12.04.3 7 minute pitch

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There is some more editing to do on this after a couple of recent presentations for feedback, but Halle advised us to get our application in stat!

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  • I appreciate the sentiment of being prescribable, but I think that many of these apps will be paid for directly as well. The key is to have it integrated into the provider's view and data so it can be used to help the patient but also improve care as well.
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12.04.3 7 minute pitch

  1. 1. Developing customizable smartphone and web applications for doctorsto personalizepatient engagement in chronic care situations. Confidential @RxApps
  2. 2. The Inspiration Mom Confidential @RxApps
  3. 3. The pattern – Repeated in College Doctors miss things by no fault of their own Medications do not workby themselves Confidential @RxApps
  4. 4. Treatment Follow Up is inconsistent Only 20% make recommended follow up appointments during first 3 months 60% of Patients adherent at 3 months 43% Adherent at 6 months ~50% Overall Adherence Long Term Confidential @RxApps
  5. 5. IMAGINE A NEW CARECONTINUUM… Confidential @RxApps
  6. 6. Doctor gives diagnosisand ‘prescription’ toset up account Confidential @RxApps
  7. 7. Profile – Set up by PatientWeb (S) Confidential @RxApps
  8. 8. Use Walkthrough Customize Prompt and Respond View History Confidential @RxApps
  9. 9. Built in logic OR 617.555.5656 917.665.7272 911 Irregular, Alarming Normal, Healthy Confidential @RxApps
  10. 10. Doctor can monitor in real time and easily reach out; change questions on the flyConfidential @RxApps
  11. 11. Provider Dashboard and Registry Patients will eventually be prioritized based on severity of condition at last check in (trending patterns also taken into account) Confidential @RxApps
  12. 12. Better Treatment 80% of patients in weekly communication with care team had medication changed within 60 days vs 15% in treatment as usualTreatment Adjustment and Medication Adherence for Complex Patients With Diabetes, Heart Disease, and Depression:A Randomized Controlled TrialLin, EHB, et al. (2012) Annals of Family Medicine 10:6-14. Confidential @RxApps
  13. 13. Better self-management“Doctor engagement outside of caresettingincreases adherence by 33%” Confidential @RxApps
  14. 14. * * * Over $28 B in savings for MH AloneImprovedQOL, Management of other Conditions Confidential @RxApps
  15. 15. Accountable Care Organizations (ACO) wantMonitoring Monitoring Predictive Analytics Simple, Intuitive interfaces Confidential @RxApps
  16. 16. HITECH/EMRs ACO/PPACATech Reform Mobile Payment Reform Market factors aligned for the first timePrescribable Apps Confidential @RxApps
  17. 17. Benefits of Use  Patients  Higher quality of life  Providers and Concierge Care Systems  Competitive advantage  Opportunity for increased revenue  Large Hospital Systems (ACOs, IDNs)  Population management  Shared Savings Program quality reporting Confidential @RxApps
  18. 18. Revenue: Per member per month subscription Scenario 1 – Focus: Only past inpatient/ED history At $10/mo: $36,000,000/year Providers: +$12,000,000/year + SSP bonuses Scenario 2 – Volume: All Patients Receiving Treatment At $5/mo: $93,000,000/year Providers: +$18,600,000/year + SSP bonuses Calculations based on 5 large provider systems Confidential @RxApps
  19. 19. 5 ‘Dream’ Customers, ~1.6 Million Users Paul Sherman, Med. Dir. at Group Health  Board President of Seattle Counseling Service, 660k covered lives Tom Sequist, CDO at Harvard Vanguard/Atrius  Researches quality improvement and under-represented demographics, 1 M covered lives George Isham, Med. Dir. at HealthPartners  Board of ICSI and NCQA, 1.4 M covered lives Martha Wofford, VP at AETNA  Head of Consumer Platform, 13 M covered lives Alfred Fortin, SVP at HMSA  mHealth Enthusiast, 600k covered lives Confidential @RxApps
  20. 20. CompetitionEmerging market, so not much yet. And no one focused on MH Mental Social Physician Customizable Education Health Community Dashboard ? Care Mgmt Companies Confidential @RxApps
  21. 21. The Ask  Funding: $500k for next 12 months Private Enterprise Social BU Focus Provider HIPAA Partner/ Community Group Trial Redeploy Customer Deployed 500k 500k Build… Q2 2012 Q3 2012 Q4 2012 Q1 2013 Confidential @RxApps
