Shot of Digital Health Therapy

Innes Meldrum : The Adherence Architect on Tech, Trust & Braveheart Leadership


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What do William Wallace, smart pill bottles, and pharma sales have in common?They all showed up in this week's #TheShot of #DigitalHealth Therapy. Jim Joyce and I had a chat with Innes Meldrum - Scottish-born, New Jersey-rooted CEO of AdhereTech. Innes unpacks his journey from flunking high school to running $Big brands and now cracking one of healthcare’s stickiest problems: medication adherence. We covered:


🤖 Tech vs. human behavior in adherence

🧩 Pharma’s paradox (have to watch to get more)

🧠 Leadership = authenticity + heart

🫥 Tech must be invisible for patients

📈 Adherence is greater than acquisition in long run


Big lessons. Big heart. Big impact.


🎧 Listen now and learn why belief might just be your biggest asset.


Fun mentions as always: Josh Stein Dave Griffiths 🇮🇪 Kaiser Permanente YourCoach.Health


00:00 – 03:00 — Opening Banter & Setup


Eugene, Jim & Innes kick things off across time zones with laughs and backstory.

03:00 – 08:00 — From Scotland to Kentucky


Innes shares his multicultural roots, flunking high school, and a summer teaching soccer in the US.

08:00 – 14:00 — Career Leap: Tech to Pharma


The unexpected journey from engineering at Nortel to global marketing at Novartis.

14:00 – 18:00 — Mental Health & Authentic Leadership


How neuroscience drew Innes in—and why emotional connection is key to commercial success.

18:00 – 22:00 — Joining AdhereTech


Why Innes took the CEO seat and what surprised him when he arrived.

22:00 – 27:00 — Solving the Adherence Problem


A dive into AdhereTech’s smart pill bottle and how it’s changing patient behavior.

27:00 – 32:00 — Pharma Economics & Ownership Gaps


The financial burden of non-adherence—and who really owns the problem in healthcare.

32:00 – 36:00 — Stress, Behavior, and Health Coaching


Exploring the real reasons patients don’t take meds—and how health coaching can help.

36:00 – 41:00 — Resilience & System Innovation


Innes reflects on leadership growth, system constraints, and building a startup culture.

41:00 – 45:00 — Future Vision & Final Advice


A keynote moment: belief, purpose, and what Innes would tell his younger self.

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Shot of Digital Health TherapyBy Eugene Borukhovich and Jim Joyce

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