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Insurance

Medication adherence and insurance costs

Medication non-adherence can increase avoidable complications, wasted prescriptions, and preventable care costs for health systems.

Insurer cost opportunity

CHF 174mof the 2024 savings target remains open

Helsana's 2025 report points to a gap insurers can make actionable with earlier medication-routine signals, targeted support, and cost-aware adherence workflows.

Make adherence risk visible earlier

Daily intake records give prevention teams a signal before claims data arrives late.

Focus support where it matters

Exception-based workflows help insurers route coaching to members and medicines with visible routine risk.

Connect routines to cost-aware care

Substitution and refill conversations become easier to support when medication routines are clear.

Open savings opportunity

CHF 174m still open against the target

Target

CHF 250m

70%

CHF 174m still open

Realized

CHF 76m

Still open

CHF 174m

Substitution potential

CHF 65m

Helsana figures describe Swiss medication-cost and substitution context. They are not measured Adherlo outcome data.

Prevention depends on consistent intake

For chronic conditions, medication only delivers value when it is taken consistently. Better adherence can support preventive care strategies.

Aggregated insights reveal risk patterns

Population-level adherence trends can help insurers identify where education, support, or targeted programs may reduce avoidable costs.

Patient trust remains essential

Insurance programs should be transparent about data use and focus on support, not punishment, if they want durable engagement.

Explore adherence partnerships

Adherlo works with partners interested in better adherence, patient support, and data-informed prevention.