  22. 22. TeamFounders Advisors  John Moore III, CEO  Chris Stakutis  Former genetics scientist  Patient engagement research at CA Tech  Organizer, Boston Health 2.0 Chapter  Hospital software sales executive at Patient Keeper  ElioMaggini, CTO  Anne Whitman, PhD  Multi-startup CTO  Founder, Cole Resource Center at  Successful exits to Google and McLean Hospital Nokia; Visual VM for VZW  Leading patient advocate  Christopher McDonald, CFO  Sarah Lord, PhD  Back end developer  Director, Center for Technology and  Corporate financial analyst, RBS Behavioral Health at Dartmouth  John Moore Jr. Psychiatric Research Institute  Leading Healthcare IT analyst  Thor Bergerson, MD  Idea originator and lead mkt  Owner, ADHD Boston advisor  Director, Hallowell Center New York Confidential @RxApps
  23. 23. Advancing treatment outcomes for chronic illness“This could help us immensely “Better management ofwith our quality payments.” “If outcomes can be mental health population? -CMO, Pioneer ACO improved, this is a goldmine.” Yes, we need that.” -CEO, Carve-out payer -VP, Safety-net system Email: john3@PrescribableApps.com Twitter: @RxApps Confidential @RxApps
  24. 24. BACKUPS Confidential @RxApps
  25. 25. Better Treatment 80% of patients in weekly communication with care team had medication changedwithin 60 days vs 15% in treatment as usual Confidential @RxApps
  26. 26. Better self-management“Doctor engagement outside of caresettingincreases adherence by 33%” Confidential @RxApps
  27. 27. Mobile offering adoption by largeproviders ACO/PCMH Model Now: Time to Act Adoption EHR Quality Monitoring Preventive Engagement MU MU Stage 2 Convenience and ACO Year 1: ACO expansion; Year 2: Loyalty Quality reporting Quality based payment Confidential @RxApps
  28. 28. Expansion 2017 Acquisition by: -EMR Co. Solutions for other Chronic -Large Payor Illnesses -DM Co. Primary Care Implementation (~140,000 practicing) Psychiatric Professional Capture (22,690 practicing) 2012 Confidential @RxApps
  29. 29. My Path to PrescribableApps 2003 Vassar: Neuroscience Post-undergrad: 2.5 years research at MGH, NIBR – not for me Post-research: MA2 and RVL Internships 1st Consulting Project: Health IT Market Overview for major VC 2011 Confidential @RxApps
  30. 30. Mobile-web enabled 6 6 Confidential @RxApps
  31. 31. Summary  PrescribableApps is a patient- 6 provider engagement solution  Patients will better self-manage and doctors will provide smarter treatment  Payer systems are starting to invest in mobile offerings for competitive advantage (Aetna, Intermountain, Highmar k, etc).  Very large (>$100 Bn) emerging market for accountable care organizations Confidential @RxApps
  32. 32. Vision: Platform for Connected and Continuous Care 6“This could help us immensely “Better management ofwith our quality payments.” “If outcomes can be mental health population? -CMO, Pioneer ACO improved, this is a goldmine.” Yes, we need that.” -CEO, Carve-out payer -VP, Safety-net system Confidential @RxApps
  33. 33. Patient Engagement Offerings Social community for sharing experiences Badges for continued engagement, acknowledg ement Educational resources, interactive V IDEO videos S ERIES Confidential @RxApps
  34. 34. Why this strategy will work:  4% return users on traditional static browsers, 40% return users with mobile web.  Doctor engagement outside of care setting increases adherence by ~33%  92% of US population owns a cell phone, and smartphone saturation is expected in 3 years  We are developing a prescribablebehavioral intervention, which has never been done before Confidential @RxApps
  35. 35. What we’re looking for now:  Funding: $500k for next 12 months  HIPAA compliance  Integration with first EMR system  Use cases for customers, strategics  Trial set up at BU, advisor can get us into rapid testing at Dartmouth  Advisors and Feedback  Hospital administration connections, warm intros  Go-to-market validation  Algorithms/‘big data’ expertise  Consumer advocate leader (Anne Whitman?) Confidential @RxApps
  36. 36. Market – Mental Health Only Assume cost is Scenario 1 – Focus: $4/pt per mo: Only past inpatient/ED history $21 Bn, 6 Million Patients 60% Margin 5% Reduction of costs = $166 saved per pt/year $21.6 M 5 Large Payers/Providers = 300,000 pts At $10/mo: $36,000,000/year Providers: $12,000,000/year + SSP bonuses Scenario 2 – Volume: All Patients Receiving Treatment $113 Bn, 31 Million Patients 20% Margin 2% Reduction of costs = $72 saved per pt/year $18.6 M 5 Large Payers/Providers= 1,550,000 pts At $5/mo: $93,000,000/year Providers: $18,600,000/year + SSP bonuses Confidential @RxApps

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