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Cvo changing eco system reader

CbusineZ
CbusineZ

Corporate Venturing in Healthcare and health care insurance. CbusineZ: the cases and the organization. Slider voor TIAS Executive MBA 2015

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CbusineZ
Corporate venturing in health insurance
J. de Groot
Introduction
2
Drs J.G.B. de Groot
Joep.de.groot@cz.nl
Jgbdegroot
Currently:
board of CbusineZ
Past:
DSM and Managing partner The Essence Consulting
Experience in venturing:
- Set up 6 companies as a managing director
- Served on 26 boards as a (non-)executive director
- Involved in > 40 M&A deals
Index
3
Our environment
The goal of CbusineZ is to change the behaviour of the healthcare system
Cases:
Hearing aids
Benchmarking
eMental Health
Communication platform
Corporate Venture Office
Organisation and alignment
Staff
CVM: expert system for monitoring & portfolio management
4
The cost of healthcare have risen sharply
Rise cost of hospitalcare in
Netherlands last 5 year
Cost increase in AWBZ
(elderly care) in 10 year
30%
to 20 mrd €
66 %
to 21 mrd €
5
In
1970:
72
year
In 2020
there are
3,3 mln 65+
Life expectancy has risen
LINH, RIVM,
+3
And will increase the coming years
65+ in
2010:
2,5 mln
This will lead to an increase in the number of
elderly people
Baby
in
2010:
83jr
6
We live longer.... But not always healthy...
LINH, RIVM,
50% doesn’t
exercise enough
40% over weight
15% obesity
27% smokes
Unhealthy lifestyle is an important reason for
chronicle illness

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Cvo changing eco system reader

  • 1. CbusineZ Corporate venturing in health insurance J. de Groot
  • 2. Introduction 2 Drs J.G.B. de Groot Joep.de.groot@cz.nl Jgbdegroot Currently: board of CbusineZ Past: DSM and Managing partner The Essence Consulting Experience in venturing: - Set up 6 companies as a managing director - Served on 26 boards as a (non-)executive director - Involved in > 40 M&A deals
  • 3. Index 3 Our environment The goal of CbusineZ is to change the behaviour of the healthcare system Cases: Hearing aids Benchmarking eMental Health Communication platform Corporate Venture Office Organisation and alignment Staff CVM: expert system for monitoring & portfolio management
  • 4. 4 The cost of healthcare have risen sharply Rise cost of hospitalcare in Netherlands last 5 year Cost increase in AWBZ (elderly care) in 10 year 30% to 20 mrd € 66 % to 21 mrd €
  • 5. 5 In 1970: 72 year In 2020 there are 3,3 mln 65+ Life expectancy has risen LINH, RIVM, +3 And will increase the coming years 65+ in 2010: 2,5 mln This will lead to an increase in the number of elderly people Baby in 2010: 83jr
  • 6. 6 We live longer.... But not always healthy... LINH, RIVM, 50% doesn’t exercise enough 40% over weight 15% obesity 27% smokes Unhealthy lifestyle is an important reason for chronicle illness
  • 7. 7 463.000 569.000 1.1 mln 1.2 mln Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise Depression COPD Diabetes heartcondition Can you imagine what this means for care delivery?
