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RESCRIBE
GoKart 600
GoKart 600 Race Day | 01.06.17
3
the team
GUEST RACER:
KELLY GROEHLER
4
THERE’S A CRAP TON OF UNUSED, UNEXPIRED MEDICINE IN
OUR COUNTRY.
the problem
5
$5 BILLION OF UNUSED PRESCRIPTION
MEDICATION GOES TO WASTE ANNUALLY
the problem
6
98% OF THE PEOPLE WE SURVEYED SAID THEY’VE HAD
A PRESCRIPTION MEDICATION GO UNUSED.
the problem
“I’M TRYING TO FIGURE OUT WHAT TO DO WITH MY EXPIRED
MEDICATIONS. I’M LOOKING AT WHERE TO SAFELY DISPOSE OF
THEM…”
ANONYMOUS SURVEY RESPONDENT
NOT ONLY DOES THIS PREVENT PEOPLE
IN NEED FROM HEALING, IT
CONTAMINATES OUR LANDFILLS AND
WATER SYSTEMS, PUTTING US ALL AT
RISK.
7
the problem
8
THERE’S ALSO A CRAP TON OF PEOPLE WHO CAN’T GET THE
MEDS THEY NEED.
the problem
9
the problem
1 IN 4
PEOPLE IN THE U.S. STRUGGLE TO
AFFORD THEIR PRESCRIPTIONS
50M
WORKING-AGE AMERICANS
SKIP FILLING PRESCRIPTIONS
DUE TO COST
— monica
“MY DOSAGE WAS RECENTLY
CHANGED, AND I WAS LEFT WITH A
$10,000 PRESCRIPTION I COULDN’T
USE. I’M HANGING ONTO IT. IF MY
PLAN CHANGES AND THE CURRENT
PRESCRIPTION IS NO LONGER
APPROVED, THEN I HAVE EXTRA.
EVEN THOUGH IT’S NO LONGER THE
RIGHT DOSE, I’LL TAKE IT.”
THE NEW “GOOD SAMARITAN” LEGISLATION
ACROSS 40 STATES PROVIDES LEGAL
PROTECTIONS FOR ORGANIZATIONS AND
INDIVIDUALS THAT DONATE UNOPENED
MEDICATIONS.
11
why now?
MEDICATION DONATION IS NOW A VIABLE AND
FINANCIALLY BENEFICIAL ALTERNATIVE TO
DESTRUCTION.
12
why now?
13
why now?
WE CALLED IOWA . . .
- $20M IN MEDS
REDISTRIBUTED
- 75K PEOPLE RECEIVED FREE
MEDS
- $140M IN STATE SAVINGS
- IN EFFECT FOR 10 YEARS
HOW MIGHT WE GET UNOPENED, UNEXPIRED
MEDICATIONS TO THOSE WHO CAN’T AFFORD
THEIR TREATMENTS, WHILE ALSO CREATING A
SAFER, HEALTHIER ENVIRONMENT?
14
how might we?
Giving unexpired prescriptions a second life.
FOR PATIENTS WITH PRESCRIPTION DRUGS AND THEIR CAREGIVERS
WHO HAVE UNOPENED, UNEXPIRED MEDICATION, RESCRIBE IS A
PHARMACEUTICAL EXCHANGE PROGRAM THAT GIVES SAFE,
AFFORDABLE, CONVENIENT ACCESS TO UNUSED DRUGS.
UNLIKE WASTEFUL DISPOSAL METHODS, WHEN YOU DONATE YOUR
MEDICATION TO RESCRIBE, YOU HELP OTHERS AS WELL AS THE
ENVIRONMENT.
