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VISHAL GULATI Twitter: @vgul
HEALTHCARE EVOLUTION:
WHAT IS DIFFERENT THIS TIME
DR VISHAL GULATI: HEALTHTECH VC, DRAPER ESP...
VISHAL GULATI Twitter: @vgul
VISHAL GULATI Twitter: @vgul
Draper Esprit Facts
VISHAL GULATI Twitter: @vgul
Digital Health: What & Why
ATTRACTIVE STAGE OF SECTOR
• US market growing rapidly, EU market ...
VISHAL GULATI Twitter: @vgul
Private and confidential draft for
discussion
952
1,431 1,465
2,355
5,172
5,744
160
292
415
6...
VISHAL GULATI Twitter: @vgul
Digital Health: TRACTION
•$ 2.5b worth of M&A
in 2014 (av. $210m)
•Outperformed
biotech & dev...
VISHAL GULATI Twitter: @vgul
Digital health – Matrix of deals
Technological Innovation
Business Model Innovation
B2BB2C
Te...
VISHAL GULATI Twitter: @vgul
Portfolio
VISHAL GULATI Twitter: @vgul
Portfolio Map:
Technological Innovation
Business Model Innovation
B2BB2C
Telemedicine
Consume...
VISHAL GULATI Twitter: @vgul
Life is Good 1.0
VISHAL GULATI Twitter: @vgul
Life is Good 2.O
VISHAL GULATI Twitter: @vgul
Not so Good: Death is Still Very Common
VISHAL GULATI Twitter: @vgul
So Where are We?
A B
C
VISHAL GULATI Twitter: @vgul
What is different now?
•Healthcare is changing from a data poor science to
a data rich scienc...
VISHAL GULATI Twitter: @vgul
Technology change….
VISHAL GULATI Twitter: @vgul
Getting Rich…
VISHAL GULATI Twitter: @vgul
Culture Shift: “Public Health”
"You changed my 11-year-old
daughter's summer! She's been so
s...
VISHAL GULATI Twitter: @vgul
Patients don’t want to share data. Seriously?
VISHAL GULATI Twitter: @vgul
Culture Shift: Participatory Medicine
VISHAL GULATI Twitter: @vgul
Powershifting
VISHAL GULATI Twitter: @vgul
Data Driven Accountability
Day of week of procedure and 30 day mortality for elective surgery...
VISHAL GULATI Twitter: @vgul
Which is more important?
VISHAL GULATI Twitter: @vgul
1: Volume to Value
Activity Based Payments Value Based Payments
Birth of the analytics for ac...
VISHAL GULATI Twitter: @vgul
2: Herd Medicine to Nerd Medicine
One size fits ‘all’ n = ~1
Genomics & other stratification ...
VISHAL GULATI Twitter: @vgul
3: Small is the new Big
Mainframe Handheld
Adding a billion new healthcare consumers
VISHAL GULATI Twitter: @vgul
4: ER to CR
Episodic Care Continuous Care
Strong disruptive interactions between industries
VISHAL GULATI Twitter: @vgul
The Digital Health Opportunity
THE FUTURE OF HEALTH WILL ARISE FROM THE JOINT ENERTPRISE OF
P...
VISHAL GULATI Twitter: @vgul
• @vgul
• vg@healthtech.vc
VISHAL GULATI Twitter: @vgul
• @vgul
• vg@healthtech.vc
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Digital Health: “Healthcare Evolution: What is Different This Time”, VISHAL GULATI,

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Presentation of Vishal Gulati (Draper Esprit, Venture Partner; Horizon Discovery Group PLC, Board Director) at the Forum of the BioRegion of Catalonia, organized by Biocat.

Published in: Health & Medicine
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Digital Health: “Healthcare Evolution: What is Different This Time”, VISHAL GULATI,

