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What  Is  Healthcare  Industry?
Terminal	
  
Nursing	
  Diets	
  

Care	
  

Rehabilita2on	
  

Nursing	
  Diet	
  
Home	
  Delivery	
  

	
  
Hospital	
  Diets	
  
	
  

Drugs	
  &	
  	
  
Medicines	
  

Pa2ent	
  care	
  

Nursing	
  Industry	
  

Counseling	
  

Evalua2on	
  
Service	
  
Hospitals	
  /	
  Medical	
  
Centers	
  

Drug	
  Stores	
  /	
  	
  
Pharmacies	
  

Medical	
  Industry	
  

Measurement	
  /	
  
Monitoring	
  
Equipment	
  
Early	
  
Treatment	
  

Diet	
  

Treatment	
  
Goods	
  

Game	
  

Fitness	
  
Goods	
  

Preven2on	
  
Health	
  
Promo2on	
  

Goods	
  

Super	
  
market	
  

Diets	
  
Home	
  
Delivery	
  
Supplemen
t	
  Store	
  

Retailor	
  

Check-­‐up	
  
Center	
  

Recrea2on	
  
Center	
  

Publica2on	
  	
  

Fitness	
  
Club	
  

Relaxa2on	
  
Center	
  

Tel	
  
Consulta2on	
  

Web	
  
Magazines	
  

Healthcare	
  Industry	
  
Centers	
  

Informa2on	
  
US  Healthcare  Industry  Trend  in  2013
•  Medtech  Industry  Revenue:  2%  Growth  
US$333.9  B  (2011)  → US$339.6  B
    *based  on  sum  of  public  companies


•  Venture  Capital  Investment  on  Medtech:  19%  Decrease  
US$3.7  B  (2011)  → US$3.0  B  

 →VC’s  prefers  to  invest  on  later-­‐stage  companies  with  clearer  paths  to  exits,  due  to  
regulatory  and  pricing  pressures  in  medtech  industry.

•  Buy-­‐out  offering  for  Medtech  skyrocketed  more  than  400%  
Less  than  $1.0  B  (2011)  → US$3.7  B
US  Healthcare  Industry’s  Financing
Financing  driven  by  Debt.  IPO  very  few.
$35,000	
  	
  
$30,000	
  	
  
$25,000	
  	
  
$20,000	
  	
  
$15,000	
  	
  
$10,000	
  	
  
$5,000	
  	
  
$0	
  	
  
Millions	
  USD	

2006	
  

2007	
  

Venture	
  

2008	
  

IPO	
  

2009	
  

Follow-­‐on	
  

2010	
  

Debt	
  

2011	
  

2012	
  
The  hot-­‐spots  in  the  healthcare  industry
Digital  Health  &  So`ware  get  momentum.    
Tradiaonal  healthcare  area  struggling.
US  Digital  Health  Industry
Funding  on  Digital  Health  area  increases  by  12%
US  Digital  Health  Trends  (1/3)
5  Emerging  Themes
•  Remote  Paaent  Monitoring
•  Hospital  Administraaon
•  Analyacs  /  Big  Data
•  Electronic  Health  Record
•  Wellness
US  Digital  Health  Trends  (2/3)
Health  apps  market,  sall  small  but  growing
>  FDA  guidelines  released

US	
  mobile	
  healthcare	
  market	
  	
  	
  

	
  	
  	
  	
  	
  	
  
2012	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  $	
  1.3	
  billion	
  
2011	
  
$718M	
  
US  Digital  Health  Trends  (3/3)
Trends  from  Health  2.0
•  Self  tracking  is  mainstream

Jawbone	
  acquires	
  Bodymedia	
  
for	
  over	
  $100million	

•  Augmented  reality  being  integrated
•  Opening  health  data  on  plagorm
•  Non-­‐health  elements  are  being  considered  into  health  plans
Stress,	
  sex,	
  demographics,	
  work	
  environment,	
  mental	
  state,	
  etc	

•  Payment
FDA  medical  app  guideline
FDA  seing  guidelines  for  medical  apps
Health  web-­‐media
Health  web  media  provides  users  with  health  related  informaaon.  
Sponsorship  from  pharmaceuacals,  etc.