X
X
X
X
X
X
X
24
rescribe: benefits
DONATING FACILITIES
Ensure patient access to the right medications
Social responsibility and reputation
Decrease in environmental waste and contamination
Reduce financial waste of improperly used medicines
THE ECONOMY &
ENVIRONMENT
PRESCRIBING DOCTORS
Increased potential for their patients to use prescribed
treatments
Lower risk (financial & reputation)
Access to unused, more affordable medications
Peace of mind in donating unused medicines instead
of improperly disposing
PATIENTS & FAMILIES
25
WE’RE NOT ALONE (KINDA)
This is aimed at
making pharmacies
more profitable
26
WE’RE NOT ALONE (KINDA)
Sirum rules out
donations by
individuals
27
REVENU
E OPERATIONS
Prescription Handling Fees
Foundation Grants/Donations
Gain Shares on State Cost Savings Online Inventory/Ordering Platform
Employee/Labor
Facility, Delivery & Disposal
$ 4.8M $300K*
year one
* BECAUSE IOWA SAID
28
PRESCRIPTION HANDLING
FEES
GAIN SHARES ON STATE COST
SAVINGS
Year One Prescription Goals = 9,400*
0.5% Gain Shares = $4.5M
Medicare Spend on Cancer in MN = $324M
Total Cost Savings to the MN System = $89.6M
$ 329K $4.5M
revenue streams
* ADJUSTED FOR WHAT IOWA SAID
Cost Paid by Patient/Prescription = $35.00**
** BASED ON LEGAL PRICING POLICY
Dual Eligibility in Hennepin County = 151,000
29
the ask
7-WEEK PILOT
7 weeks:
— 1 week of planning
— 4 weeks of pilot
— 2 weeks for final recommendation
1 donating facility in Hennepin County (long-term care
facility, etc.)
Limit scope to chronic cancer treatment medications
How many matches can we get?
How many donations can we get?


What can we learn about the financial model?
What can we decide about the operations/logistics?
What are the policy and regulatory issues we need to
address and navigate?
PILOT OUTCOMES
THE TEAM
Solution Leader: Adam Dole
Operations / Logistics: Chad Gillard & Elli Rader
Potential support from development & design (TBD)
Pilot report-out in week 7 with recommended next
steps
FINAL RECOMMENDATION
Giving unexpired prescriptions a second life.

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GK 600: Rescribe

  • 2. GoKart 600 Race Day | 01.06.17
  • 4. 4 THERE’S A CRAP TON OF UNUSED, UNEXPIRED MEDICINE IN OUR COUNTRY. the problem
  • 5. 5 $5 BILLION OF UNUSED PRESCRIPTION MEDICATION GOES TO WASTE ANNUALLY the problem
  • 6. 6 98% OF THE PEOPLE WE SURVEYED SAID THEY’VE HAD A PRESCRIPTION MEDICATION GO UNUSED. the problem “I’M TRYING TO FIGURE OUT WHAT TO DO WITH MY EXPIRED MEDICATIONS. I’M LOOKING AT WHERE TO SAFELY DISPOSE OF THEM…” ANONYMOUS SURVEY RESPONDENT
  • 7. NOT ONLY DOES THIS PREVENT PEOPLE IN NEED FROM HEALING, IT CONTAMINATES OUR LANDFILLS AND WATER SYSTEMS, PUTTING US ALL AT RISK. 7 the problem
  • 8. 8 THERE’S ALSO A CRAP TON OF PEOPLE WHO CAN’T GET THE MEDS THEY NEED. the problem
  • 9. 9 the problem 1 IN 4 PEOPLE IN THE U.S. STRUGGLE TO AFFORD THEIR PRESCRIPTIONS 50M WORKING-AGE AMERICANS SKIP FILLING PRESCRIPTIONS DUE TO COST
  • 10. — monica “MY DOSAGE WAS RECENTLY CHANGED, AND I WAS LEFT WITH A $10,000 PRESCRIPTION I COULDN’T USE. I’M HANGING ONTO IT. IF MY PLAN CHANGES AND THE CURRENT PRESCRIPTION IS NO LONGER APPROVED, THEN I HAVE EXTRA. EVEN THOUGH IT’S NO LONGER THE RIGHT DOSE, I’LL TAKE IT.”
