to create a data set

Analysis

• FICO uses data sets to identify the best predictors of medication adherence and non-adherence

Development

• Model is developed using the identified predictors of adherence• Model is validated using patient populations to ensure strength and robustness• Results and top predictive attributes are shared with the respective FICO client

Deployme

nt

• FICO hosts the information in its secure service bureau• Consumer names and addresses are run through model and scored; the scored file

of consumers is then provided to the client

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