The Global Tilt and Why You Must Rethink the Future of Medical Technology - Thomas Loarie, eMedonline

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The Global Tilt and Why You Must Rethink the Future of Medical Technology - Keynote Presentation delivered by Thomas M. Loarie, Executive Chairman, eMedonline at the marcus evans Medical Device Manufacturing and R&D Spring Summits, held in Las Vegas, NV

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The Global Tilt and Why You Must Rethink the Future of Medical Technology - Thomas Loarie, eMedonline

  1. 1. RESET: The Global Tilt - Why You Must Rethink the FutureWhy You Must Rethink the Future of Medical Technology . Marcus Evans June 26, 2014 Thomas M. Loarie, Executive Chairman
  2. 2. eMedonline Medication Therapy Management PlatformMedication Therapy Management Platform • Designed from the patient out Value propositions• Value propositions • Proven behavior change • Data and analytics • Scientifically based (Parks) • 98% Compliance98% Compliance • 10 controlled clinical studies • Managing patients taking up to 27 meds/day 2 7/1/2014
  3. 3. eMedonline 3 7/1/2014
  4. 4. Markets • Care Transition C C• Chronic Care Management • Specialty Pharma • Clinical Trials • Analytics for Pharma & Providers 4 7/1/2014
  5. 5. Road Map • The Evolution of Healthcare in My Lifetime • Global Drivers of Transformation • Reactions to Forces • Foundation of Globalization• Foundation of Globalization • Future Medtech Opportunities • What Does This Mean for You? 5 7/1/2014
  6. 6. Transforming Events 1960-2014 •For Profit Hospitals House Calls Hospital •HMOs •Hospitals M&A •Segmentation •Doc in the Box M&A 1970 1980 1990 2000 20101960 Health Reform
  7. 7. Transforming Events 1960-2014 Cuts in Funding to AeroDefense •Health Reform •TEFRA •DRGs i •Kessler FDA •M&A •ACOs •M&A Hospitals FDA A t •Segmentation •Marketing M&A Globalization •FDA Act Transforming Events 1960-2014 1970 1980 1990 2000 20101960 Social Security Act of •FDA Modernization Act CMS takes front seat •The Great Recession •Implosion of Venture Capital •GoldStandard •Emergence of Multi NationalAct of 1965 •CMS takes front seat Venture CapitalMulti-National
  8. 8. 8 7/1/2014
  9. 9. Global Drivers of Transformation • Technological advances • Demographic changesg p g • Global Networks • Global economic shifts • Urbanization • Resource scarcityy • Climate 9 7/1/2014
  10. 10. 10 7/1/2014
  11. 11. Global Population 1950 - 2050 11 7/1/2014
  12. 12. Death of Silos & Growth of Global NetworksNetworks 12 7/1/2014
  13. 13. Virtual currency and payment systemssystems 13 7/1/2014
  14. 14. US Companies are Broken Many Don’t Know ItMany Don t Know It 14 7/1/2014
  15. 15. Forces Disrupting the Balance in HealthcareHealthcare A i l ti• > Aging population • > Chronic disease• > Chronic disease • > Public spendingp g • > Taxpayer revolt • > Global middle class 15 7/1/2014
  16. 16. 16 7/1/2014
  17. 17. 25 %25 % 25 %25 %25 %25 % Of CostsOf CostsOf CostsOf Costs 17 7/1/2014
  18. 18. Big Need - Solutions to Manage Costliest Chronic DiseasesCostliest Chronic Diseases 18 7/1/2014
  19. 19. 19 7/1/2014
  20. 20. The Global Middle Class is Booming P. 20 7/1/2014
  21. 21. New Health Care Economy - US • FFS to Value Based Pay• FFS to Value Based Pay • Risk Shifting to Providers • Care Mgmt Shifting to Doc • Incomes Tied to Outcome and Volume • Clinical and Economic Evidence 21 7/1/2014
  22. 22. Figure 3. Potential points of innovation Shift delivery from discrete services based  organizations (e.g. specialists) to team based  models that address a patient’s overall need      Care delivery model Transition from dominant  payment models (FFS or Global  Capitation) to reimbursement  models that reward providers  for improving the value of care            Payment model Network model Move from competitive  single tier networks to multi‐  site networks that address  adequacy yet support superior  services delivery Value-driven care services delivery         Transition from measurement  of process based compliance  and cost of charges to activity  based cost accounting and   Analytics & outcomes Clinical integration Reorganize provider facilities  to focused factories with  defined niche services and  concentratedvolume tobased cost accounting and  outcomes tracking  concentratedvolume to integrate care        22 7/1/2014 Information Technology Integration technology that transitions from siloed systems leveraging  aggregation of data, connectivity to all stakeholders and experts systems  that allow for seamless sharing and engagement 
  23. 23. New Entrants Of Fortune 50 companies, 24 are new entrants  The top companies also include 14 traditional healthcare organizations  Fortune 50 companies 7 Retailers 14  Traditional 5 TechnologyTraditional healthcare companies  24  New entrants 5 Technology entrants 4 Finance $$$$  3 Telecommunications 23 7/1/2014 2 Automotive 3 Consumerproducts
  24. 24. Disruptors 24 7/1/2014
  25. 25. D-Rev Non-profit medical product development companyp p p p y Designs and delivers products for people living onDesigns and delivers products for people living on less than $4 a day. 25 7/1/2014
  26. 26. Disruptors 26 7/1/2014
  27. 27. 27 7/1/2014
  28. 28. 28 7/1/2014
  29. 29. 29 7/1/2014
  30. 30. Globalization of U.S. Medical Care • Global distribution of U.S. developed devices and drugs • OUS clinical researchOUS clinical research • Reverse brain drain • physicians & engineers• physicians & engineers • Manufacturing expanded OUS • U.S. multi-nationals expanding OUS product research 30 7/1/2014 OUS p oduct esea c
  31. 31. Disruptors - OUS 31 7/1/2014
  32. 32. Destination Medicine 32 7/1/2014
  33. 33. Destination Medicine AKA Medical TourismAKA Medical Tourism 33 7/1/2014
  34. 34. Expansion into Emerging Markets 34 7/1/2014
  35. 35. Globalization U S based > research centers in ChinaU.S. based > research centers in China 35 7/1/2014
  36. 36. Generic Therapeutic Devices A threat to legacy marginsA threat to legacy margins 36 7/1/2014
  37. 37. Globalization China based > U S presenceChina based > U.S. presence 37 7/1/2014
  38. 38. Globalization of Delivery 38 7/1/2014
  39. 39. Globalization of Delivery 39 7/1/2014
  40. 40. eHealth Predicting Asthma Attacksg 40 7/1/2014
  41. 41. “What is the Meaning of Your Life?g The World is Asking You That Question ”Question… -Viktor Frankl 41 7/1/2014
  42. 42. 42 7/1/2014
  43. 43. 43 7/1/2014
  44. 44. Shape Your Identity or It Will Shape You 44 7/1/2014
  45. 45. 45 7/1/2014
  46. 46. Global Experience 46 7/1/2014
  47. 47. The Two Most Important Days In Your LifeLife…. …are the day you are born and the day you find out why! - Mark Twainy 47 7/1/2014

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