  • 8. Index 8 Our environment The goal of CbusineZ is to change the behaviour of the healthcare system Cases: Hearing aids Benchmarking eMental Health Communication platform Corporate Venture Office Organisation and alignment Staff CVM: expertsystem for monitoring & portfolio management
  • 9. The goal of CbusineZ is to change the behaviour of the health care system 9 Ederly care home Hospital Interne Cardio Geriatrie Neuro Rev. GP Home Homecare( psychologist 2e line mental health Psychiater Vpk team Pharma Fysio retail Medical outcomes Costs Customer satisfaction Our goal is to set up or create ventures that changes the system and thereby improving quality or reducing cost
  • 10. We set up ventures that improve “the game” 10 Ederly care home Hospital Interne Cardio Geriatrie Neuro Rev. GP Home Homecare( psychologist 2e line mental health Psychiater Vpk team Pharma Fysio retail Collective services unclog missing Setting up a missing ‘function’ in the value chain Examples: Benchmarking eMental health Self management tools “unclog” the system by introducing a best practice or low cost option Examples Hearing aids H&S service Disease mngt IT system Collective services Services that require critical mass and are above an institution own interest Examples contracting and invoicing eplatform Nationwide informal care initiative Care purchasing for cities unclog Missing
  • 11. The venture can be small, but the effect on healthcare and CZ can be substantial 11 New venture Ederly care home Hospital Interne Cardio Geriatrie Neuro Rev. GP Home Homecare( psychologist 2e line mental health Psychiater Vpk team Pharma Fysio retail Venture with limited profitability Substantial effect on costs or driver for enhancing purchasing function Example Effect VECOZO Largest administrative data platform (contracts, invoices) Reduction on FTE in backoffice Psy Health Direct eHealth treatments for depressions, fear, burnout Reduced cost of interventions and improved purchasing
  • 12. To create tipping point in policy related areas we use the Minimal Required Energy strategy 12We assemble the minimal needed set of partners: For competences and/or launching customers Product & services 1.0 Implement and proof to the healthcare sector that the innovation is succesful Expand step by step Include new partners and (often) open up the governance structure
  • 13. Index 13 Our environment The goal of CbusineZ is to change the behaviour of the healthcare system Cases: Hearing aids Benchmarking eMental Health Communication platform Corporate Venture Office Organisation and alignment Staff CVM: expertsystem for monitoring & portfolio management
  • 14. Hearing aids: yearly € 20 mln potential savings... But how to open up the market? 14 Prices could be slashed in half A completely closed market retail Leverancier Importeurs 1250 525 Our analysis showed that hearing aids could cost less then 50% of the 2012 price The market was strictly divided and attempts to break the power in the past had been punished by market leaders
  • 15. Having the info and a credible threat to existing players CZ succeeded in the purchasing project 15 1 2 We set up Tonen (a hearing aid service): - Better quality (at home) - Low price (€ 500) Hard to find a supplier offer Purchasing project Reduce suppliers Use Tonen price as reference Even the largest suppliers reduced their prices with 40- 45%
  • 16. To open up the € 6 billion black box we started a benchmark initiative 16 Mental Health was a complete black box 6 billion Health care insurers became responsible for purchasing mental health services A sector of 6 billion... No one had a clue on outcomes! CbusineZ, the 3 large health insures and a VC started KZN a benchmark initiative
