App rating is happening everywhere in the ecosystem, but without putting apps in practice, evaluating the prescribing data and patient feedback, we only have half the story. Learn about the prescribing data, rating and scoring methodologies and the evidence of the growing promise of mobile health curation, discovery and distribution.

1. 1
mHealth Prescribing: Dead or Thriving?
Matt Tindall
General Manager, Consumer Solutions
IMS Health
www.appscript.net

2. Proprietary and Confidential2
DRUGS MEDICAL DEVICES
• Global
• Census
• Zip-code
level
• Diagnosis
• Patient
demo-
graphics
• Global
• Comprehe
nsive
• Physician-
level
• Market
dynamics
• Switch,
repeat
• Specialty,
oncology
• Treatment
patterns
• Quality
metrics
• Outcomes
• Pathway
cost and
health system
performance
• Biomarkers
• Gene
sequences
1954 NOW
• Patient
attitudes,
preferences
and behavior
• New/different data sources
• Millions of “suppliers”
• No procurement or distribution
mechanism
• Personal Health Info. (PHI)
An Emerging Treatment Modality
DIGITAL THERAPIES
DE-ID DATA ID DATA
85% of global Rx 100,000
suppliers 10+ petabytes of
data
Measurement
Performance Insights Stakeholder Enablement
120k+Health Apps 1,000’s of
Wearable's & Clinical Devices MM’s
of Content Units
WHOLE-SALE
MEDICAL AUDIT
RX PRESCRIPTION
EHR
LONGITUDINAL PATIENT RECORDS
MEDICAL CLAIMS
SOCIAL MEDIA
GENOMIC DATA
DIGITAL HEALTH DATA
GLOBAL DATA MODELS, CROSS-DATA INTEGRATION

3. 3
Patient Engagement is Important; Value is Clear
Patients who did not take an active role in their healthcare
cost 8-21% more than patients with high activation levels
Patients with higher levels of activation demonstrated nine
out of 13 improved healthcare outcomes
Source: Health Affairs, 2 year study led by Jessica Greene of George
Washington University’ s School of Nursing (N=32,000 adult patients)

4. 4
Significant Technological Advancement and
Adoption Requires Education and Time

5. 5
We Are Just Beginning the Journey
We Are Here

6. 6
mHealth Prescribing Today
125K
Health Apps
1,000’s
Wearables &
Clinical Devices
MM’s
Content Units
?

7. 7
High Demand and Interest, Specific Challenges
89% of physicians would recommend a mobile health app to a patient (1)
33% of doctors have recommended an app to their patients (2)
“I don’t prescribe apps because I don’t know which
ones are good”
“Apps are the future but need good reconciliation”
“…no official policies or tools for app prescribing”
Source: (1) IMS Institute Report 2013, (2) Manhattan research

8. 8
mHealth Prescribing Market Acceleration
• SocialWellth acquires Happtique, raises $7.5M for health app
prescription platform
• iMedicalApps announces iPrescribeApps to be available Q3 2015 -
clinically vetted apps that physicians can prescribe to patients
• GE, Stanford University launch digital health efficacy startup
Evidation, absorb The Activity Exchange
• iGetBetter raises $1.1 million for post-discharge monitoring via apps
• Ochsner Health System launches the O-bar, a genius bar for mobile
health application and wearable device discovery
• Cleveland Clinic Innovations launches online store for digital health
tools

9. 9
Need for Solutions - Strong Signals Appearing
Across the Ecosystem
THE RIGHT
APP
THE RIGHT
DEVICE
THE RIGHT
CONTENT
Mayo Clinic App
“40% Reduction in MI
Readmissions”
Other notable recent successes: Partners Healthcare “50% reduction in readmissions”, HRS / Penn
Medicine “53% reduction in readmissions”…

10. 10
Early Focus on Certifications, Endorsements and
Ratings…
Clinical
Ratings

11. 11
AppScriptTM Enterprise – The Leading Discovery and
Distribution Engine for Mobile Health Technologies
mHealth delivered from your care team to your pocket in 20 seconds or less
IMS Health Confidential

