WORKING DRAFTLast Modified 2/10/2011 11:53:36 PM Eastern Standard TimePrinted 10/02/2011 13:11:02 W. Europe Standard Time
WORKING DRAFT                                                  Last Modified 14/02/2011 13:30:24 W. Europe Standard Time  ...
Need is there…                                                … demand is strong …Healthcare spend - increasingly unsustai...
… Technology is available…                 … and the business model works             67%     ▪ Mobile phone         Disgu...
…no wonders pilots are sprouting around the world                                                                        N...
Working Draft - La Modified 2/10/2011 11                 ast                   1:53:36 PM Printed 10/02                   ...
1 A complex ecosystem with multiple stakeholders playing critical roles  and with economic incentives not always aligned R...
2   Shared standards and regulations not always in placeAdoption                                                          ...
3 Above all, the cultural change required for several parties involved From                                      . . . to ...
Working Draft - Last Modified 2/10/2011 11                 a                       1:53:36 PM Printed 10/02               ...
Healthcare 2015: our vision for the near future              Patient calls caregiver at his/her convenience any time of da...
The core mHealth contributors to the vision Remote Doctor Services                            Remote Health Monitoring Doc...
Three mHealth services will be widespread, leveraging core eHealthenablers                                                ...
mHealth benefits                                              Macroeconomic     Social and lifestyle                      ...
mHealth provides a market opportunity for a variety of players        REMOTE DOCTOR                                       ...
Mobile operators: core assets to leverage and potential roles to play  Assets                                             ...
Working Draft - Last Modified 2/10/2011 11:53:36 PM Printed 10/02/2011 13:11:02                             a             ...
WORKING DRAFTLast Modified 2/10/2011 11:53:36 PM Eastern Standard TimePrinted 10/02/2011 13:11:02 W. Europe Standard Time
WORKING DRAFTLast Modified 2/10/2011 11:53:36 PM Eastern Standard TimePrinted 10/02/2011 13:11:02 W. Europe Standard Time
WORKING DRAFTLast Modified 2/10/2011 11:53:36 PM Eastern Standard TimePrinted 10/02/2011 13:11:02 W. Europe Standard Time
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A Glimpse into the Future Business and Technology of mHealth- 02

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A Glimpse into the Future Business and Technology of mHealth

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A Glimpse into the Future Business and Technology of mHealth- 02

