The Collaborative Forum » Medication Adherence

Medication Adherence: A Value Quadrant Opportunity? Part III

Randy Williams — Fri, 21 Aug 2009 21:53:00 +0000

In a previous post, called Medication Adherence Part II, published July 31st, I unpacked 5 of the 10 recommendations from a recent New England Healthcare Institute (NEHI) report, ”Thinking Outside the Pillbox”. Let me hit the remaining 5 recommendations now. (more…)

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Medication Adherence: A Value Quadrant Opportunity? Part II

Randy Williams — Fri, 31 Jul 2009 23:58:50 +0000

In a recent post (July 24, 2009), I introduced the topic of medication adherence and decribed three pillars of system reform that would seek to address the nearly $300 Billion in annual costs related to patients not taking their medications. Recall, these pillars were: improved drug regimens, reduced cost barriers, and patient behavior. In today’s post, let’s describe 5 of the 10 levers as put forth by the New England Healthcare Institute (NEHI) that represent high value opportunities to improve medication adherence. (more…)

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Post tags: Care coordination, Healthcare policy, Medical Home

Tags: Care coordination, Healthcare policy, Medical Home

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Medication Adherence: A Value Quadrant Opportunity? Part I

Randy Williams — Fri, 24 Jul 2009 22:59:15 +0000

Table of contents for Medication Adherence: Ten improvement levers recommended by The New England Healthcare Institute

Medication Adherence: A Value Quadrant Opportunity? Part I

I had the privilege of attending an expert round table meeting in Boston yesterday sponsored by the New England Healthcare Institute focusing on the healthcare waste associated with medication non-adherence. The conference, entitled appropriately: “Thinking Outside the Pillbox – A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease”, was a deep and thoughtful discussion led by Cliff Goodman. The blue ribbon panel included the likes of Troy Brennan, MD, Chief Medical Officer of CVS Caremark, John Fallon, MD, Chief Physician Executive of Blue Cross Blue Shield of Massachusetts, and John Halamka, MD, Chief Information Officer of Harvard Medical School, to name just a few.

The frame-up of the “problem” for discussion was a 2007 report by NEHI updating the cost estimates of poor medication adherence. Key findings in the report, entitled “Waste and Inefficiency in the Health Care System – Clinical Care: A Comprehensive Analysis in Support of System-wide Improvements” and updated in the July 2009 NEHI Research Brief on Medication Adherence for Chronic Disease include: (more…)

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