  • 11. THE NEW “GOOD SAMARITAN” LEGISLATION ACROSS 40 STATES PROVIDES LEGAL PROTECTIONS FOR ORGANIZATIONS AND INDIVIDUALS THAT DONATE UNOPENED MEDICATIONS. 11 why now?
  • 12. MEDICATION DONATION IS NOW A VIABLE AND FINANCIALLY BENEFICIAL ALTERNATIVE TO DESTRUCTION. 12 why now?
  • 13. 13 why now? WE CALLED IOWA . . . - $20M IN MEDS REDISTRIBUTED - 75K PEOPLE RECEIVED FREE MEDS - $140M IN STATE SAVINGS - IN EFFECT FOR 10 YEARS
  • 14. HOW MIGHT WE GET UNOPENED, UNEXPIRED MEDICATIONS TO THOSE WHO CAN’T AFFORD THEIR TREATMENTS, WHILE ALSO CREATING A SAFER, HEALTHIER ENVIRONMENT? 14 how might we?
  • 16. FOR PATIENTS WITH PRESCRIPTION DRUGS AND THEIR CAREGIVERS WHO HAVE UNOPENED, UNEXPIRED MEDICATION, RESCRIBE IS A PHARMACEUTICAL EXCHANGE PROGRAM THAT GIVES SAFE, AFFORDABLE, CONVENIENT ACCESS TO UNUSED DRUGS. UNLIKE WASTEFUL DISPOSAL METHODS, WHEN YOU DONATE YOUR MEDICATION TO RESCRIBE, YOU HELP OTHERS AS WELL AS THE ENVIRONMENT.
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  • 24. 24 rescribe: benefits DONATING FACILITIES Ensure patient access to the right medications Social responsibility and reputation Decrease in environmental waste and contamination Reduce financial waste of improperly used medicines THE ECONOMY & ENVIRONMENT PRESCRIBING DOCTORS Increased potential for their patients to use prescribed treatments Lower risk (financial & reputation) Access to unused, more affordable medications Peace of mind in donating unused medicines instead of improperly disposing PATIENTS & FAMILIES
  • 25. 25 WE’RE NOT ALONE (KINDA) This is aimed at making pharmacies more profitable
  • 26. 26 WE’RE NOT ALONE (KINDA) Sirum rules out donations by individuals
  • 27. 27 REVENU E OPERATIONS Prescription Handling Fees Foundation Grants/Donations Gain Shares on State Cost Savings Online Inventory/Ordering Platform Employee/Labor Facility, Delivery & Disposal $ 4.8M $300K* year one * BECAUSE IOWA SAID
  • 28. 28 PRESCRIPTION HANDLING FEES GAIN SHARES ON STATE COST SAVINGS Year One Prescription Goals = 9,400* 0.5% Gain Shares = $4.5M Medicare Spend on Cancer in MN = $324M Total Cost Savings to the MN System = $89.6M $ 329K $4.5M revenue streams * ADJUSTED FOR WHAT IOWA SAID Cost Paid by Patient/Prescription = $35.00** ** BASED ON LEGAL PRICING POLICY Dual Eligibility in Hennepin County = 151,000
  • 29. 29 the ask 7-WEEK PILOT 7 weeks: — 1 week of planning — 4 weeks of pilot — 2 weeks for final recommendation 1 donating facility in Hennepin County (long-term care facility, etc.) Limit scope to chronic cancer treatment medications How many matches can we get? How many donations can we get? 
 What can we learn about the financial model? What can we decide about the operations/logistics? What are the policy and regulatory issues we need to address and navigate? PILOT OUTCOMES THE TEAM Solution Leader: Adam Dole Operations / Logistics: Chad Gillard & Elli Rader Potential support from development & design (TBD) Pilot report-out in week 7 with recommended next steps FINAL RECOMMENDATION