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“Medication is one of the most expensive parts of patient care, yet healthcare providers can’t always ensure patients are on the right regimen and taking medication as prescribed. Solving medication non-adherence would radically transform healthcare. This intervention hits multiple endpoints: health outcomes, costs, and the patient’s quality of life,” according to Sebastian Seiguer, Chief Executive Officer, emocha Health.

emocha Health is a service provider at the marcus evans ACO & Payer Leadership Summit 2022.

Why is taking medication properly a challenge for some patients?

It is a complicated problem. Many people assume the problem is behavioral only, that some patients are just forgetful, but it is not that simple. A medication may not be the best one for the patient, or it might conflict with other medications they are on. There are also social determinants of health. Can they afford medication? Can they access the healthcare system often enough to get or change medication?

When is assessment of medication technique necessary?

For some medications, the administration or technique is as important as the medication itself. Take asthma. Corticosteroids don’t work as well if they are not delivered into the lungs. The breathing technique is not instinctive for human beings. It needs to be taught almost like a physical skill. It is the same for injecting insulin for diabetes. Timing is also important. Each medication and condition are different.

How can increasing adherence lower hospital admissions and ER visits thereby reducing cost of care? 

Poor medication adherence leads to 33-69 percent of hospital readmissions, and results in a 2.5 times higher chance of a 30-day readmission. For many chronic conditions, medications are a very important part of managing the disease. We know that the medications are effective, clinical trials proved that, but they are only effective if properly taken.

How can increasing adherence impact quality metrics? 

Using technology and human engagement to solve medication non-adherence issues is one of the lowest hanging fruit in healthcare today. The good news is that one solution has been shown to establish a really high rate of adherence, and that is direct observation. emocha has a proven solution that improves the outcomes of people treated with medications by leveraging human engagement and asynchronous technology to directly observe their therapy. 

Having a person who is there for the patient, for a certain amount of time, who can make sure they are taking the right medication properly and consistently, until it becomes a habit, is a cornerstone of directly observed therapy. This can take 30 days or 60 days, but it needs to be done until the patient can self-manage. When that is established, monitoring can continue more passively, especially for those having the most trouble, by tracking if they refill their medication every month, for example.

In short, true medication adherence support is not only possible, it is ideal. Improving medication adherence should be a top priority for risk-bearing healthcare entities.


Ahead of the marcus evans ACO & Payer Leadership Summit 2022, Sebastian Seiguer discusses why medication adherence should be a top priority for payers and ACOs. 

Sebastian Seiguer

Chief Executive Officer

emocha Health

How Solving Medication Non-Adherence Would Radically Transform Healthcare

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About the ACO & Payer Leadership Summit 2022

The ACO & Payer Leadership Summit is an invitation-only, premium Summit bringing senior level executives from both public and private health insurance plans, ACOs, integrated hospital systems and independent physician groups and innovative suppliers and solution providers together. The Summit’s content is aligned with key ACO & Payer related challenges and interests, relevant market developments, and practical and progressive ideas and strategies adopted by successful pioneers.

About emocha Health

emocha Health (emocha) improves medication adherence through asynchronous video technology and scalable, personalized human engagement. As a Johns Hopkins University spin-out, emocha is grounded in clinical care and health outcomes improvement. By helping health plan and ACO members take the right medication at the right time, we help your organization meet quality metrics and improve health outcomes in less than 90 days.

emocha is a category 1 mobile medical application registered with the FDA.