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Over 45% of noninstitutionalized Americans have one or more chronic conditions and their
direct health care costs account for more than 83% of the $1.4 trillion spent on health
care in the U.S. annually. The aging of the population, greater longevity, and medical
advances mean that people are living longer with chronic illnesses. Medication is an
efficient therapeutic strategy for treating chronic illnesses. However, the average rate
of compliance with prescribed medications is only 50% after one year and continues to decline.
Nearly 25% of all nursing home admissions and 25%-28% of all hospitalizations are due to
noncompliance with medications. eMedonline is designed to facilitate “aging in place” and
reduce the need for institutionalized care. Providing the additional service of medication
compliance monitoring can save 20-40% of the total health care costs and as much as 90% of
long-term care costs. (Pharmacists Society of the State of New York)
According to a study by Medco Health Solutions, every $1 spent on medication for diabetes
patients saves $7 in medical costs—and noncompliant patients are twice as likely to be
hospitalized. There are similar cost savings for other chronic diseases such as high
cholesterol and hypertension. For high cholesterol patients, every $1 spent on medication
saves $5.10 in medical costs. For hypertensive patients, every $1 spent on medication
saves $3.98 in medical costs.
An average reduction of just 12 to 13 points in systolic blood pressure over four years of
follow-up is associated with a 21% reduction in coronary heart disease, a 37% reduction in
stroke, a 25% reduction in total cardiovascular disease deaths and a 13% reduction in overall
death rates.
eMedonline is an efficient and effective disease management tool. It goes beyond reminding
patients to take their medications. It also allows them to easily monitor their conditions,
symptoms, treatment-associated side effects, and overall well-being. Patients in NIH-sponsored
studies report that it makes them feel more confident that they will be able to manage their
illnesses. The compliance data collected helps providers and clinicians monitor health status
and deliver better care, resulting in better outcomes for the patient and lower healthcare
utilization costs for the payer.
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