  1. 1. VISHAL GULATI Twitter: @vgul HEALTHCARE EVOLUTION: WHAT IS DIFFERENT THIS TIME DR VISHAL GULATI: HEALTHTECH VC, DRAPER ESPRIT
  2. 2. VISHAL GULATI Twitter: @vgul
  3. 3. VISHAL GULATI Twitter: @vgul Draper Esprit Facts
  4. 4. VISHAL GULATI Twitter: @vgul Digital Health: What & Why ATTRACTIVE STAGE OF SECTOR • US market growing rapidly, EU market about to takeoff • Global application of technologies • Attractive valuations – potential arbitrage opportunities DEFINITION: Products and platforms exploiting connectivity, data aggregation and/or analytics to improve disease outcome and or patient experience DIVERSE OPPORTUNITY LANDSCAPE • Wide range of opportunities, portfolio opportunity • B2C side expands later stage investor universe to help value creation • Surrounded by acquisitive industries UNDERPINNED BY TECH CHANGES • Rising global smartphone penetration • Exponential tech bringing costs down (DNA sequencing) • Data analytics/security technologies maturing FAVOURABLE MACRO-TRENDS • Unaffordable healthcare costs • Aging population • Baby-boomers driven by quality of life & willing to pay for better outcome and experiences
  5. 5. VISHAL GULATI Twitter: @vgul Private and confidential draft for discussion 952 1,431 1,465 2,355 5,172 5,744 160 292 415 626 737 889 0 100 200 300 400 500 600 700 800 900 1000 0 1000 2000 3000 4000 5000 6000 7000 2010 2011 2012 2013 2014 2015 Funding (USD mio) Deals (#) In in less than 5 years, digital health has outstripped total investments in medical devices & diagnostics Notable digital health investments (USD mio raised 1)Digital health funding 313 226 66 77 DealsFunding (USD mio) 18 25 26 9 (1) Rounded figures Source: CB Insights, January 2016; CrunchBase Digital Health: Venture Investing
  6. 6. VISHAL GULATI Twitter: @vgul Digital Health: TRACTION •$ 2.5b worth of M&A in 2014 (av. $210m) •Outperformed biotech & device M&A M&A •8 venture backed IPOs since 2009 •Include Veeva, MediData but not all have performed well IPOs •Guidance on major issues •27 digital health products approved FDA •Guidance on data protection since 2013 •Further guidance in 2015 EMEA •Recongnised role of software in disease management •Omada Health’s diabetes software first product CDC •Announced Digital Health Roadmap in 2013. Pt. access in ’15 •Launched accelerator & test-beds in 2015 NHS •Leading US health systems rapidly going digital (Kaiser) organically as well as inorganically Payers •Major investments by Qualcomm, Bluecross, Google, Novartis •Big data traction (Biogen, Roche) Corporates •Apple Inc: HealthKit (EPIC), ResearchKit •Android •IBM Watson: Apple, J&J, Medtronic Lateral
  7. 7. VISHAL GULATI Twitter: @vgul Digital health – Matrix of deals Technological Innovation Business Model Innovation B2BB2C Telemedicine Consumer Genetics Neuro enhancement “Tripadvisor” Precision Medicine Remote Pt. MonitoringWearables Data Security Workflow Tools Premarket Access Ecommerce Clinical Trial Recruitment DTC Medical Device Stratification & Triage Data Generation Training & Edu Source: Internal Online Tx
  8. 8. VISHAL GULATI Twitter: @vgul Portfolio
  9. 9. VISHAL GULATI Twitter: @vgul Portfolio Map: Technological Innovation Business Model Innovation B2BB2C Telemedicine Consumer Genetics Neuro enhancement “Tripadvisor” Precision Medicine Remote Pt. MonitoringWearables Data Security Workflow Tools Premarket Access Ecommerce Clinical Trial Recruitment DTC Medical Device Stratification & Triage Data Generation Training & Edu Source: Internal Online Tx
  10. 10. VISHAL GULATI Twitter: @vgul Life is Good 1.0
  11. 11. VISHAL GULATI Twitter: @vgul Life is Good 2.O
  12. 12. VISHAL GULATI Twitter: @vgul Not so Good: Death is Still Very Common
  13. 13. VISHAL GULATI Twitter: @vgul So Where are We? A B C
  14. 14. VISHAL GULATI Twitter: @vgul What is different now? •Healthcare is changing from a data poor science to a data rich science: Genomics, Data Science, Handhelds, Personlised Medicine/ Precision Medicine •Culture Shift: Privacy, Democratisation, Accountability, End of exceptionalism
  15. 15. VISHAL GULATI Twitter: @vgul Technology change….
  16. 16. VISHAL GULATI Twitter: @vgul Getting Rich…
  17. 17. VISHAL GULATI Twitter: @vgul Culture Shift: “Public Health” "You changed my 11-year-old daughter's summer! She's been so self-conscious, but since she read about you and saw this photo, she cannot wait to wear a bathing suit tomorrow and show off her insulin [pump] and have me post a photo here!" Miss Idaho Sierra Sandison
  18. 18. VISHAL GULATI Twitter: @vgul Patients don’t want to share data. Seriously?
  19. 19. VISHAL GULATI Twitter: @vgul Culture Shift: Participatory Medicine
  20. 20. VISHAL GULATI Twitter: @vgul Powershifting
  21. 21. VISHAL GULATI Twitter: @vgul Data Driven Accountability Day of week of procedure and 30 day mortality for elective surgery: retrospective analysis of hospital episode statistics. BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f2424 (Published 28 May 2013)
  22. 22. VISHAL GULATI Twitter: @vgul Which is more important?
  23. 23. VISHAL GULATI Twitter: @vgul 1: Volume to Value Activity Based Payments Value Based Payments Birth of the analytics for accountability industry
  24. 24. VISHAL GULATI Twitter: @vgul 2: Herd Medicine to Nerd Medicine One size fits ‘all’ n = ~1 Genomics & other stratification tools become mainstream
  25. 25. VISHAL GULATI Twitter: @vgul 3: Small is the new Big Mainframe Handheld Adding a billion new healthcare consumers
  26. 26. VISHAL GULATI Twitter: @vgul 4: ER to CR Episodic Care Continuous Care Strong disruptive interactions between industries
  27. 27. VISHAL GULATI Twitter: @vgul The Digital Health Opportunity THE FUTURE OF HEALTH WILL ARISE FROM THE JOINT ENERTPRISE OF PATIENTS AND HEALTH PROFESSIONALS USING DIGITAL TECHNOLOGIES AND HARNESSING LARGE POOLS OF DATA BIG DATA GENOMICS CONNECTIVITY A.I.
  28. 28. VISHAL GULATI Twitter: @vgul • @vgul • vg@healthtech.vc
  29. 29. VISHAL GULATI Twitter: @vgul • @vgul • vg@healthtech.vc

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