Medication Management

2. Medication Management Innovative care management for better adherence

3. Agenda arvato CRM Healthcare Key challenges for health insurances Medication Management Concept Results and benefits

4. arvato is part of the global Bertelsmann network revenue employees • 16,1Mrd. € • 104.286 • employees:63.818 • revenue:4,4 Mrd. € employees: > 1.100 revenue: > 140 Mio. €

5. Notable healthcare companies rely on arvato pharmacos/biopharmacos healthinsurances medtechs revenue: 140 Mio. € employees : 1.100 (in europe) shipping pharmacies

6. arvato provides data driven predictive models and patient oriented solutions for public and industry for an efficient and effective disease and care management

7. arvato solutions

8. arvato offers a proven portfolio of flexible solutions for health insurances

9. Agenda arvato CRM Healthcare Key challenges for health insurances Medication Management Concept Results and benefits

10. Key challenges for the health insurances in the near future Key challenges Percentage of the population over 65 years in Europe

11. Payors must optimize their HC management due to financial deficits and growing widespread diseases …andchallenges evident Financial Gap rising… • Statutory Health Insurance will face financial deficits from 2014 onwards, again • Payors not going for priceleadership but healthcaremanagement to drive efficiency in care • Optimization of medication therapy and prevention of hospital stays are biggest drivers for efficiency • Chronic widespread diseases (diabetes, heart conditions, etc) account for 2/3 of overall costs IMS estimates savings due to better medication safety & management of 19.2bn € in Germany Source: Federal Ministry of Health (2012), AOK, vdek, IMS Health (2013)

12. Agenda arvato CRM Healthcare Key challenges for health insurances Medication Management Concept Results and benefits

13. Medication Management ofarvato At first analytics and a predictive model of arvato identify patients and indications. Thereafter care management increases adherence of the patients. Analytics andService Center platform Anonymizedclaimdataof all patients Health insurance companies Call-basedcaremanagement (adherence) Patient List of potential patients Registered patients Data of patient

14. Participants were identified through multilevel data analytics and get a score inclusion criteria • Indications, medication, age >18 • exclusion criteria e.g. specific diagnosis, age selection of potential participants • Medication Possession Ratio (MPR) < 0,8 ranking • Indication specific Scoring approach/address • Email, letter, information documents consent • Testing, data transfer support • Medication analysis, support, target agreement

15. The scoring model based on three columns Patient Service Data Retro perspective Impact Factors Score prognosisdevelopment MPR patient service data retroperspective impact factors Adherence prognosis: MPR ≤ 0,8

16. The forecast model is in use for 8 different indications now and will be extended Indications for forecast model Models in use: diabetes type 1 + 2 essential hypertension heart insufficiency KHK hyperlipidaemia multiple sclerosis COPD asthma Models being planed: psychiatric diseases pain

17. Next step: Involving the doctor in the concept of Medication Management • Pharmaceutical Service Center (arvato) • Regular monitoring of interactions and side effects • Increase compliance of therapy • Support for drug changes (e.g. generics) • Secondary prevention • Health insurance • Scoring to identify suitable patients (with arvato) • Declarations of participation in the care program could either be provided via the doctors or send to the patients directly. Medication list Drug A Drug B  Drug C  Possiblecare topics Topic X  Topic Y 1x per month Adherence checkcc: to me 1x per quarter Exchange of information Drug A Drug B  Drug C  @  • Doctor • Setting of the new medication and defining a therapy plan • Transmission of the medication, therapy plan and goals of the patient to the Pharmaceutical Service Center • Patient • Definition of the preferred communication channel and the service intervals • Contacting the doctor in cases of risks or changes App 

18. Multi Channel offerings for a high acceptanceand low barrier of communication • Depending on the reason of contact different communication channels will be used. • The selection is flexible and could get changed individually during the whole care period.

19. The Medication App will complete our service and supports patients in Medication Management Contact Management Plan Research Medication Plan Selection Services • My doctors, Appointment service • Diagnosis • Medication • Reminder • Recall service • Click to Call • Personalized Content • Chat, SmS, Email • Medication-Check • Gx-Substitution • Scan • Storage of the medication • Refill Reminder

20. Agenda arvato CRM Healthcare Key challenges for health insurances Medication Management Concept Results and benefits

21. Medication Management causes a significant increase in adherence First results in adherence of the participants in Medication Management +93% +10% • Increase of the Medication Possession Ratio (MPR) amounts 10% • Number of adherent patients rose to 93% • 49% of all participants in Medication Management could improve their MPR

22. Medication Management isa great opportunity for the health insurances to answer their key challenges Key challenges Customer Benefits Medication Management

23. Dr. Jens Härtel Vice President Phone: +49 7154 173 385 Mobile +49 171 2745835 E-Mail: jens.haertel@bertelsmann.de