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CONNECTIVITY = EFFICIENCY + VALUE
April 12, 2013
BIG
EFFICIENCY
IN HEALTHCARE IS A

PROBLEM
Inflection point:
  Ripe for Disruptive Healthcare Innovation



Access and Affordability Gap    Growing Disease Burden       Provider Cultural Change




   Global Community                                         Consumer Cultural Change




   Healthcare Reform           Employer Demands for Value     Technology Innovation

                                                                                   3
PATIENT   PATIENT
50,000
               PATIENTS



         20+
ENTREPRENEUR     OVER     ENTREPRENEUR



                        YEARS
SHAVE POINTS OFF
   CHANGE COST STRUCTURE
PHYSICIAN CONTROL
 BEHAVIOR PEOPLE
FOCU

UNDERSTAND
S


SEEK RELATE
MOBILE COMPUTING DEVICES

SOLUTION
CONSUMERS WANT IT

134%
         Growth in healthcare’s mobile
         audience in the past year. By
         far the largest growing sector




80%      of Internet users research
         health online

                                          SHIFT TO
67%                                       CONVENIENT,
         want access to more

                                          ACTIONABLE
         comprehensive info about
         docs online

                                          MHEALTH
                                          INFORMATION
81%      want to make appointments
         online ahead of visit




70%      of all mobile searches result
         in action within 1 hour
WHY IS THIS

DISRUPTIVE?
HISTORY OF MEDICINE
DID NOT INCLUDE THE

PATIENT
EMPOWERMENT
  OUTCOMES
  BEHAVIOR
QUALITY ISSUES                                        MORE
                                                      ACTIVATED
                                                                          LESS
                                                                          ACTIVATED
                                                      PATIENT             PATIENT




   PATIENT ENGAGEMENT
                12.8% 28%
Readmitted to the hospital with in 30
days of discharge


  CONSISTENTLY PREDICTS
                19.2% 35.8%
Experiences a medical error


  HOSPITAL PERFORMANCE
                12.6% 41.8%
Have poor care coordination among
health care providers


                                                      13.2%               48.6%
Suffer a health consequence because of
poor communication among providers


                                                      15.1%               59.8%
Lose confidence in the system




            Source: Adapted from AARP & You “Beyond 50” Patient Survey; Gallup Research, IMI Healthcare
IMPROVING EFFICIENCIES
IMPROVING EFFICIENCIES
IMPROVING EFFICIENCIES
“
It all begins with a
   song
 symptom
     ”
COMPLEX
HEALTHCARE
PATERNALISTIC   SELF-DIRECTED
CUSTOMER NETWORK OF THOUSANDS OF
HOSPITALS AND URGENT CARES, AND OVER




                   20,000
                   PHYSICIANS
MOST UBIQUITOUS, AND RAPIDLY
GROWING MOBILE CONSUMER PLATFORM




                   NEARLY
                  50+ N
                   BILLIONS
                  9,000,000
                        MILLIO
                                uses per year
                     Of Page Views
                   Total Downloads
70,000
POSITIVE APP REVIEWS
4.5/5 STAR RATINGS IN APP STORES
19X
INFORMATIONAL STEERAGE

                                ACCESSING
                                IN-NETWORK
                                DOCTORS/CARE



40%
ACUTE CARE EFFICIENCIES



                                LOWER COST,
Reduction in ER selection for
                                ACUTE CARE
non-urgent causes
MOVING FROM VOLUME TO VALUE
                   REVENUE TRANSITION PERIOD


                                               VALUE
                                               MODEL




$
REVENUE                                        FEE FOR
                                               SERVICE
MIX



           TIME
THANKS

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CONNECTIVITY = EFFICIENCY + VALUE