12. 12
A Complete All-In-One Solution for Providers
DISCOVERY DISTRIBUTION
Score the
Product
Offerings
2.
Match the
Therapy to
Patient Need
3.
Enable
Access &
Delivery
4.
Measure
Outcomes &
Adjudicate
Payments
5.
Curate the
Digital Health
Ecosystem
1.
6. Real-time mHealth
Formulary Optimization
PATENTS PENDING

13. 13
Total iOS and Android apps
apps claiming to be
health apps
genuine
health apps
Largest Curated and Tagged mHealth Database
2.5M apps
123k apps
+63k apps in database
Source: AppScript Database

14. 14
Apps, Devices and Content Scored To Provide
Directional Healthcare-Specific Value

15. 15
AppScript Score Applied and Annotated
Rating Category Score Definition
Professional 3.1
Ratings by healthcare professionals (IMS
partner –driven)
User 2.6
Compilation of consumer app store data
and engagement metrics (IMS
proprietary)
Functional 3.3
Assessment of the product functionality,
usability and connectivity (use of handset
and other connecting devices)
Endorsement 2.9
Endorsement by trusted healthcare
ecosystem stakeholders
Developer 2.9
App developer evaluation. A measure of
their stability, experience and adherence
to guidelines and regulations, T&Cs, etc.
App update frequency
Clinical 2.9
Relevant evidence of clinical efficacy and
/or safety

16. 16
Organized in a Streamlined Experience for
Clinicians to Intelligently Prescribe mHealth

17. 17
Using AppScript, Clinicians Can Track Utilization
and Complete the Feedback Loop With Patients

18. 18
AppScript Can Match mHealth Content to Meet
Patient-Specific or Population-Specific Needs
Patient profiles
created from EMR and
AppScript registration
data
Elderly
Diabetic
USA
A1C Measure
Glucometer
English
Care Team
Ready for Batch Rx

19. 19
AppScript Enables Powerful Tools to Measure
Prescribing Activity and Patient Feedback

20. 20
App Prescribing Has Grown Dramatically in Just
a Few Months
6X increase in app prescribing volume
43% increase in weekly app prescription volume
10/27/2014 11/27/2014 12/27/2014 1/27/2015 2/27/2015 3/27/2015
Pilot Site 1
Pilot Site 2
Free Users
AppScript Pilot
Release

21. 21
App Prescribing is Becoming Part of a Clinicians
Routine When Engaging With Patients
3.1
2.6
3.5 3.3 3.5
0
1
2
3
4
0 1 2 3 4 5
3.1 Average AppScript Prescriptions Per Prescriber Per Day
Prescriber Rank (Total Volume of Apps Prescribed)

22. 22
Clinicians are Prescribing mHealth Tools to
Engage Patients and Address Specific Symptoms
0
10
20
30
40
50
60
70
iOS
Google
10 Devices commonly prescribed with an app
24 PDFs, Presentations or Videos commonly prescribed with an app
Popular Apps

23. 23
App Prescribing Via AppScript Ensures User
Retention
54% of patients still using app prescribed one month after downloading(1)
20% industry average app retention one month after downloading(2)
Source: (1) AppScript Database Report- 4/8/2015
(2) Localytics App Retention Report Jun 2014
54
20
0
10
20
30
40
50
60
70
80
90
100
Wk 1 Wk 2 Wk 3 Wk 4
AppScript-prescribed
Apps
Healthcare Industry
Average
(InPercentages)

24. 24
mHealth Prescribing Creates Value for All
Stakeholders
Payers
• Fewer ED + hospital admissions
• Enhanced quality measures (e.g., STAR
ratings)
Text
HCPs
• Continuous interaction
with patients
• Improved patient
outcomes
EMR
• Happier provider clients
and potential for
revenue share
mHealth
Provider
• Better outcomes and
quality measures
• Fewer readmissions
• Enhanced patient
satisfaction
Pharma / Dev Mfr
• Improved app and
device distribution
model
• Improved medication
adherence
• Better interactions with
HCPs and patients
Pharma /
Device
Payers
HCPsProvider
EMR
Patients
Patients
• Improved health and wellness related outcomes
• Improved provider satisfaction

25. 25
AppScript Consumer – Coming Soon
Visit us at appscript.net