eMedonline for Disease Management
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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