WebMD

EverydayHealth

Greaast

Medical  informaaon

Health  informaaon

Wellness  informaaon

Search-­‐base

Search  &  Subscripaon

Subscripaon
Health  management  service
Health  management  services  allow  users  to  record  their  acaviaes  and  
provide  feedback  for  moavaaon  and  bejer  results.
Free,  Users  pay  for  app,  Freemium,  Sponsorship

myfitnesspal

Run  keeper

Juice

Weight  loss

Exercise

Energy

Sponsorship

Freemium  >  DataSell

Freemium
Health  moavaaon  service
Health  moavaaon  services  focus  on  providing  feedback  that  moavates  the  
user  to  engage  in  healthy  acaviaes.
Freemium,  Sponsorship

SacKK

MeYou  Health

Earndit

User  define  goal

Improve  well-­‐being

Exercise

User  commits  money

Gamificaaon

Perks
Paaent  support  services
Paaent  support  services  provide  paaents  with  IT  tools  to  track,  analyze  and  
moavate  treatment
Freemium,  Sponsorship

Glooko

PaaentsLikeMe

E-­‐smbg

Record  blood  glucose

Peer  help

Feedback  from  doctor

Pay  for  cord  ($40)

Sponsorship  (data  sell)

Sponsorship  (data  sell)
Corporate  wellness
Corporate  wellness  services  provide  employees  the  moavaaon  to  be  
healthy,  and  allows  companies  to  monitor  their  acavity.
Corporate  pays  per  account

Keas

Protal  model

Wearable  model

Engage  in  teams  and  
compete

Provide  programs  and  
incenaves  for  compleaon

Provide  gadgets  to  
employees
Online  health  consultaaon/services
Online  health  consultaaon/services  allow  tradiaonal  face-­‐to-­‐face  services  
to  be  provided  online
User  pay  per  service

Fitorbit

Wello

iclniq

Text  based  support

Web-­‐cam  lessons

Video  consultaaon

$75/mo

10  classes  =  $99  -­‐  $199

$10/consultaaon
Helius:  paaent  monitoring  service
Helius:  a  healthshare  service
Clinicians,  paaents  and  families  can  use  the  real-­‐ame  informaaon  about  
medicaaon-­‐taking,  rest  and  acavity  to  make  informed  treatment  decisions.  
This  helps  people  stay  on  track  with  their  daily  care  and  keeps  healthcare  
costs  under  control.
(Doctor  prescribes)  Paaent/family  pays

paaent
family
doctor
Ares:  remote  assessment
Ares:  a  sleep  diagnosis  and  monitoring  service
Ares  provides  a  portal  and  integrated  home  sleep  technology  to  provide  
medical  professionals  a  fast,  simple  and  cost  effecave  alternaave  for  the  
diagnosis  and  treatment  of  obstrucave  sleep  apnea.
Doctor  prescribes,  paaent/family  pays

paaent

doctor
ZeOmega:  hospital  management
ZeOmega:  care  management  soluaons
ZeOmega  transforms  tradiaonal  episodic-­‐based  care  management  into  
proacave  and  collaboraave  populaaon  healthcare  management  through  
electronic  health  record  (EHR)-­‐enabled  care  plans,  point  of  care  tools,  
decision  support,  and  user-­‐configurable  workflows  for  care  management.  
Health  Plans  pay&use,  Hospital  pay&use
NANTHEALTH:  hospital  management
NANTHEALTH:  diagnosis  and  health  data  plagorm
NANTHEALTH  provides  cloud-­‐based  intelligent  clinical  operaang  systems  
that  enable  the  delivery  of  the  right  care  to  the  right  paaent  at  the  right  
ame  and  at  the  right  cost.  
Hospital  pay&use
Individual	
  decision	
  
making	
  support	
 doctors

Hospital  
management

diagnosis

data  management
decision  support

Data	
  management	
  
Popula2on	
  analysis	

Payer  
organizaaon
HealthCatalyst:  analyacs,  big  data  
HealthCatalyst:  database  plagorm  and  analyacs  service
The  Health  Catalyst  product  porgolio  consists  of  a  set  of  plagorm,  
applicaaon,  and  service  offerings  that  have  been  developed  to  meet  a  wide  
range  of  healthcare  needs.  
Hospital  pay&use

Explore	
  and	
  define	
  focus	
Define	
  pa2ent	
  popula2on	
Intervene	
  and	
  monitor
Pracace  Fusion:  ehr
Pracace  fusion:  electronic  health  record  system
Pracace  fusion  is  is  a  complete  and  fully  cerafied  electronic  health  record  
system  that  is  designed  for  small  and  mid-­‐size  physician  pracaces.
Doctors  install  for  free,    sell  data  to  pharmaceuacal
Sharecare:  wellness  service
Sharecare:  health  management  through  wellness  services
Sharecare  is  a  health  and  wellness  social  media  plagorm  that  connects  
people  with  top-­‐ranking  experts  ranging  from  doctors  and  specialists  to  
hospitals,  healthcare  companies  and  health-­‐conscious  consumers.  
Free  (Professionals  pay  per  appointment?)

