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Deloitte   Callum Bir - mHealth IBC
 

Deloitte Callum Bir - mHealth IBC

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  • Conclusion
  • 20 million bookings of Comfort taxi last year ….
  • compared to 38 % receiving conventional treatmentThe Mobile Personal Health Record: Technology-Enabled Self-Care Barriers and opportunities to accelerate use The personal health record embedded in mobile communication devices - mPHR - is the “killer app” that may engage consumers to live healthier lives and adhere to evidence-based treatment plans. It leverages familiar technology - cell phones, smartphones and other mobile tablet PCs - with incentives for consumers and providers to manage preventive, chronic and post-acute care.The mPHR shows great promise as an optimal platform for engaging consumers in self-care. Combined with actionable decision support, the mPHR can analyze aggregate data to activate mobile, patient-specific output such as medication reminders, healthy habit tips and medical bill reminders. Although mPHR systems are in early-stage development, pilot projects demonstrate their potential to improve outcomes, reduce health system utilization and control costs.This new study by the Deloitte Center for Health Solutions:Offers a perspective on the convergence of personal health records and mobile communication devices Examines barriers and accelerators to increased mPHR use by health care industry stakeholders Identifies immediate opportunities for mPHR use and implications by sector To read the full issue brief, please download the attachment below.
  • Further enabling evidence based care…

Deloitte   Callum Bir - mHealth IBC Deloitte Callum Bir - mHealth IBC Presentation Transcript

  • Mobile HealthEffectively Monetizing mHealth Services andApplicationsCallum BirDirector, Life Science & Healthcarecbir@deloitte.com +65 91001595August 2011
  • Contents 1 What do consumers want? 2 Who‟s willing to pay for what? 3 Opportunities for health & wellness consumers 4 mHealth for Chronic Disease Management 5 Who will operate vs. Innovators? 6 What are some of the Plays in Asia? ©2011 Deloitte Touche Tohmatsu Limited
  • Technology will change lifestyle ofchronic care patient and enable self-care....
  • What Citizens want? Interest in online tools and services and in tools and aids to support self-managed care 4 ©2011 Deloitte Touche Tohmatsu Limited
  • Interest varies by generation and country in using a smart phone or PDA tomonitor their health if they are able to access medical records and downloadinformation about their medical condition and treatments. ©2011 Deloitte Touche Tohmatsu Limited
  • Consumers are highly interested in using a medical device that wouldenable them to check their condition and send information to their doctorelectronically through a computer or cell phone via the Internet6 Deloitte ©2011 Deloitte Touche Tohmatsu Limited
  • And why can „tPatient led we book appointments with PcP / Hospitals? Growth drivers• 20% of all new phones sold is smart-phone• Asia has fastest growing affluent class and middle class• Largest % current customer segment• 2% apps on HC and 7% on Life Style Barriers• Does not address broad population (for now)• Significant gaps in adoption of technology in provider settings 7 ©2011 Deloitte Touche Tohmatsu Limited
  • Technology-enabledSelf-Care self-care Growth drivers• Downloads of Healthcare iPhone apps• Emerging patient portals and pilots across the region Barriers• Lack of awareness of benefits• Data Governance, Ownership, and regulatory frameworks still needs to be worked out• Lack of Sustainable business models• Still in early stages of development 8 ©2011 Deloitte Touche Tohmatsu Limited
  • Regular follow-up, Mobile Monitoring ,Chronic Care Lifestyle Lifestyle choices for chronic patients Growth drivers• Increased access to healthcare and health- related information, particularly for hard-to- reach populations• Increase mobile (voice) coverage and adoption Barriers• Relatively untapped market• Limitation on care delivery on phone http://www.youtube.com/user/ProjectHealthDesign#p/u/16/VNdkgOuui00 9 ©2011 Deloitte Touche Tohmatsu Limited
  • Personal monitoring device to alertEvidence Based Care and guide to make improvements in health or treat a condition. Growth drivers• Significant innovation in Med Tech industry• Rapidly growing Chronic Disease patients in Asia• Improved ability to diagnose and track diseases Barriers• Lack of complete end-to-end operator service• Largely Silo approach till date http://www.youtube.com/user/ProjectHealthDesign#p/u/12/rYkuswN8wMY 10 ©2011 Deloitte Touche Tohmatsu Limited
  • Prevention of Chronic Diseases? < 20 % of high risk citizens participate in wellness programs 11 ©2011 Deloitte Touche Tohmatsu Limited
  • Use of applications is expectedKeeping Healthy to increase threefold by 2012 (=600 mil applications) Growth drivers• Payers are most interested to keep people healthy!• Technology enabled incentive / rewards to change behavior• Expanding Wellness market (eg, spa, yoga) Barriers• Still a relatively small market today in Asia despite high growth 12 ©2011 Deloitte Touche Tohmatsu Limited