  • 17. Using MRE strategy the sector was forced/seduced into cooperating 17 A BV (“ltd”) with 5 shareholders Modern, ‘new’ mental health institutions as customers Sector very resistant to idea of ROM and benchmarking A foundation with a board of patients, mental health and healh insurers The whole sector participates Sector can improves its performance and health insure can purchase based on value Professionals still hesistating
  • 18. Using eHealth a depression can be treated just as effectively with half the cost and time vv Using eHealth 3 Face tot Face + an ehealth program Of eHealth programm & coaching on telephone cost: ca € 300 - € 400 g Current depression treatment 1st line 8 conversations € 560 2nd line: 8-12 conversations € 1200 + Same effect 55% of patients would prefer eHealth
  • 19. We introduced a JV to remove the barriers for the usage of eMental Health 19 Adaption of eMental Healht Prices of eHealth were to high Tarrifs for treatment not high enough Knowledgde on how to use eHealth was low JV with mental health provider Lower prices Change policy to stimulate eHealth Invested in JV and changed the policy By removing the barriers and promoting we now see a, carefull, upscale of the usage of eHealth
  • 20. eLabs create mental health interventions in co creation using gaming techniques 20 The eLabs are corporations. The members are mental health institutions and Cbusinez. The interventions are created in co creating between patients, care professionals and Serious Game designers - Autisme - Addiction - Psycho trauma Video based training for skill for autism patients ‘quest for a better life’
  • 21. VECOZO is the platform that facilitates communication between institutions and health insurer 21 Healthcare provider Healthcare provider Healthcare provider Health insurer Health insurer Health insurer VECOZO: Reduction in back office cost At providers and HI Being the the Facto standard there are not many doublings or data incompatiblities in the Netherlands
  • 23. Index 23 Our environment The goal of CbusineZ is to change the behaviour of the healthcare system Cases: Hearing aids Benchmarking eMental Health Communication platform Corporate Venture Office Organisation and alignment Staff CVM: expertsystem for monitoring & portfolio management
  • 24. CbusineZ organisation: the elements have to aligned 24 Organisation Culture Process & Tools Finance People Strategy Corporate Venture Office
  • 25. Position in the CZ organisation: at board level 25 Board CZ Marketing Healthcare procurement Sales Customer service Declaration services Staff Board CbusineZ Legally CbusineZ is a separate legal entity with its own board Functionally To the CZ organisation the CZ-CbusineZ board present themselves as one So CbusineZ is organised at C-level CSF
  • 26. CbusineZ organisation structure 26 Executive board Arno van Son Joep de Groot Ria Yap Business managers Gertjan van Rossum Investment managersSupport Angelique Bonte Stephan Hulsbergen Freek van Gerwen Berry MortierJeroen Nugteren Finance Lianneke Mol Myrthe van HoekCarolien Oppeneer Legal Intern Nicole van Loy
  • 27. CbusineZ network: CbusineZ, Venture managers and CZ innovators CbusineZ event: (Every 3 months) Deal flow Presentation on relevant topic (eg strategy, innovation lessons from Jobs) Thought provoking topic: (eg design, serious game) Networking 17 CZinnovators Venturemaangers CbusineZ Executive board A. van Son J. de Groot R. Yap Business managers JH Willemse B. v.d Kallen U. Soffers GJ van Rossum H. Agten Investment managersSupport A. Bonte T. Talen
  • 28. CbusineZ organisation: the elements have to aligned 29 Organisation Culture Process & Tools Finance People Strategy Corporate Venture Office
  • 29. CbusineZ attracts employees from CZ and ‘reprograms’ them 30 14 Board CZ Marketing Healthcare procurement Sales Customer service Declaration services Staff Venture Opera CbusineZ Investment managers Venture manager Consultant 1 1 2 3 2 3 Intensive coaching program: from “corporatee” to innovator Attitude - Results Instead of process - Don’t tell me why it can’t be done, tell me what you need - Connect instead of protect Skills - Focus, focus, focus - PRISMA (problem solving) Speed - Enourmous acceleration
