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game changing in mhealth!
Thierry Zylberberg
Executive Vice President, Orange
General Manager, Orange Healthcare
October 2013

Orange Healthcare
agenda

1

(m)-health realities

2

what works today

3

what is game changing

4

challenges & opportunities

Orange Healthcare
1 | (m)-health realities

mhealth Grand Tour

IDF Europe & GSMA launched
the mHealth Grand Tour.
Powered by Orange.
5-18 September, 2013
2,100km total
22,000m of climbs

Orange Healthcare
1 | (m)-health realities

business model and
mhealth services

How can consumers be educated about and
persuaded to use such a service?

Who will fund these
services?

B2G or
B2B2C or
B2C?

Can pharmas
finance
services?
Why?

Does a government need to constrain the
installation of a service ?

What other kinds of
similar services
could be developed?
Orange Healthcare

Who is responsible for falsepositive consequences?

How can pharmacists
be incentivized
to positively promote
such a service?
1 | (m)-health realities

mobile Internet for health:
a tsunami of services
14,000 apps in the Apple iTunes
store related to health care

40,000

estimated mobile
health apps across
multiple platforms

247 million

people have
downloaded a
health app

Orange Healthcare
1 | (m)-health realities

health reality
3x

2x

2050

spending on long-term
care could triple by 2050

2030

doubling of the proportion
of people over 80

66

%

of seniors have at least two
chronic conditions
Orange Healthcare

75

%

of healthcare costs are due
to chronic conditions
1 | (m)-health realities

health reality

chronic conditions

85%

account for
of premature deaths
in Europe

US: growing deficit of Primary Care

5% compared to the 525,600min a year
with his illness but only
expected staff in 2015 and 9%

physicians:

240min a year with

in 2025.

4.5 below

Orange Healthcare

a patient spends

India: density of MD is
the US Density

his health professionals
1 | (m)-health realities

central question
« finding a sound business
model for mHealth amidst
countless innovations ? »
»

Orange Healthcare
2 |what works today

Orange Healthcare

from http://popstrip.com/cure-for-everything
2 |what works today

what works today
Health
Professional
Services

Orange Healthcare

remote
management

Prevention
2 |what works today

Orange Healthcare

incremental innovation
for health professional services
2 |what works today

Orange Healthcare

incremental innovation
for remote management
2 |what works today

Orange Healthcare

incremental innovation
for prevention
3 | what is game changing

central question
« finding a sound business
model for mHealth amidst
countless innovations ? »
»

Orange Healthcare
3 | what is game changing

Orange Healthcare

new usage for payers
and device manufacturers
3 | what is game changing

new usage for health pros
following patient

Orange Healthcare
3 | what is game changing

Orange Healthcare

new usage for pros
pharmacies
3 | what is game changing

Prevention &
Information

Orange Healthcare

new usage in Africa
mobile based healthcare
Claim
Management

Data collection &
Administration

Prevention &
Information
4| challenges and opportunities

Orange Healthcare

challenges and
opportunities
4| challenges and opportunities

1/

challenges and
opportunities

interoperability and scalability

Orange Healthcare

2/

Orange Healthcare

data overflow for health
professionals
4 | challenges and opportunities

3/

challenges and
opportunities

4/

reimbursement case

Orange Healthcare

Orange Healthcare

regulation
thank you

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mHealth Israel conference 2013_Orange_Thierry Zylberberg, GM of Healthcare