Editor's Notes

  1. Efficiency problem in healthcare is a big problem
  2. Examples of healthcare patients (78-year-old diabetic v. 25-year-old adventurist)
  3. We became entrepreneurs focused on this area after 20+ years in the ER watching a broken system
  4. A lot of companies have taken on this problem by focusing on trying to change physician behavior, shave basis points off same cost structure, control people
  5. We took a different approach, we realized that we needed disruptive change to make a differenceBy focusing on the patient, turning them into a consumer, and building a more interactive process for understanding, seeking, and relating about healthcare, this problem can effectively be addressedWe realized that for the first time, people would start to carry around mobile computing devices and that this could allow a solution to actually work
  6. We took a different approach, we realized that we needed disruptive change to make a differenceBy focusing on the patient, turning them into a consumer, and building a more interactive process for understanding, seeking, and relating about healthcare, this problem can effectively be addressedWe realized that for the first time, people would start to carry around mobile computing devices and that this could allow a solution to actually work
  7. But, it’s really no just about getting information anymore. WebMD, for instance, has been providing health information online for years now. But today’s mHealth world is now about technology helping people take action on that information and solve problems. - even in the healthcare space.Research shows that 81% of people polled want to make appointments online.And, according to the Mobile Market Association, 70% of all mobile searches result in action within 1 hour. (Mobile Market Association)
  8. As soon as we realized what was happening in the mobile space, we started building our solutionNow why is this disruptive, hasn’t the patient been the focus of Healthcare for years
  9. History of medicine has not included the patient in the process, or educated the patient effectively
  10. By creating transparency, we can achieve empowerment, by creating empowerment, we can affect behavior, by affecting behavior, we can provide better outcomes, by providing better outcomes, we create the feedback loop that drives reinforces the entire loop. Net result is a better educated consumer, in a better marketplace
  11. AARP study, themore activated a patient, the less likely they were toexperience a negative health outcome such as readmittance to the hospital or a medical error.Patient engagement consistently predicts hospital performance on an array of crucial business outcomes, including EBITA per adjusted admission and net revenue per adjusted admission.Chronically ill patients who have email relationships with their doctors correlate with:Higher trustBetter HEDIS outcomes
  12. We are betting on human nature improving efficiencies in a marketplace, but this is not a leap of faith, there are other great examples of this (Expedia, ebay, eTrade)
  13. We are betting on human nature improving efficiencies in a marketplace, but this is not a leap of faith, there are other great examples of this (Expedia, ebay, eTrade)
  14. We are betting on human nature improving efficiencies in a marketplace, but this is not a leap of faith, there are other great examples of this (Expedia, ebay, eTrade)
  15. In the music business, they say “It all begins with a song”. In medicine, we believed, ”It all begins with a symptom”
  16. We believed that information alone would help “steer” patients, and consumers proved this to be true. When you make this actionable, and take the hassle factor out of going to the ER, finding an urgent care, or booking an apt with a physician, the impact is even greaterThe adoption by patients has grown significantly
  17. Pathways concept a lot of work flows that patients try to navigate, and are very complex in healthcare, start with clinical information, and end in highly fragmented healthcare delivery systemiTriage created a simple system that started with a symptom, and ended wherever the patient needed to go, and allowed you to jump in at any point, but made it simple, trusted, and
  18. We believed that information alone would help “steer” patients, and consumers proved this to be true. When you make this actionable, and take the hassle factor out of going to the ER, finding an urgent care, or booking an apt with a physician, the impact is even greaterThe adoption by patients has grown significantly
  19. Demand vs paternalistic information concept slide
  20. D. Study the problem, test oftenE. Does it work for the average consumer?
  21. The results have been impressiveSelf care searches – billions of data elementsInformational steerage – 19xAcute care efficiencies – 40% reduction in ER selection for non-urgent causesParticipation by healthcare providers - ~20% of the marketParticipation by Insurers – Acquisition by Aetna and charter to serve industry agnostically
  22. .  I don't think I have to remind anyone in this room that the Affordable Healthcare provisions go into effect next year, which means premiums and coverage are changing now.  We are no longer in a fee-for-service world, and physicians now understand that the greatest business opportunities and the best business operations start with quality of care.  If you look at Medicare and Medicaid for instance, the federal government is not reimbursing physicians for repeat service or visits within a certain period of time.  MORE FROM PETE
  23. Consumer video (1.5 minutes)
  24. Thanks