1 | arvato Healthcare | 09. Juni 2014

2 | arvato Healthcare | 09. Juni 2014 Medication Management Innovative care management for better adherence

Agenda 1.arvato CRM Healthcare 2.Key challenges for health insurances 3.Medication Management Concept 4.Results and benefits

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

Notable healthcare companies rely on arvato pharmacos/biopharmacoshealth insurancesmedtechs revenue: 140 Mio. € employees : (in europe) shipping pharmacies

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

arvato solutions

arvato offers a proven portfolio of flexible solutions for health insurances

Agenda 1.arvato CRM Healthcare 2.Key challenges for health insurances 3.Medication Management Concept 4.Results and benefits

1. Aging Population2. Rising financial deficits3. Personalized medicine 4. Patient engagement 5. Data handling Key challenges for the health insurances in the near future Key challenges Percentage of the population over 65 years in Europe

Payors must optimize their HC management due to financial deficits and growing widespread diseases Financial Gap rising… …and challenges evident  Statutory Health Insurance will face financial deficits from 2014 onwards, again  Payors not going for priceleadership but healthcaremanagement to drive efficiency in care Source: Federal Ministry of Health (2012), AOK, vdek, IMS Health (2013)  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

Agenda 1.arvato CRM Healthcare 2.Key challenges for health insurances 3.Medication Management Concept 4.Results and benefits

Medication Management of arvato At first analytics and a predictive model of arvato identify patients and indications. Thereafter care management increases adherence of the patients. Health insurance companies Anonymized claim data of all patients List of potential patients Patient Registered patients Call-based care management (adherence) Analytics and Service Center platform Data of patient

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

StructuresKnowledge AcceptanceMorbidity The scoring model based on three columns Score retroperspective impact factors patient service data prognosis development MPR Patient Service Data Retro perspective Impact Factors Morbidity Medi- cation Medical Care Demo- graphy Adherence prognosis: MPR ≤ 0,8

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

Next step: Involving the doctor in the concept of Medication Management Health insurance Drug A  Drug B  Drug C  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. 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 Exchange of information Patient  Definition of the preferred communication channel and the service intervals  Contacting the doctor in cases of risks or changes Pharmaceutical Service Center (arvato)  Regular monitoring of interactions and side effects  Increase compliance of therapy  Support for drug changes (e.g. generics)  Secondary prevention  App Medication list Drug A  Drug B  Drug C  Possible care topics Topic X  Topic Y  1x per month Adherence check cc: to me 1x per quarter

Multi Channel offerings for a high acceptance and 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.

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

Agenda 1.arvato CRM Healthcare 2.Key challenges for health insurances 3.Medication Management Concept 4.Results and benefits

Medication Management causes a significant increase in adherence First results in adherence of the participants in Medication Management +10% +93%  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

1. Care for chronically ill people 2. Cost reducing 3. Offers personalized medical care 4. Multi channel communication 5. Secure data (Trust Center) and analytics (Predictive modeling) 1. Aging Population2. Rising financial deficits3. Personalized medicine 4. Patient engagement 5. Data handling Medication Management is a great opportunity for the health insurances to answer their key challenges Key challengesCustomer Benefits MedicationManagement

23 | arvato Healthcare | 09. Juni 2014 Contact: Dr. Jens Härtel Vice President Phone: Mobile