Answer	
  ques2onnaires	
  
Search	
  professionals	

Receive	
  analysis	
  
Receive	
  sugges2ons	

Users

Register	
  bio	
  
Answer	
  ques2ons	

Get	
  contacts	
  
Get	
  	
  ques2ons	

Doctors
Health  tap:  wellness  service
Healthtap:  health  Q&A  app
Healthtap  connects  users  directly  with  the  best  health  informaaon  and  the  
best  doctors,  from  their  mobile  device  or  on  the  web.  It  also  helps  doctors  
ajract  new  paaents  while  also  improving  the  quality  of  health  informaaon  
online.  
Free  (Sponsorship?)
Ask	
  ques2on	
  
Request	
  appointment	
Get	
  answers	

Get	
  ques2ons	
Upload	
  bio	
  
Answer	
  ques2ons	

Users

Doctors

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Healthcare Industry Report 2013_working version 131031

  • 1. What  Is  Healthcare  Industry? Terminal   Nursing  Diets   Care   Rehabilita2on   Nursing  Diet   Home  Delivery     Hospital  Diets     Drugs  &     Medicines   Pa2ent  care   Nursing  Industry   Counseling   Evalua2on   Service   Hospitals  /  Medical   Centers   Drug  Stores  /     Pharmacies   Medical  Industry   Measurement  /   Monitoring   Equipment   Early   Treatment   Diet   Treatment   Goods   Game   Fitness   Goods   Preven2on   Health   Promo2on   Goods   Super   market   Diets   Home   Delivery   Supplemen t  Store   Retailor   Check-­‐up   Center   Recrea2on   Center   Publica2on     Fitness   Club   Relaxa2on   Center   Tel   Consulta2on   Web   Magazines   Healthcare  Industry   Centers   Informa2on  
  • 2. US  Healthcare  Industry  Trend  in  2013 •  Medtech  Industry  Revenue:  2%  Growth   US$333.9  B  (2011)  → US$339.6  B     *based  on  sum  of  public  companies •  Venture  Capital  Investment  on  Medtech:  19%  Decrease   US$3.7  B  (2011)  → US$3.0  B    →VC’s  prefers  to  invest  on  later-­‐stage  companies  with  clearer  paths  to  exits,  due  to   regulatory  and  pricing  pressures  in  medtech  industry. •  Buy-­‐out  offering  for  Medtech  skyrocketed  more  than  400%   Less  than  $1.0  B  (2011)  → US$3.7  B
  • 3. US  Healthcare  Industry’s  Financing Financing  driven  by  Debt.  IPO  very  few. $35,000     $30,000     $25,000     $20,000     $15,000     $10,000     $5,000     $0     Millions  USD 2006   2007   Venture   2008   IPO   2009   Follow-­‐on   2010   Debt   2011   2012  
  • 4. The  hot-­‐spots  in  the  healthcare  industry Digital  Health  &  So`ware  get  momentum.     Tradiaonal  healthcare  area  struggling.
  • 5. US  Digital  Health  Industry Funding  on  Digital  Health  area  increases  by  12%
  • 6. US  Digital  Health  Trends  (1/3) 5  Emerging  Themes •  Remote  Paaent  Monitoring •  Hospital  Administraaon •  Analyacs  /  Big  Data •  Electronic  Health  Record •  Wellness
  • 7. US  Digital  Health  Trends  (2/3) Health  apps  market,  sall  small  but  growing >  FDA  guidelines  released US  mobile  healthcare  market                   2012                                  $  1.3  billion   2011   $718M  
  • 8. US  Digital  Health  Trends  (3/3) Trends  from  Health  2.0 •  Self  tracking  is  mainstream Jawbone  acquires  Bodymedia   for  over  $100million •  Augmented  reality  being  integrated •  Opening  health  data  on  plagorm •  Non-­‐health  elements  are  being  considered  into  health  plans Stress,  sex,  demographics,  work  environment,  mental  state,  etc •  Payment
  • 9. FDA  medical  app  guideline FDA  seing  guidelines  for  medical  apps
  • 10. Health  web-­‐media Health  web  media  provides  users  with  health  related  informaaon.   Sponsorship  from  pharmaceuacals,  etc. WebMD EverydayHealth Greaast Medical  informaaon Health  informaaon Wellness  informaaon Search-­‐base Search  &  Subscripaon Subscripaon
  • 11. Health  management  service Health  management  services  allow  users  to  record  their  acaviaes  and   provide  feedback  for  moavaaon  and  bejer  results. Free,  Users  pay  for  app,  Freemium,  Sponsorship myfitnesspal Run  keeper Juice Weight  loss Exercise Energy Sponsorship Freemium  >  DataSell Freemium
  • 12. Health  moavaaon  service Health  moavaaon  services  focus  on  providing  feedback  that  moavates  the   user  to  engage  in  healthy  acaviaes. Freemium,  Sponsorship SacKK MeYou  Health Earndit User  define  goal Improve  well-­‐being Exercise User  commits  money Gamificaaon Perks