  1. 1. WORKING DRAFTLast Modified 2/10/2011 11:53:36 PM Eastern Standard TimePrinted 10/02/2011 13:11:02 W. Europe Standard Time
  2. 2. WORKING DRAFT Last Modified 14/02/2011 13:30:24 W. Europe Standard Time Printed 2/11/2011 9:32:35 AM Pacific Standard TimemHealth: A Gli H lth Glimpse i t th into theFuture Business and Technologyof mHealth f H lhAlessio Ascari, Lisa EllisMcKinsey & CompanyFebruary 14th, 2011CONFIDENTIAL AND PROPRIETARYAny use of this material without specific permission of McKinsey & Company is strictly prohibited
  3. 3. Need is there… … demand is strong …Healthcare spend - increasingly unsustainable Significant interest in mHealth productsProjected healthcare spend as percentage of % respondents indicating “extremely” or “very”GDP 2030 2050 interested 2005 25 37 Working Draft - La Modified 2/10/2011 11 USA 15 Phone doctor 68 57 Sweden 10 15 22 26 ast Korea 6 10 15 1:53:36 PM Printed 10/02 Drug delivery 58 30Lack of access to basic healthcare 14Mortality rate per 1 000 population 1,000 2/2011 13:11:02 5x 400 mortality Health watch 59 221 35 36 152 78 USA Brazil India Western Latam Africa1 Asia Europe 1 Excludes South Africa McKinsey & Company | 2
  4. 4. … Technology is available… … and the business model works 67% ▪ Mobile phone Disguised example business case P & LTelecom penetration >30% ▪ Smartphone adoption in Working Draft - La Modified 2/10/2011 11 mature markets ▪ Existing ast technologies adequate 1:53:36 PM Printed 10/02Medical ▪ GlocapsDevices ▪ SIM Pill Revenue Opex EBITDA Dep Dep- EBIT ▪ Bluetooth BP 2/2011 13:11:02 reciation monitor Our work has indicated a positive NPV for mHealth services, with some even >10 ▪ Triage algorithms providing double digit returnsSoftware years in use > 5000 ▪ M di l apps on Medical the iTunes store McKinsey & Company | 3
  5. 5. …no wonders pilots are sprouting around the world NOT EXHAUSTIVE Vitaphone: Remote chronic 24-hour healthcare disease care monitoring and Integrated care ECG analysi solution, solution with web-based Chronic health manager Disease Working Draft - La Modified 2/10/2011 11 Remote Mgmt ast Innovative emergency response model Health Health tips and watch for Q&A via SMS 1:53:36 PM Printed 10/02 epilepsy Audio and visual children Remote advice alerts and mobile care solution Remote Drug triage/referral g SMS-based authentication 2/2011 13:11:02 vaccination (partnering mHealth planning with Telcos) info reminders HIV/AIDS Prevention of Patients in rural awareness SMS via SMS drug shortages areas connected reminders via satellite Real-time weighing and Medication adherence Remote doctor Healthcare diagnosis solution worker trainings k t i i services i i in Bangladesh & Pakistan McKinsey & Company | 4SOURCE: McKinsey presentation from the 2010 World Economic Forum (WEF) in Davos
  6. 6. Working Draft - La Modified 2/10/2011 11 ast 1:53:36 PM Printed 10/02 2/2011 13:11:02 McKinsey & Company | 5 mHealth from taking off? So what is stopping H lth f
  7. 7. 1 A complex ecosystem with multiple stakeholders playing critical roles and with economic incentives not always aligned Regulators Working Draft - La Modified 2/10/2011 11 MNO service ast Payor Healthcare storage/ analytics server 1:53:36 PM Printed 10/02 Authentication/ MNO Encryption Device server 2/2011 13:11:02 Manufacturer Remote Data monitoring device transmission Data Intervention collection Patient Physician McKinsey & Company | 6
  8. 8. 2 Shared standards and regulations not always in placeAdoption Working Draft - Last Modified 2/10/2011 11 a Railways Tipping Standards and ? 1:53:36 PM Printed 10/02 point regulations 2/2011 13:11:02 Time 3D Digital Media McKinsey & Company | 7
  9. 9. 3 Above all, the cultural change required for several parties involved From . . . to Working Draft - Last Modified 2/10/2011 11:53:36 PM Printed 10/02/2011 13:11:02 a 1 2 McKinsey & Company | 8
  10. 10. Working Draft - Last Modified 2/10/2011 11 a 1:53:36 PM Printed 10/02 2/2011 13:11:02 McKinsey & Company | 9 Where are we i ? going?
  11. 11. Healthcare 2015: our vision for the near future Patient calls caregiver at his/her convenience any time of day/week as soon as symptoms begin Working Draft - La Modified 2/10/2011 11 Physician speaks to patient over phone relying also on data from phone, ast biometric sensors (m-stethoscope, smartphone-based ultrasound, etc.) 1:53:36 PM Printed 10/02 SMS reminders ensure that patient takes medicine as prescribed; can report side effects, etc. in real time 2/2011 13:11:02 Patient can be monitored remotely and advised if conditions worsen or if lifestyle elements negatively impact the situation Patient can access global medical expertise in a connected world McKinsey & Company | 10
  12. 12. The core mHealth contributors to the vision Remote Doctor Services Remote Health Monitoring Doctors / specialists triage and offer medical Providers remotely monitor chronically-ill advice to patients or healthcare p p professionals p patients and manage treatments accordingly g gy over the phone / video Working Draft - La Modified 2/10/2011 11 ast Drug authentication and compliance D h i i d li Information / Health & Wellness offerings I f i H l h W ll ff i Patients check drug authenticity and health Patients and health workers access workers monitor medication prescription information repositories directly remotely 1:53:36 PM Printed 10/02 Centralized resource scheduling Assisted-care support Mobile and automated workflow applications Frail and elderly patients will receive 2/2011 13:11:02 will enable real-time scheduling and optimized home-based care notification to improve system utilization Telediagnostics Electronic/mobile Health Records Patients from remote locations will be able to Clinical and administrative data will be stored get a diagnosis from the best specialists far in a centralized data repository away McKinsey & Company | 11
  13. 13. Three mHealth services will be widespread, leveraging core eHealthenablers Working Draft - La Modified 2/10/2011 11 Remote doctor Remote health services monitoring ast ▪ Addresses ~80% of ▪ Addresses ~70% of ▪ Easy to world population HC costs launch ▪ Works with existing ▪ Enhances providers ▪ Minimal 1:53:36 PM Printed 10/02 technology investment value proposition ▪ Compliment ▪ Proven business ▪ Improves lifestyle as ary to other model well as costs services 2/2011 13:11:02 SMS-based SMS based services Centralized resource scheduling Electronic health records El t i h lth d McKinsey & Company | 12
  14. 14. mHealth benefits Macroeconomic Social and lifestyle ▪ US$200 Bn per year of savings in Working Draft - La Modified 2/10/2011 11 healthcare systems costs through RHM ▪ 150,000 lives saved per year ▪ (example OECD+BRIC) ▪ 2 5 Million DALY saved per year 2.5 ast ▪ (example sub-Saharan Africa) 1:53:36 PM Printed 10/02 Financial ▪ Double digit EBIT margin at steady 2/2011 13:11:02 state ▪ Increased customer loyalty resulting in reduced customer churn ▪ New revenue streams and players McKinsey & Company | 13
  15. 15. mHealth provides a market opportunity for a variety of players REMOTE DOCTOR EXAMPLE Details follow Mobile operators Working Draft - Last Modified 2/10/2011 11 a Healthcare service providers Systems integrators 1:53:36 PM Printed 10/02/2011 13:11:02 2 Device OEMs Software vendors McKinsey & Company | 14
  16. 16. Mobile operators: core assets to leverage and potential roles to play Assets Connectivity ▪ Proven micro billing infrastructure micro-billing Working Draft - La Modified 2/10/2011 11 ▪ Reliable communication channels ast ▪ Authentication and secure storage Hosting / Billing ▪ Distribution channels close to end 1:53:36 PM Printed 10/02 users ▪ Experience with both B2C and B2B 2/2011 13:11:02 ▪ Brand recognition critical for launching new innovative services ▪ Trusted relationships with regulators and governments mHealth services McKinsey & Company | 15
  17. 17. Working Draft - Last Modified 2/10/2011 11:53:36 PM Printed 10/02/2011 13:11:02 a 1 2 McKinsey & Company | 16Thank you
  18. 18. WORKING DRAFTLast Modified 2/10/2011 11:53:36 PM Eastern Standard TimePrinted 10/02/2011 13:11:02 W. Europe Standard Time
  19. 19. WORKING DRAFTLast Modified 2/10/2011 11:53:36 PM Eastern Standard TimePrinted 10/02/2011 13:11:02 W. Europe Standard Time
  20. 20. WORKING DRAFTLast Modified 2/10/2011 11:53:36 PM Eastern Standard TimePrinted 10/02/2011 13:11:02 W. Europe Standard Time
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