Ekohealth is a group-purchasing organization aimed at reducing healthcare costs for 119 million Indians with limited access to insurance. The service provides an ekohealth card for discounted medications, access to generic drugs, and guides patients to cost-effective medical providers, with the goal of achieving 10 million members within six years. The company is currently operational in 12 cities, with over 2,000 participating service providers and various member acquisition strategies in place.

1. Reducing Family Health Care Costs
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All usage needs to be cited and attributed to Ekohealth

2. Target Market Need
• 119 million Indians have a monthly income > Rs5000/mth and:
– Have surgery or experience extensive treatment each year in a private hospital
– Have chronic ailments requiring regular medications and periodic treatment
• Of these 119 million Indians
– Less than 10% currently have some form of health insurance
– 35% of insurance applications are rejected in this target population
– 35% of insurance claims are rejected in this target population
– Almost all are caring for or will soon be caring for their parents or elderly relatives
– High concentration in metropolitan centres
• This target population
– Heavy users of Internet and social media (influencers – approx 65 million Indian Face book users)
– Senior Citizens ( 100 million Population) , Chronic ailment Patients like diabetics (150 million population) with routine spends on
medicines and lab tests
– Young (60% of population) executives for preventive health-check, and maternity cover, infertility treatment etc not covered by
insurance
• Increase in bed capacity and corporatisation of healthcare
– Leading to increase in competition due to vacant bed capacity
– No cost effective way to reach out to target patients.
– Restrictive regulatory environment limiting commercial marketing of health services
– Huge dependence on family physicians due to these limitation leading to unethical and expensive referral fee split practices
– Huge need to know how to reach out to the target patient group in an organised and structure and cost effective manner

3. Ekohealth - Core business concept
• A group-purchasing organization to lower health care costs for Ekohealth members
• Each Member is issued an Ekohealth card that provides for reduction in medication
expenses of 10 – 50% at a variety of health service providers that belong to the
Ekohealth network:
• Each member is given access to an SMS-based system which provides precise
specification of authorized generic substitution drugs
• Each member has access to a Call Centre which direct patients to the lowest-cost
providers for specific products or services

4. Mission
• Provide a healthcare cost safety net for its members
– Patients without insurance
– Patients with insurance to fill current coverage gaps and to extend to everyday drug and pharmacy purchases
– Patients with chronic disease states
– Patients facing surgery or extensive treatment
• Reduce overall healthcare costs by increasing prescribing of generics and eliminating
referral fees currently paid to physicians from healthcare providers
– Guide patients to lowest-cost, equal-quality providers for diagnostics, surgery or treatment
– Lower patient drug costs by facilitating prescriptions for equal-quality, substitute generic drugs
– Provide corporate-level discounts of 10-50% to members, on an unlimited usage basis, at a network of 2,000+
service providers covering all aspects of healthcare and medication
• Achieve 10 million members within 6 years
• Achieve critical mass of membership: In time, any new health care provider that aims to
enter the Indian health care market or any existing provider that intends to remain as a
significant player will have little option but to join “the club”
• Discourage unethical referral fee based practices

5. Value Proposition
• Patients: Annual family savings between Rs 8,000 and Rs 22,000:
– Low-end scenario: Rs 8,000/yr net savings
• Only one hospital or diagnostic visit in the year
• No family member with a chronic ailment or prescription
• Not caring for elderly family members
• Follow normal regime of check-ups, average sickness frequency and average drug consumption
– High-end scenario: Rs 22,000/yr net savings
• Four hospital or diagnostic visits in the year
• Two family members with chronic ailments
• Caring for two parents or elderly relatives
• Otherwise normal regime of check-ups, sickness frequency and drug consumption
• Care providers: Increase in patient volumes cost effectively and ethically
• Insurance providers: Low reimbursements and higher profitability and addressing unmet
needs of the population (OPD cover, medicines etc)
• Health scenario on whole:
– Encouragement to quality and institution system based practice, encouragement to visit care providers to
prevent disease aggravating and becoming costly to treat
– Provides opportunity to ethical low cost generic manufacturers to now reach out to patients cost effectively and
ethically

