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Wellth: Financial Incentives for Improved Adherence

by Bryan Song, BA (MD/MBA Student)

Wellth combines the latest research in behavioral economics and financial incentives with a mobile health platform in order to boost medication adherence and improve health outcomes.

Brooklyn, NY Patient Power Tools!

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All Team Company Patients Physicians Mission Supporters

About this project

The problem we solve:
The biggest issue in most chronic diseases is a lack of patient adherence to evidence-based medications, diet, disease monitoring, and behaviors (e.g., daily weighing for CHF). Waste due to patient non-adherence is estimated at $250 billion. Past attempts at disease management programs, tools, and apps have failed to achieve widespread impact because they do not create the necessary motivation for patients to change their behaviors and because they require user experiences that are tedious and painful.

About our solution:
Wellth helps payers and risk-bearing providers improve chronic disease adherence and outcomes in the most scalable and effective way possible by leveraging the power of financial incentives in the form of small daily incentives coupled with longer-term, larger bonuses tied to measurable health metrics. Where other adherence solutions fall short by failing to gain adoption and sustained use, Wellth uses financial incentives to motivate patients and creates an enjoyable user experience, while simultaneously aligning incentives for patients, providers, and payers -- and Wellth.
Progress to date: Wellth has partnered with a large national insurer to run a small-scale clinical trial with 114 type 2 diabetes patients. The goal was to show that significant financial incentives drive real behavior change results. Hence, we provided the same mobile app to participants randomized to two groups, with the only difference being whether or not a “significant” financial incentive was offered for each check-in (which consisted of users uploading a photo of their medication at dosage time once per day). The intervention group was offered a total of $50 over 15 days, which we hypothesized would be “significant” and, as mentioned above, was expected to motivate adherence. For the control group, we set the low incentive to be $0.15 over 15 days, which we deemed “insignificant” as it is worth less than the stamp needed to mail a check to a user. Our trial showed a 78% increase in adherence between control and intervention arms, where we tested two levels of financial incentives.

About Our Team


Bryan Song, BA (MD/MBA Student)
Medical Student, Medical Student
Medical school: Tulane University School of Medicine
Bio: Working in the overrun clinics and hospitals in post-Katrina New Orleans, Bryan became especially passionate about improving the delivery of healthcare on a large scale and was inspired to pursue an MBA at Columbia Business School. Upon matriculating at Columbia, he joined Wellth -- a digital health startup with similarly big dreams -- as an intern before joining the company full time to affect meaningful change for patients.
Title: Medical Associate
Twitter: @wellthapp
LinkedIn: https://www.linkedin.com/company/wellth

About Our Company


Wellth
Location: Brooklyn, New York
Website: http://wellthapp.com
Twitter: @wellthapp
Other link: http://coworking.thefarmsoho.com/magazine-blog/2016/2/23/the-hottest-health-startups-in-new-york
Other link: http://www.chcs.org/highlight/winners-super-utilizer-health-innovation-challenge-adheretech-chess-wellth/
Product stage: proto
Sales: Working on it
Employees: 5-10

How We Help Patients

Wellth was founded on one observation: as the US healthcare system moved from a Fee-For-Service to a Pay-For-Performance model, one group was being left out -- the patient. With each passing year, more physicians and hospitals are awarded bonuses from health insurers and the government for making their patients healthier. This means that physicians and hospitals benefit from patients losing weight and taking their medications as prescribed. Wellth simply wants to help the patient join in on the action. Wellth brings patients to the forefront with an easy-to-use smartphone application that makes taking ownership of your health simple and fun. And with each of the key stakeholders all the same team -- the payer, the provider, and the patient, and Wellth! -- we can all strive towards the same, all-important goal: better health.

How We Help Physicians

Wellth helps physicians get the maximum effect when they prescribe medications. Using the latest in behavior change and incentive research, Wellth provides meaningful and immediate motivation for patients to take their medications as prescribed, as well as help patients set and achieve healthy lifestyle goals. Furthermore, Wellth provides physicians with critical insight into their patients’ adherence, with potential to far outperform existing methods such as patient self-report and pharmacy claims. This adherence data can also be used to drive treatment decisions, measure health outcomes, and facilitate medical research. Wellth accomplishes all of this through an unobtrusive smartphone app that minimally affects physician and staff workflows.

Challenge Mission

Mission: Wellth is a powerful, scalable, and intuitive solution that can drastically reduce healthcare costs while simultaneously improving outcomes on a national scale.
Use of funds: The $25,000 will go to patients! We want to prove our innovation works, so we will use the money as the financial rewards in a clinical trial.
Intellectual Property Status: We have contracted with a law firm to initiate the patenting process. Our intellectual property includes our core server-side, Android, and iOS code, and a range of interface elements we have produced.
FDA Status: Our innovation does not require FDA approval, as it does not directly treat or diagnose disease in patients.
Personal Message: There are many companies tackling the issue of adherence. They have developed smart pill bottles and even smart pills -- but none of them get at the fundamental issue -- engagement. Wellth is different. Wellth focuses on the patient and patient motivation. Our intuitive solution boldly aligns the incentives of everyone: the payer, the provider, the patient, and Wellth. We believe our idea will substantially lower healthcare costs and help create a healthier (and wealthier) world.

