eHealth - a must have, not a nice to have for our society

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Insight from Telefonica Digital about the eHealth market

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eHealth - a must have, not a nice to have for our society

  1. 1. - A must have, not a nice to have for our society Points of difference  Product differentiation beyond connectivity  Market strength - Consumer Market strength – Corporate /  Government  Service provisioning capability Leading OBs 2015 Revenue target* €Bn 0.3-0.6 *According to guidance criteriaMR. JOSE PERDOMO 1
  2. 2. Telefónica Digital’s eHealth The case of Remote Patient Management 1 (Chronics – RPM) 2 Delivering peace of mind for your loved ones (Mobile Telecare) 3 LATAM – The emerging big prize 2
  3. 3. 1 Remote patient management – an essential transformation in healthcare Unsustainable healthcare … … but a new way is possible  Spend outpacing GDP growth by about Proven “reported” reduction rates 2 p.p./year driven by aging population with chronic conditions Mortality rate 45% Emergency admissions 20%  Chronic conditions represent: • 70-80% of costs, 2/3 of spending A&E visits 15% growth, 30-40% of population Elective admissions 14% • 50% of hospitalisations – high annual rate of readmissions of 45-55% (high Bed days 14% risk patients), and 700-1000 €/ day with Tariff costs 8% an average length of stay of ~ 7.5 days. We can help to address optimization in at least 25% of healthcare budgetsSOURCES: OECD Policy implications of New Economy 2000-2050; World Development Indicators database, World SOURCE: The Whole System Demonstrator project run by the UKBank, 1 July 2011; Kaiser Permanente Pyramid Model of Care; World Economic Forum 2007: “Working Towards Department of Health provided evidence involving 6,000 patients, startedWellness. Accelerating the Prevention of Chronic Disease«; IESE Business School; Deloitte Consulting. in September 2010. 3
  4. 4. 1 Remote Healthcare – a fundamental need for the sector Remote healthcare for three million patients http://www.3millionlives.co.uk/ "We’ve trialled it, it’s been a huge success – it works” "The aim – to improve three million lives over the next five years” "It’s going to put us miles ahead of other countries” “ … in partnership with the industry” A 1 billion euro marketSource: http://www.telegraph.co.uk 4
  5. 5. 1Our proposition - an e2e service, truly patientcentered Multi-device and secured Biometrics & Clinical Management We are uniquely positioned to deliver mass e2e consumer services (B2B2C) Multichannel Communications Multichannel Comms. and an ability to build change… Content Management & BI … based on a “per connected patient” Logistics/ Operations/ I+M business model Technical Support Chronic Pop. Expected Medical Staff Distribution ARPU Patients 1-2%* High 100-200 €/ month 5% Medium 30-50 €/ month 25% Low <1 €/ month Level of Risk Integrated, inter - Home and mobile, * Approx. 30-50% of total cost of care connecting professionals simple user experience SOURCE: Kaiser Permanente Pyramid model of care 5
  6. 6. 1 We will deliver the first service in Europe (then in LATAM) Spain UK Valencia Health Agency NHS Lothian  1.7 M chronic patients*  300k chronic patients; 15-30k mid/high Building  75-85k are high risk* risk* presence  First 12,000 patients in 2012  Trial for 300 COPD3 and CHF and  16 care programs designed  Potentially growing to 10k in 2013 evidence North Somerset Hospital del Mar (Barcelona)  Trial service with 100 COPD (trials)  200 CHF1 patients  1,000 connections potentially  Results aligned with UK WSD2 by end of 2013 Building  NHS: Airedale, Rotherham, Camden and  Basque Country, Galicia, Catalonia, Islington the pipeline Castilla La Mancha, Andalucía, Madrid  Lloyds Healthcare Services1 CHF:Congestive Heart Failure2 WSD: Whole System Demonstrator3 COPD: Chronic Obstructive Pulmonary Disease* Estimated based on population and industry economics (see sources in page 3) 6
  7. 7. 2 A substantial market opportunity for the mobile telecare service • Home/elderly care homes 5% covered by system* • 2.5 million users already in SP & UK 25% of Europe with fixed telecare services (20 €/ population fragile, looking month ARPU)* for independent or assisted living* B2B2C via local authorities / private institutions Target customers: • Elderly 20% not covered* • Middle risk chronic B2C patients Launch first • Med-high dependency in September in UK • Disabled*Source: Antares Consulting S.A. 7
  8. 8. 2Mobile Telecare - Help @ Hand already launched inthe UK (for B2B)… Users • First client – Leeds County Council • 19 Health Organisations in “Try and Buy” Devices • Pipeline of 75 clients (public and private) Emergency Platform services Call Centre 24x7 • Alarm response • Proactivity Service features Price per user: Mobile • Panic button, fall detection 120-299 £ set-up, Carers • Reminders Web & Mobile including device • Location & “safe zones” 20 £/month • Device management service fee • User-friendly web 8
  9. 9. 2… and launching in September for B2C - positioned asmobile personal alarm support 9
  10. 10. 3 LATAM - a market with a unique potential Large out-of-pocket market (€32 Bn in Brazil*) Greenfield in many areas – e.g. Telecare services Large and growing private-payer insurance sector (25% of pops, >€1,100/person growing at 20% YoY)* A public sector which can do things completely differently*Source: Mensor Consultoría y Estrategia 10
  11. 11. 3We are now moving forward to capture the LATAMopportunity (e.g. Brazil) Delivering unique direct to Leveraging know-how and tech 1 2 consumer services from EU into LATAM  2 services launched in Q1  360k users in just three months (€4 M recurring annual revenue) 6 million capitas  Incremental 5-10% ARPU approx. 20 million capitas  9/10 for satisfaction and recommendation  Delivering automatic appointment management  Exploring remote patient management 3 Building unique capabilities - Chronic Disease Management  30,000 remotely managed patients  Double digit growth 11
  12. 12. eHealth – the global picture ServicesRemote PatientManagement  RPM for Chronic patients     Telecare  “Help@Hand”       Health CRM/ Emergencies    Health IT  Digital Imaging      Mobile productivity     “Digital” Hospital   eHealth B2C  Telecare       Telehealth      Available/ leading OB  Being deployed  Planned 12
  13. 13. We can truly change people’s lives – their energy willmake things happen Indicators* " I won’t give it back… It changesRecommendation 100% the whole concept of my life… ” Satisfaction 95% “Its a great peace of mind… When I check the device, all thePrefer telehealth 81% vital signs and so… and everything is perfect…” “I feel much more confident knowing that someone is keeping an eye on my health every day. I think it’s great.”* SOURCE: iCor Project with Parc de Salut Mar, Spain.http://clinicaltrials.gov/ct2/show/NCT01495078?term=iCor&rank=1 13
  14. 14. In summary… A clear demand, a clear need, with growing evidence and institutional support, … … a new category – “truly changing people´s lives” Uniquely positioned, building credibility and market presence, ahead of competition Ready to materialize for when the market takes off – still some uncertainty in terms of timing of the “tipping point” 14
  15. 15. Get in touchExplore our Hub: http://www.telefonica.com/digitalhubTrack us on Twitter: http://www.twitter.com/tefdigitalWatch our latest videos: http://www.youtube.com/telefonicadigitalLook us up on LinkedIn: http://www.linkedin.com/company/telef-nica-digital 15

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