  • Privacy concerns vary between countries Concern about privacy of Health information stored online 13 ©2011 Deloitte Touche Tohmatsu Limited
  • mHealth in Asia is Poised for an accelerated growth • Greater EHR adoption by hospitals, physicians and allied health provider • Increasing regulatory clarity around standardization of health records, privacy protections and provider liability • Increasing MCD capacity and functionality mHealth • Decreasing cost of MCDs (scalability) in tandem with Acceletors payer incentives for their us • Increasing consumerism in health care • Increasing focus on Health Reforms due to raising costs and citizen expectation14 Deloitte ©2011 Deloitte Touche Tohmatsu Limited
  • Mobile Health Opportunities in Asia Prevention & Wellness Disease / Condition Benefit / Health Outcome Monitoring Remote Consulting Consumerism & Convenience15 Complexity ©2011 Deloitte Touche Tohmatsu Limited
  • Mobile Health Opportunities & Barriers in AsiaOpportunity Growth Drivers Barriers Case Studies / Examples • Increasing consumer demand for mobile • Drawing parallel to “commerce” • Does not address Singapore taxi booking • 20% of all new phones broad populationConsumer system using SMS and sold is smart-phone • Significant gaps inDriven iPhone. • Asia has fastest growing adoption of technologyHealthcare • Why can‟t we book affluent class and in provider settings appointments with PcP / “middle class” Hospitals? • Largest % current customer segment • Increased access to healthcare and health- • Relatively untapped related information,Remote market • Case studies include particularly for hard-to-Consulting • Limitation on care Ghana & Indonesia. reach populations delivery on phone • Increase mobile (voice) coverage and adoption • Significant innovation in • US: Fifty percent of Med Tech industry consumers want a • Lack of complete end-Disease / • Rapidly growing Chronic personal monitoring to-end operator serviceCondition Disease patients in Asia device to alert and guide • Largely Silo approachMonitoring • Improved ability to them to make till date diagnose and track improvements in their diseases health or treat a condition.16 ©2011 Deloitte Touche Tohmatsu Limited
  • Mobile Health Opportunities & Barriers in AsiaOpportunity Growth Drivers Barriers Case Studies / ExamplesPrevention & • Increased focus by • Still a relatively small • > More than 200 millionWellness Payers of Healthcare, market today in Asia mHealth applicationsMarket including Employers, despite high growth are in use today, and Private Payers, that number is expected Governments due to to increase threefold by rising costs. 2012** • Expanded access to ongoing medical education and training for health workers • Increased awareness & fast growing wellness market (eg, spa, yoga)Mobile • Downloads of • Lack of awareness of • Researchers at KaiserPersonal Healthcare iPhone apps benefits Permanente in ColoradoHealth • Emerging patient • Data Governance, discovered 58 % ofRecord portals and pilots across Ownership, and hypertension patients the region regulatory frameworks using mPHRs lowered still needs to be worked their blood pressure to out healthy levels within 6 • Lack of Sustainable months, compared to 38 business models % receiving conventional • Still in early stages of treatment development17 ©2011 Deloitte Touche Tohmatsu Limited **Pyramid Research
  • In the short-term, we must not ignore the opportunities to gain efficienciesin Life Sciences and Healthcare companies for their key operations Life Sciences Companies Health Care Provider Clinical Trials Efficiencies in Clinical and • Patient Diaries Administration • CRAs • Revenue Cycle Management • Medication Management Sales & Marketing Improved Patient Experience •Next Gen Sales Force Transformation mHealth • Streamline communication • e-Detailing • Personalized communication Others Increase Quality of Care & • New level of Capturing Safety Patient Safety Data (PV) • Enable physicians greater access to data, anytime, anywhere. • Stronger Compliance Regiment • Improved evidence based decision • DTC making ©2011 Deloitte Touche Tohmatsu Limited
  • mHealth, serves as inextricable access point to a broader eHealthecosystem, owing to huge mobile penetration and reach Tremendous reach…. …and Impact Technology and health-related statistics for developing countries (M) Philippines 5,300 Phoned Reminders for5000 TB Treatment : 90% did remember to take their medication4000 Peru Uganda3000 2,293 Health workers SMS-based use mobile phones to HIV/AIDS awareness2000 send quiz led to an SMS messages increase of nearly with real 40% people for1000 time data HIV/AIDS testing. 305 S. Africa 11 0 SMS Message Hospital Computers Mobile Population campaign promoting Beds Phones HIV/AIDS awareness resulted tripling of Call Volume to HIV/AIDSSource : Business Monitor International (BMI), International Telecommunications Union, WorldBank‟s World Development Indicators, and the United Nations; Deloitte analysis helpline19 ©2011 Deloitte Touche Tohmatsu Limited