Supporters

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    05/27/2016 John Daigle - Physician

    Liked the project.

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    05/25/2016 Haley Johnson - Physician

    Liked the project.

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    05/21/2016 Anne Hubben - Medical Student

    Followed the project.

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    05/21/2016 Daniel Hoesterey - Medical Student

    Liked the project.

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    05/21/2016 Anne Hubben - Medical Student

    Liked the project.

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    05/21/2016 Daniel Hoesterey - Medical Student

    Followed the project.

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    05/20/2016 Matthew Loper - Entrepeneur

    Liked the project.

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    05/20/2016 Alec Zopf - Entrepeneur

    Liked the project.

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    05/20/2016 Matthew Loper - Entrepeneur

    Followed the project.

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    05/20/2016 Alec Zopf - Entrepeneur

    Followed the project.

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    05/18/2016 Clark Judge - Medical Student

    Followed the project.

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    05/18/2016 Lauren Rose - Other

    Liked the project.

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    05/18/2016 Evan Greif - Concerned Citizen

    Followed the project.

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    05/18/2016 Christina Zauner - Physician

    Followed the project.

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    05/18/2016 Nicholas Danford - Medical Student

    Liked the project.

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    05/18/2016 Lyle Berkowitz - Physician

    Liked the project.

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    05/18/2016 Nicholas Danford - Medical Student

    Followed the project.

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    05/18/2016 Lauren Rose - Other

    Followed the project.

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    05/18/2016 Tiffany Sia - Medical Student

    Liked the project.

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    05/18/2016 Lauren Rose - Other

    Interested in trying the project.

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    05/18/2016 Daniel Belgard - Concerned Citizen

    Liked the project.

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    05/18/2016 Tiffany Sia - Medical Student

    Followed the project.

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    05/18/2016 Christina Zauner - Physician

    Liked the project.

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    05/18/2016 Daniel Belgard - Concerned Citizen

    Followed the project.

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    05/18/2016 Clark Judge - Medical Student

    Liked the project.

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    05/18/2016 Daniel Belgard - Concerned Citizen

    Interested in trying the project.

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    05/18/2016 Evan Greif - Concerned Citizen

    Liked the project.

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    05/14/2016 Erin Mamuyac - Physician

    Liked the project.

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    05/14/2016 Erin Mamuyac - Physician

    Followed the project.

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    05/13/2016 Steven Hong - Physician

    Interested in piloting the project.

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    05/13/2016 Janet Hong - Medical Student

    Liked the project.

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    05/13/2016 Janet Hong - Medical Student

    Interested in partnership.

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    05/13/2016 PJ Reinemann - Entrepeneur

    Liked the project.

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    05/13/2016 Dae Song - Physician

    Followed the project.

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    05/13/2016 Steven Hong - Physician

    Interested in trying the project.

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    05/13/2016 Mark Loper - Entrepeneur

    Interested in trying the project.

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    05/13/2016 Janet Hong - Medical Student

    Interested in piloting the project.

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    05/13/2016 PJ Reinemann - Entrepeneur

    Interested in piloting the project.

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    05/13/2016 Dae Song - Physician

    Liked the project.

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    05/13/2016 Justin Makaila - Private

    Liked the project.

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    05/13/2016 Steven Hong - Physician

    Followed the project.

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    05/13/2016 Janet Hong - Medical Student

    Interested in trying the project.

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    05/13/2016 PJ Reinemann - Entrepeneur

    Interested in trying the project.

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    05/13/2016 Mark Loper - Entrepeneur

    Followed the project.

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    05/13/2016 Dae Song - Physician

    Interested in piloting the project.

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    05/13/2016 Steven Hong - Physician

    Liked the project.

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    05/13/2016 Mark Loper - Entrepeneur

    Liked the project.

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    05/13/2016 Janet Hong - Medical Student

    Followed the project.

  • image
    05/13/2016 PJ Reinemann - Entrepeneur

    Followed the project.

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    05/13/2016 Dae Song - Physician

    Interested in trying the project.

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    05/12/2016 Daniel Arteaga - Medical Student

    Followed the project.

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    05/12/2016 Daniel Arteaga - Medical Student

    Liked the project.

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    05/12/2016 Bryan Song - Medical Student

    Followed the project.

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    05/12/2016 Bryan Song - Medical Student

    Liked the project.

23

likes

19

Follows

2

Pilots

0

Partners

66

Interest
Score

13

Adoption
Score


Bryan Song, BA (MD/MBA Student)
Medical Student
Medical Associate
Tulane University School of Medicine

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