Non-adherence - or not taking medication as prescribed - affects everyone in the healthcare industry and leads to over $300 billion in wasteful spending in the United States each year.
Medication doesn't work if it isn't taken. No demographic is immune, including doctors themselves, and the best way to improve adherence is with a suite of tools tailored to the patient's needs. Technology alone cannot affect change, but together we can use the uBox to provide timely, actionable information to those vested in a patient's care, saving costs and lives.
The uBox is a smart pillbox that improves medication adherence by
The uBox web portal allows for viewing adherence data at the micro-, meso-, and macro-scales to aid both personal and population health management efforts.
Non-adherence affects every aspect of our healthcare system today. While different stakeholders have different needs, the uBox by Abiogenix was designed to address the problem in a variety of ways to provide a customized solution. Click on the headings below to learn more about how we address each customers' needs.
As the American Care Act and new Medicare rules take effect, hospitals are under increasing financial pressure to provide quality care for less. One effect of these new regulations is that care provided less than 30 days after a patient is discharged will no longer be reimbursable by Medicare. Medication non-adherence is a leading cause of readmission, so hospitals now have an extra incentive to help their patients follow their new regimens closely. The uBox can support their goal to reduce the incidence of readmissions by helping the patients remember their dosing schedule and by notifying a case manager if a dose has been missed. This allows for efficient allocation of that healthworker's time to tend to the patients who need their help the most.
Healthy patients mean fewer expenditures for health plan providers in the long run. When medication regimens are properly adhered to, the incidence of avoidable secondary procedures is greatly reduced. As healthcare costs rise, improving medication non-adherence is a significant way of reducing overall expenditures and improving the bottom line. As more plans explore the benefits of systems like managed care, proactive dollars spent on health now lead to greater savings down the road.
Retail pharmacies lose billions of dollars in revenue due to unfilled prescriptions every year. A typical patient who misses an average of four doses per month effectively "forgets" one month of medication per year. By reminding patients of doses due and time to refill, the uBox will help recoup these lost dollars.
The uBox supports specialty pharmacies by aiding distribution efforts and ensuring that these critical medications are properly dispensed. Care staff can be notified sooner rather than later if a patient decides to take a drug holiday.
Research pharmacies take advantage of the data collection ability of the uBox to gather accurate real-world data for use in studies and trials.
Addiction recovery treatment has a unique need for limitation of medication, rather than promotion as in the case of other medications. The uBox can meet this need with its robust design that is tamper-resistant and evident, as well as with its secure locking mechanism that will not allow a dose to be dispensed any earlier than it is due.
ALFs and the like particularly need to allocate limited staff resources efficiently, while keeping their residents healthy. In this scenario, the uBox is uniquely equipped to provide information on caregiver visits with patients by using it in conjunction with the uKey. From this data, supervisors can see which patients are requiring the most caregiver-hours, or which caregivers are more effective in their care, and use this information to educate and support their staff where needed.
The uBox is a valuable tool for research and trials, such as Phase II-IV clinical trials for a pharmaceutical company's latest drug. The data gathered is objective and accurate, and provides insight into real-life medication-taking behaviors.
Many non-profits have developed models for distributing medication to those in need, but what happens once it gets there? Are the right patients actually receiving their medication, are they taking it properly, or is it being sold on the black market? The uBox's data-recording and dose restriction features work together to answer both of these questions.
Sara is responsible for the mechanical design and development of the uBox, along with managing the business. Sara is a Mechanical Engineer by trade and training, and a caregiver by nature. After graduating from MIT with a Master’s in 2004, she has worked as a freelance engineer and product designer for a variety of leading technology companies in healthcare and consumer products. She is now dedicated to supporting as many people as possible with the uBox – both in the products use, and by breaking down the barriers and stigma that pervade mental health. She was recognized by the United Nations as one of Ten Women To Watch in 2014. Sara lives in San Francisco with her husband, and dogs Bunny & Billie.
'Greddy' devised the overall architecture of the uBox system, including designing the electronics and firmware of the uBox. Greddy holds past EE design experience from working with the Biomechatronics Group at the MIT Media Lab. He also has relevant developing-world experience from Developing World Prosthetics, a non-profit he co-founded to improve low-cost rehabilitation devices. Greddy received a Master’s (EECS) and dual-major Bachelor’s in Mathematics and EECS from MIT. He is deeply passionate about using the uBox to affect positive behavior change, and make an authentic impact on improving people’s health and lives. Greddy lives in Chicago, and enjoys kitesurfing and chai.