  • 30. CbusineZ organisation: the elements have to aligned 32 Organisation Culture Process & Tools Finance People Strategy Corporate Venture Office
  • 31. The CVO needs a formalised process and tools 33 0. Idea Generation 1. Screen lead/idea 3. Develop mature Venture 2.1 New Venture 2.2 Participation M&A BP Start up Scale up Expansion Exit Venture 4. Exit Venture dealflow en innovatie-mngt Cbusinez 18-okt-11 Innovaties naam soort CVM-status BMngr Mijlpaal gereed% gereed NIEUWE VENTURES CVM-status Businessplan 1 1/2 dermatologie NV NV-2 Opstart + M&A-3 TT 01-12-11 25% Introductie PROMS NV NV-2 Opstart JvV/JdG 01-09-11 95% Matching Talen: marktplaats voor Vp NV NV-2 Opstart TT 01-12-11 30% Nieuw Concept voor B&G (profielgericht verzuimmngt) UVV NV-2 Opstart TF 09-07-11 10% Centrale inkoop voor v&v huizen NV NV-1 Businessplan JN 01-02-12 0% Premium Care & Living NV NV-1 Businessplan BLE ? PARTICIPATIES CVM-status BM Mijlpaal % gereed Plannings- communicatiesysteem voor mantelzorg NV MA-2 Screening aanbod NvL 01-10-11 90% Fusie en schaalvergroting WMO KT Part MA-2 Screening aanbod JdG 15-11-11 50% Bekijken mogelijke participatie in Medicinfo van APO Part MA-2 Screening aanbod JdG 01-12-11 25% Fusie PROMs en Miletus & aanscherpen CQI Part MA-2 Screening aanbod JdG 01-12-11 0% Verkoop Huisartsenscan aan derde partij Part Ex-4 Onderhandelen voorwaardenABO 01-01-12 50% Projecten CVM-status Zorgregelaar Proj PJ-4 Uitvoering ABO 01-04-12 25% Lichtere cardio processen met ehealth (Philips) Proj PJ-3 Ontwerp TK/JdG 29-06-11 10% ZDF: Proces rondom verstrekking aan- en uittrekhulp verbeteren Proj PJ-3 Ontwerp JD 22-06-11 10% ZDF: serious game ontwikkelen Proj PJ-2 Opstart JdG 01-04-12 50% Mental ehealth in 2e lijn Proj PJ-1 Projectplan NS 10% Verbeteren inzet Best Doctors proj PJ-1 Projectplan ABO 5% IDEE EN VERKENNINGFASE 1-2 Arbo diensten te koop? 2. verkenning TT 90% Informatieuitwisseling binnen ouderenzorg met MMG 2. verkenning HA ? 75% Ondersteuning BMI 30-35 2. verkenning TT 70% Model ziekenhuis met Bernhove 2. verkenning JdG 50% Bekijken mogelijkheid KZN voor fysiotherapie 2. verkenning GvR 50% KZN voor AWBZ ism buurtzorg&omaha systeem 2. Verkenning HA ? 25% Qiy als alternatief voor het EPD (incl investering/toezicht) 2. Verkenning WCA 01-09-11 10% Kwaliteit meten door gezondheidswinst te bepalen 2. verkenning JdG 10% DICA als benchmark voor oncologie 2. verkenning JdG 10% Obesitas ondersteuning met mobiel (icm Rabobank) 2. verkenning JdG 5% Deal Flow 1. Market Map 2a. Strategic goal for the parent 2b. Needed results 3. Business goals for the Venture 4a. Needed links with the parent 4b. Needed links with other Ventures in the portfolio 5. JV partner selection and abilities to be transferred Strategic Goal Map Strategic Goal Map Portfolio Mngt Zorgaanbod realiseren Kwaliteit verhogen Kosten van zorg verlagen Zelfmanagement mogelijk maken Strategische waarde (nu-3jr) Essentieel Hoog Bijdragend Beperkt Portfolio Mngt Business plan Marketing & sales Partner network Organisatie Product Intellectual Property/ Strategic assets Delivery processes Managing director Team & key personnel Structure & governance Financial performance Financial structure Control strategy Organisation Product Financial Strategic goal BP Start up Scale up Expansion ValueoftheVenture Time Develop mature venture Core Venture Mngt
