Conferência Brasil-Alemanha: SyteInstitute e EmpreenderSaúde

1. Opportunities
and Challenges
for eHealth in
Brazil

2. The most relevant resource for news,
information and networking for
healthcare in Latin America.
It discusses relevant issues in Business,
Technology, Innovation and
Entrepreneurship, in order to provide
empowerment and inspiration for
the leaders in the sector, helping them
to make better decisions.
Empreender Saúde was created in
2010 by physicians and it is based in
São Paulo, and now it’s part of the ES
Media group.
It impacts more than 30k people
monthly in its proprietary events and
digital channels.

3. Who is talking to us? All the healthcare stakeholders are connected through our platform

4. Market Position Readers are looking for who is similar to them, that’s why they go for niched channels (new
media). By adopting this approach, ES keeps growing fast and has become a reference in
Business and Technology in Healthcare.
1º Main reference
in Brazil
source: alexa, google analytics
208%
Growth in 2014

5. Dear and Happy Customers A diverse number of clients, with different goals and businesses

6. Overall Challenges in Brazil to start a Company
- High and Complex Tax Load
- Poorly-qualified workforce
- Hard to open and hard to close a company
- High-cost employee benefits over equity
- Scarce venture capital investment and risk-averse culture
- Impossible to take an IP out of university
- Logistics and Infrastructure (trucks and ports)
- Tech: Non-API’s ecosystem
- Boletos and Installments are must haves
- 3G is really 1G
Source: Brazil Startup Report

7. Overall Opportunities in Brazil to start a Company
- Brazil is the gateway to success in Latin America
- Internet Population is high 50% (India: 13%)
- Mobile Phone Penetration is even higher 126% (US:106%)
- Credit card Penetration 69% (US: 71%)
- Facebook Penetration: 35% (India: 5%)
- Buscapé: Acquired by the giant Naspers for US$ 342mi
- PeixeUrbano: Acquired by Baidu, chinese giant
Source: Brazil Startup Report

9. Overall Challenges for eHealth in Brazil
- No major solution uses terminologies (HL7, openEHR, Snowmed)
- Even government solutions lacks integrations (DATASUS)
- Poorly-skilled workforce for Health Informatics (small number)
- IT Infra-structure is very very bad
- IT is supportive, not strategic
- Legislation in medicine is clueless and dark (telemedicine is
Skype)
- Government is more worried about Cuban doctors than eHealth
- Hospital adoption of EMRs is slow (less than 10%)
- Payment models take risk from the person, decreasing needs for
B2C solutions

10. Overall Opportunities for eHealth in Brazil
- Brazil has a fast-growing healthcare sector (9-10,2% of GDP, 15%
CAGR)
- UnitedHealth bought Amil - it eases integration for foreigners
- Almost 400k physicians, and still lacking (telemedicine?)
- 4th largest pharmaceutical market in 2016 (Walgreens, CVS entering
the market)
!
- The market is interesting for global players - Cerner/Einstein Hospital
- But Local and interesting companies are starting to appear:
- MinhaVida (~WebMD): 15M in rev, invested by Intel Capital
- MV (EMR): 100M in rev; Bionexo (buying platform), 25M in rev,
both invested by Insight Venture Partners
- Local differences are barriers for new entrants: Qualicorp: 600M,
38% EBITDA

11. VITOR ASSEITUNO
+55 11 99281 3555
vitor@empreendersaude.com.br