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美国医疗保险公司信诺(Cigna)使用AI来跟踪患者是否正在服药

2019-12-15 15:01

 

美国医疗保险公司信诺(Cigna)将开始使用人工智能来跟踪病人的药物摄入,并评估他们是否遵守治疗慢性疾病(包括糖尿病和心脏病)的处方。


这个名为Health Connect 360的工具是由快捷药方公司(Express Scripts)开发的。快捷药方公司是一家药房福利管理公司,去年以670亿美元的价格与信诺集团(Cigna)合并。Health Connect 360依赖于四个信息来源,包括药房声明、医疗、实验室和生物统计数据,这些数据是从数字医疗设备收集来的,目的是让药剂师和医生及时了解患者的情况。选择使用该服务的糖尿病患者会戴上连接的血糖仪和血压袖带,以便使用Cigna。


“想象一位药剂师的力量有一个360的一个病人,在他们看到在上个月附着在服药,但他们的血糖水平仍然高企,或低,“说Snezana马洪,副总裁和临床产品经理表达脚本。“这让他们有能力在几分钟内与病人取得联系,并更好地管理他们。”


Express Scripts说,目标是通过更好地管理病人来协调卫生保健和降低成本。


Express Scripts的数据显示,超过36%的糖尿病患者“不坚持”服药。每一个按照医嘱服药的糖尿病患者,大约可以节省2500美元的医疗费用。


Mahon说:“最终,当病人坚持治疗时,钱就会被存到支付者和会员那里。”“这种疾病没有并发症,比如肾脏问题或脚部问题,这可能需要昂贵的急诊或住院治疗和其他不必要的管理。”


美国心脏协会(American heart Association)的数据显示,八分之一的美国人表示,处方药的高成本导致他们不按时服药或推迟给心脏病患者配药。根据快捷药方公司的说法,健康通360帮助那些说自己负担不起各种疾病的药物的病人找到更便宜的替代品。


“有些病人甚至不知道,如果换到街对面的另一家药店,每三个月就能节省90美元。这些东西真的可以帮助那些需要钱的人。


Health Connect 360在50万名用户中进行了测试,将于2020年1月全面上线。

 

U.S. health insurer Cigna will start using artificial intelligence to track patients' drug intake and assess whether they are complying with their prescribed treatment for chronic diseases including diabetes and heart conditions.

The tool, called Health Connect 360, was created by Express Scripts, the pharmacy benefits manager that merged with Cigna in a $67 billion dollar deal that closed last year. Health Connect 360 relies on four sources of information including pharmacy claims, medical, lab and biometric data, collected from digital health devices to give pharmacists and doctors a timely picture of patients condition. People with diabetes who opt in to the service wear connected glucose meters and blood pressure cuffs to engage with Cigna.

"Imagine the power of a pharmacist who has a 360 view of a patient, where they see that in the last month they were adherent in taking their medication, but their blood glucose levels are still elevated, or low," said Snezana Mahon, vice president and clinical product manager at Express Scripts. "That gives them the ability, within minutes, to check in with the patient and better manage them."

The objective is to coordinate health care and reduce costs by better managing patients, Express Scripts said.

More than 36% of patients living with diabetes are "non-adherent" to their medications, according to Express Scripts. For every diabetic person who takes their medication as prescribed, roughly $2,500 is saved in health care costs.

"At the end of the day, money is being saved to payers and members when the patient stays adherent," Mahon said. "There is no complication of the disease, like kidney challenges or foot issues, which could require a costly ER visit or hospitalization and other unnecessary management.

One in eight Americans say the high cost of prescription drugs causes them to skip doses or delay refilling prescriptions for heart disease medication, according to the American Heart Association. Health Connect 360 helps those patients who say they can't afford drugs for a variety of conditions identify cheaper alternatives, according to Express Scripts.

"Some patients didn't even know they could save $90 every three months by switching to an alternative pharmacy across the street. These types of things can really help somebody who needs those dollars," Mahon said. 

Health Connect 360 was tested on a group of 500,000 members and will be made fully available in January 2020. 

原作者: Megan Cerullo 来自: CBSNews