  • 32. Deal flow list facilitates progress by transparency and killing projects that won’t progress 34 dealflow en innovatie-mngt Cbusinez 18-okt-11 Innovaties naam soort CVM-status BMngr Mijlpaal gereed% gereed NIEUWE VENTURES CVM-status Businessplan 1 1/2 dermatologie NV NV-2 Opstart + M&A-3 TT 01-12-11 25% Introductie PROMS NV NV-2 Opstart JvV/JdG 01-09-11 95% Matching Talen: marktplaats voor Vp NV NV-2 Opstart TT 01-12-11 30% Nieuw Concept voor B&G (profielgericht verzuimmngt) UVV NV-2 Opstart TF 09-07-11 10% Centrale inkoop voor v&v huizen NV NV-1 Businessplan JN 01-02-12 0% Premium Care & Living NV NV-1 Businessplan BLE ? PARTICIPATIES CVM-status BM Mijlpaal % gereed Plannings- communicatiesysteem voor mantelzorg NV MA-2 Screening aanbod NvL 01-10-11 90% Fusie en schaalvergroting WMO KT Part MA-2 Screening aanbod JdG 15-11-11 50% Bekijken mogelijke participatie in Medicinfo van APO Part MA-2 Screening aanbod JdG 01-12-11 25% Fusie PROMs en Miletus & aanscherpen CQI Part MA-2 Screening aanbod JdG 01-12-11 0% Verkoop Huisartsenscan aan derde partij Part Ex-4 Onderhandelen voorwaardenABO 01-01-12 50% Projecten CVM-status Zorgregelaar Proj PJ-4 Uitvoering ABO 01-04-12 25% Lichtere cardio processen met ehealth (Philips) Proj PJ-3 Ontwerp TK/JdG 29-06-11 10% ZDF: Proces rondom verstrekking aan- en uittrekhulp verbeteren Proj PJ-3 Ontwerp JD 22-06-11 10% ZDF: serious game ontwikkelen Proj PJ-2 Opstart JdG 01-04-12 50% Mental ehealth in 2e lijn Proj PJ-1 Projectplan NS 10% Verbeteren inzet Best Doctors proj PJ-1 Projectplan ABO 5% IDEE EN VERKENNINGFASE 1-2 Arbo diensten te koop? 2. verkenning TT 90% Informatieuitwisseling binnen ouderenzorg met MMG 2. verkenning HA ? 75% Ondersteuning BMI 30-35 2. verkenning TT 70% Model ziekenhuis met Bernhove 2. verkenning JdG 50% Bekijken mogelijkheid KZN voor fysiotherapie 2. verkenning GvR 50% KZN voor AWBZ ism buurtzorg&omaha systeem 2. Verkenning HA ? 25% Qiy als alternatief voor het EPD (incl investering/toezicht) 2. Verkenning WCA 01-09-11 10% Kwaliteit meten door gezondheidswinst te bepalen 2. verkenning JdG 10% DICA als benchmark voor oncologie 2. verkenning JdG 10% Obesitas ondersteuning met mobiel (icm Rabobank) 2. verkenning JdG 5% Simple list with Ventures & projects with their status and milestone deadline Managers want to show progress The deal flow makes the progress transparent. Managers want to show progress to the board and the rest of the CbusineZ community Facilitates killing projects Corporate habit: We have invested a lot of effort in this project, so it would be a shame to stop now... Kill and kill early! Ventures/projects that won’t progress are killed! “Don’t be temped to let it simmer”
  • 33. Create a Strategic Goal Map… enhance it with every phase and use it for monitoring 35 1. Market Map 2a. Strategic goal for the parent 2b. Needed results 3. Business goals for the Venture 4a. Needed links with the parent 4b. Needed links with other Ventures in the portfolio 5. JV partner selection and abilities to be transferred Strategic Goal Map Establish the strategic goals the company wants to achieve with this venture Detail needed business results, needed links & partners The Strategic Goal Map is needed to monitor the Venture and to organise the links with the parent
  • 34. We had no tool to analyse organisational maturity and to coach the venture director 36 How good are the ventures in the portfolio? BP Start up Scale up Expansion ValueoftheVenture Time Develop mature venture Core How can we help ventures to progress to the next phase?
  • 35. We review on 13 aspects to get a complete picture 37 Business plan Marketing & sales Partner network Organisatie Product Intellectual Property/ Strategic assets Delivery processes Managing director Team & key personnel Structure & governance Financial performance Financial structure Control strategy Organisation Product Financial Strategic goal BP Start up Scale up Expansion ValueoftheVenture Time Develop mature venture Core
  • 36. Based on literature, experience and case study we devoloped our own rules set 38 Venture management literature Subject literature Experience Cases CbusineZ Venture Management Heuristic rules set
  • 37. Per phase, per subject categorie 3-5 questions are developed (total :350) 39
  • 39. Thank you for your attention and have fun venturing 41