  • 13. Paaent  support  services Paaent  support  services  provide  paaents  with  IT  tools  to  track,  analyze  and   moavate  treatment Freemium,  Sponsorship Glooko PaaentsLikeMe E-­‐smbg Record  blood  glucose Peer  help Feedback  from  doctor Pay  for  cord  ($40) Sponsorship  (data  sell) Sponsorship  (data  sell)
  • 14. Corporate  wellness Corporate  wellness  services  provide  employees  the  moavaaon  to  be   healthy,  and  allows  companies  to  monitor  their  acavity. Corporate  pays  per  account Keas Protal  model Wearable  model Engage  in  teams  and   compete Provide  programs  and   incenaves  for  compleaon Provide  gadgets  to   employees
  • 15. Online  health  consultaaon/services Online  health  consultaaon/services  allow  tradiaonal  face-­‐to-­‐face  services   to  be  provided  online User  pay  per  service Fitorbit Wello iclniq Text  based  support Web-­‐cam  lessons Video  consultaaon $75/mo 10  classes  =  $99  -­‐  $199 $10/consultaaon
  • 16. Helius:  paaent  monitoring  service Helius:  a  healthshare  service Clinicians,  paaents  and  families  can  use  the  real-­‐ame  informaaon  about   medicaaon-­‐taking,  rest  and  acavity  to  make  informed  treatment  decisions.   This  helps  people  stay  on  track  with  their  daily  care  and  keeps  healthcare   costs  under  control. (Doctor  prescribes)  Paaent/family  pays paaent family doctor
  • 17. Ares:  remote  assessment Ares:  a  sleep  diagnosis  and  monitoring  service Ares  provides  a  portal  and  integrated  home  sleep  technology  to  provide   medical  professionals  a  fast,  simple  and  cost  effecave  alternaave  for  the   diagnosis  and  treatment  of  obstrucave  sleep  apnea. Doctor  prescribes,  paaent/family  pays paaent doctor
  • 18. ZeOmega:  hospital  management ZeOmega:  care  management  soluaons ZeOmega  transforms  tradiaonal  episodic-­‐based  care  management  into   proacave  and  collaboraave  populaaon  healthcare  management  through   electronic  health  record  (EHR)-­‐enabled  care  plans,  point  of  care  tools,   decision  support,  and  user-­‐configurable  workflows  for  care  management.   Health  Plans  pay&use,  Hospital  pay&use
  • 19. NANTHEALTH:  hospital  management NANTHEALTH:  diagnosis  and  health  data  plagorm NANTHEALTH  provides  cloud-­‐based  intelligent  clinical  operaang  systems   that  enable  the  delivery  of  the  right  care  to  the  right  paaent  at  the  right   ame  and  at  the  right  cost.   Hospital  pay&use Individual  decision   making  support doctors Hospital   management diagnosis data  management decision  support Data  management   Popula2on  analysis Payer   organizaaon
  • 20. HealthCatalyst:  analyacs,  big  data   HealthCatalyst:  database  plagorm  and  analyacs  service The  Health  Catalyst  product  porgolio  consists  of  a  set  of  plagorm,   applicaaon,  and  service  offerings  that  have  been  developed  to  meet  a  wide   range  of  healthcare  needs.   Hospital  pay&use Explore  and  define  focus Define  pa2ent  popula2on Intervene  and  monitor
  • 21. Pracace  Fusion:  ehr Pracace  fusion:  electronic  health  record  system Pracace  fusion  is  is  a  complete  and  fully  cerafied  electronic  health  record   system  that  is  designed  for  small  and  mid-­‐size  physician  pracaces. Doctors  install  for  free,    sell  data  to  pharmaceuacal
  • 22. Sharecare:  wellness  service Sharecare:  health  management  through  wellness  services Sharecare  is  a  health  and  wellness  social  media  plagorm  that  connects   people  with  top-­‐ranking  experts  ranging  from  doctors  and  specialists  to   hospitals,  healthcare  companies  and  health-­‐conscious  consumers.   Free  (Professionals  pay  per  appointment?) Answer  ques2onnaires   Search  professionals Receive  analysis   Receive  sugges2ons Users Register  bio   Answer  ques2ons Get  contacts   Get    ques2ons Doctors
  • 23. Health  tap:  wellness  service Healthtap:  health  Q&A  app Healthtap  connects  users  directly  with  the  best  health  informaaon  and  the   best  doctors,  from  their  mobile  device  or  on  the  web.  It  also  helps  doctors   ajract  new  paaents  while  also  improving  the  quality  of  health  informaaon   online.   Free  (Sponsorship?) Ask  ques2on   Request  appointment Get  answers Get  ques2ons Upload  bio   Answer  ques2ons Users Doctors