  • 1. game changing in mhealth! Thierry Zylberberg Executive Vice President, Orange General Manager, Orange Healthcare October 2013 Orange Healthcare
  • 2. agenda 1 (m)-health realities 2 what works today 3 what is game changing 4 challenges & opportunities Orange Healthcare
  • 3. 1 | (m)-health realities mhealth Grand Tour IDF Europe & GSMA launched the mHealth Grand Tour. Powered by Orange. 5-18 September, 2013 2,100km total 22,000m of climbs Orange Healthcare
  • 4. 1 | (m)-health realities business model and mhealth services How can consumers be educated about and persuaded to use such a service? Who will fund these services? B2G or B2B2C or B2C? Can pharmas finance services? Why? Does a government need to constrain the installation of a service ? What other kinds of similar services could be developed? Orange Healthcare Who is responsible for falsepositive consequences? How can pharmacists be incentivized to positively promote such a service?
  • 5. 1 | (m)-health realities mobile Internet for health: a tsunami of services 14,000 apps in the Apple iTunes store related to health care 40,000 estimated mobile health apps across multiple platforms 247 million people have downloaded a health app Orange Healthcare
  • 6. 1 | (m)-health realities health reality 3x 2x 2050 spending on long-term care could triple by 2050 2030 doubling of the proportion of people over 80 66 % of seniors have at least two chronic conditions Orange Healthcare 75 % of healthcare costs are due to chronic conditions
  • 7. 1 | (m)-health realities health reality chronic conditions 85% account for of premature deaths in Europe US: growing deficit of Primary Care 5% compared to the 525,600min a year with his illness but only expected staff in 2015 and 9% physicians: 240min a year with in 2025. 4.5 below Orange Healthcare a patient spends India: density of MD is the US Density his health professionals
  • 8. 1 | (m)-health realities central question « finding a sound business model for mHealth amidst countless innovations ? » » Orange Healthcare
  • 9. 2 |what works today Orange Healthcare from http://popstrip.com/cure-for-everything
  • 10. 2 |what works today what works today Health Professional Services Orange Healthcare remote management Prevention
  • 11. 2 |what works today Orange Healthcare incremental innovation for health professional services
  • 12. 2 |what works today Orange Healthcare incremental innovation for remote management
  • 13. 2 |what works today Orange Healthcare incremental innovation for prevention
  • 14. 3 | what is game changing central question « finding a sound business model for mHealth amidst countless innovations ? » » Orange Healthcare
  • 15. 3 | what is game changing Orange Healthcare new usage for payers and device manufacturers
  • 16. 3 | what is game changing new usage for health pros following patient Orange Healthcare
  • 17. 3 | what is game changing Orange Healthcare new usage for pros pharmacies
  • 18. 3 | what is game changing Prevention & Information Orange Healthcare new usage in Africa mobile based healthcare Claim Management Data collection & Administration Prevention & Information
  • 19. 4| challenges and opportunities Orange Healthcare challenges and opportunities
  • 20. 4| challenges and opportunities 1/ challenges and opportunities interoperability and scalability Orange Healthcare 2/ Orange Healthcare data overflow for health professionals
  • 21. 4 | challenges and opportunities 3/ challenges and opportunities 4/ reimbursement case Orange Healthcare Orange Healthcare regulation

Notas do Editor

  1. one could compare availability of medical care in India to that in the United States. By the most recent data, the United States has 2.672 doctors per 1,000 people, and 3.1 hospital beds per 1,000 people. India, on the other hand, has a mere 0.599 doctors and 0.9 hospital beds per 1,000 people. (source: CIA World Factbook,” Central Intelligence Agency, Accessed 1/25/2012)
  2. les prévisions toujours optimistes nous ramènent à la réalité.
  3. in this reality, m/e-health has probably a key role to play. but, we can have some doubt… and it could be very true when you are talking about m/e-health mHealth is not a new topic. But for year it has been driven by the (main) idea of cost reduction. Money was the main concern.
  4. Some examples can be taken from the three component of digital health HPS : access to PHR (rise of efficiency, increase of productivity…) Remote management: mainly call centers used by payers too manage a disease. Prevention: web sites.
  5. Globally, more people have access to a mobile device than have access to drinking water, electricity or a toothbrush. 80% of the world’s population has access to safe drinking water (BBC News, 2011) 81% of the world’s population has access to electricity (WEO, 2011) “Right now there are more mobile phones than toothbrushes”. Just under just under 6 billion mobile devices being used worldwide. (Institution of Engineering and Technology, 2011; Dr. Mike Short example : epidemilogical survey.
  6. les prévisions toujours optimistes nous ramènent à la réalité.
  7. French example
  8. Connected devices: you look after your patient on a day to day basis, it’s a new service. If you interact with him, studies tends to demonstrate compliance and good behaviour last at least 3 times more.
  9. Prevention & Information: Duty CHemist & Healthlines Claim Management: carteO Data Collection & Administration: birth declaration, Djobi, Voices Tele expertise: mobile baby, tele dermato, etc