  • Mobile penetration as compared to online penetration is almost 5 to 6times in few of the big Asia Pac economies… Online vs. Mobile subscribers (2009) Mobile phone penetration…. Internet Mobile Ratio/ users users Multiple •China has the world‟s largest cell phone subscribers at 707 million in 2009 North 0.25B 0.27B 1.1X •Asia Pacific had 46% of the global total America subscriptionsAsia Pacific 0.82B 1.30B 1.5X Smartphone penetration… • Reached 40 percent across World 1.73B 3.40B 2.0X Southeast Asia in Q4 2009. •Singapore‟s smart-phone touches to Europe 0.42B 1.06B 2.5X about 75% Indonesia 0.03B 0.16B 5.0X India 0.06B 0.40B 6.0X 20 Source: ITU, JP Morgan, Deloitte analysis ©2011 Deloitte Touche Tohmatsu Limited
  • …on the contrary, the current low ratio of Doctors per inhabitants is likely toworsen further Number of inhabitants per doctor ©2011 Deloitte Touche Tohmatsu Limited21
  • Stakeholders & BenefitsStakeholders Benefits • Better care and lower costs via access to real-time informationConsumers • Increased Safety & Quality of Life • A mechanism to coach consumers to make better judgments about their careHospitals & and to align provider incentives with optimal patient outcomes.Physicians • Support medical home initiatives • A platform for demonstrating value (efficacy and effectiveness) of therapeutics and diagnostics within the context of an informed consumerLife Science populationCompanies • If consumers agreed to share information, the consumer-reported database unlocks potential for manufacturers to learn more about product use • Lower costs associated with fewer admissions and emergency room visits, avoidable drug-drug interactions, avoidable over-use of medications andPayer / Govt increased use of self-care/over-the-counter therapeutics in treating common chronic conditions • Provides a platform to fully enable health & disease management programs • Increased incremental revenue on top of existing voice & data revenue streamsTelco • Opportunity to expand into infrastructure services, managed services, cloud computing and professional services • Opportunity to own / dominate, and take the first mover advantage22 ©2011 Deloitte Touche Tohmatsu Limited
  • Telco in Asia are well positioned to take a lead role in mHealth enablement • Address around $100M** with 40% YoY Growth by 2014 • Leverage existing consumer branding & trust • Build upon core strengths / heritage in public sector *** Telco Opportunity • Leverage strengths in billing & pay-per-use models • Leverage “long-term” capital investments in infrastructure • Leverage existing reach & coverage in segments at affordable costs ** Based on 10-15% of Asia Pacific excluding Japan mHealth Market estimates. Asia Pacific Market estimated to be 10% of global mHealth market by 201423 ©2011 Deloitte Touche Tohmatsu Limited
  • …and potential pathways for Telco operators Develop Be the scalable connectivity solutions hub and interlinking all appropriate different Enable distribution stakeholders operational and aspect of commercial Step 4 Enabling the healthcare models Revenue sharing administrative Step 3 with partner? aspects of healthcare Step 2 One-time fee? Step 1 Advertisement Revenue? Government Funding?24 ©2011 Deloitte Touche Tohmatsu Limited
  • Critical enablers for success in mHealthCommunity Trust & • Trust in Quality & Service Delivery Relationship • Trust in Data Governance & Ownership Financial • Partnerships to minimize risks / exposure and play to core strength Alignment & • Financial Sustainability over the long-run Sustainability • Standards / Interoperability Technology • Privacy & Security • Alignment with national / provincial programs Govt Alignment • Alignment with existing national EHR programs • Alignment with changing regulations and reimbursement models25 ©2011 Deloitte Touche Tohmatsu Limited
  • Indicative emerging mHealth partnership and pricing models… Indicative Need Partnership construct Who pays? Pricing Model Co-Share1 Revenue-sharing with between • Pay-per-use Remote + Provider / Physician Consultation Patient / Provider **Telco could take a lead role in taking this to market **Dependant2 Service Pay-per-use Revenue-sharing with Consumerism + Provider / Physician & Either Convenience Provider or • Providers could take a lead in providing Patient or value-added services, eg. appointment Both • Primary Care markets and e-Bookings could be areas where Telco could take a lead role Eg. Booking • Payers could also play key role enabling both could services pay 26 ©2011 Deloitte Touche Tohmatsu Limited
  • Indicative emerging mHealth partnership and pricing models… Indicative Need Partnership construct Who pays? Pricing Model • Free to consumers • Devices / Governments can Disease play a key role in Consumables3 Prevention + creating awareness • Payers, Em charged (eg. Nike and ployer, Govt. Sports Shoes) Wellness • Telco‟s $ by data- + Device Mnf traffic & broadband + Payers • Tax & Wellness + Retail / Loyalty* incentives Disease / • Monthly4 + + $ • Patient via Condition + $ Subscription & Monitoring Payer Pay Per Use This requires a complex suite of devices that are either device led or institution driven • Monthly $ Subscription5 + + + • Payer (Chronic) mPHR $ Model • Pay Per Use • Free but based on Perhaps room for more than 1 models to “preventative work . Telco’s may play “enabler “ vs. points” 27 ©2011 Deloitte Touche Tohmatsu Limited operate PHR
  • 28 ©2011 Deloitte Touche Tohmatsu Limited