6. Gaps & Opportunity Snapshot
+60 age population
+60 age population
is 8.3% of 1.3 bn
is 8.3% of 1.3 bn
No other ethical and growing at 10%
and growing at 10% Very low insurance
Very low insurance
No other ethical
venture on similar penetration(0.8% of
penetration(0.8% of
venture on similar
lines. population)
population)
lines.
35% of insurance
35% of insurance
Total healthcare
Total healthcare applications and
applications and
market size is $40 bn
market size is $40 bn claims get rejected
claims get rejected
Growing awareness
Growing awareness
for healthcare and
for healthcare and
Highly unorganised
Highly unorganised need to give cost
need to give cost
healthcare market.
healthcare market. comparisons
comparisons
Increase in
Increase in Restrictive marketing
Restrictive marketing
prevalence of
prevalence of environment for care
environment for care
chronic diseases (50
chronic diseases (50 providers.
providers.
million diabetics is
million diabetics is Insurance co.
Insurance co.
just one disease)
just one disease) friendly : : augments
friendly augments
health insurance
health insurance

7. Ekohealth - Current Status
• Currently over 2,000 participating service providers in 12 cities
• Pharmacies: Apollo Pharmacy, Health ‘n Glow, etc.
• Hospitals: Seven Hills Hospitals, Medanta MecCity, Birla Evolve Bandra Hospitals, etc.
• Diagnostic Centres
• Surgery Centres
• Specialized Clinics
• Pathology Labs
• Health Check-ups and Wellness Centres
• Home Care organizations
• Successfully validated model by acquiring 2500 individual patients
• Recognition by NASA Singularity and the founder being awarded Ramanujan Bose Award for
social impact in field of healthcare
• Featured on CNBC young turks, entrepreneur magazine, national television and a focused
healthcare startup invitation to chat with Dr Naresh Trehan on CNBC.
• Rich team building with inclusion of ex-COO AOL Canada and other senior team members
• Experienced board of senior advisors belonging to steams of Law, pharma, journalism, media,
and others.

8. Member Acquisition Strategy
1. Corporate Bulk Purchase Programs
• Corporations with >2,000 employees purchase memberships at a discounted price in bulk and distribute to their
employees as a bonus or employee benefit
• Currently designing programs with four major corporations to demonstrate this channel
1. Reseller Program
• Retail chains - pharmacies and wireless operators - resell Ekohealth memberships in their stores
• Telehealth organizations resell Ekohealth memberships to patients calling into call centre
• Currently designing programs for four reseller brands
3. Insurance Agent Reseller Network
• Leverage existing Agent networks selling a variety of insurance types by adding Ekohealth to their sales portfolio
• Will have 10,000 active Agents within one year
4. Affinity programs
• Universities and Associations promote Ekohealth to their Faculty, Staff, Students, Alumni and members who then
sign up on-site or through in-bound Call Centre
• Currently designing programs for 5 universities and associations to demonstrate this channel
5. Brand-driven acquisitions
• Outbound Call Centre
• Inbound Call Centre
• Web site sign-up

9. Existing scenario
2500 Tieups across the country
Apollo Pharmacy pan India
SRL Religare Pan India
Special rates from Thyrocare
High priority acquisition of unsecured staff like drivers, maids, housekeeping at corporate cetres
Members concentration in Kalyan , Andheri and suburbs
Affinity sale with TRRAIN, Future Group
Retail outlets for sales
Interests by Satyam Mahindra, GHP, Schools and colleges
1000 Insurance agents enrolled
25 Sales managers enrolled
To launch free generic substitution smart phone app
SMS substitution ready and talks with mobile operators on
Gold memberships with preventive check bundled
Recognition from CNBC, Times, others

10. Members – New and renewals (Projected)
Membership Count YR 1 YR 2 YR 3 YR 4 YR 5
Bulk Purchases (Corporate) 24,000 49,792 77,500 88,125 66,094
Reseller Program 18,000 73,194 405,000 870,000 1,530,000
Insurance Agent Program 80,000 194,188 401,250 885,000 1,575,000
Affinity Program 20,000 59,750 93,750 85,000 30,000
Outbound Call Centre 0 0 0 0 0
In-bound Call Centre 32 1,418 10,550 28,125 61,750
Web Sign-up 500 4,357 28,000 68,750 137,500
Total Members at Year-end 142,532 382,698 1,016,050 2,025,000 3,400,344

11. The Ekohealth Executive Team
Steve Dr. Akash Mahavir
Doswell Rajpal Bhattad
Ex-COO of AOL Canada •More than a decade into public •GM Channel Sales & Marketing
Ex-GM of Ericsson Canada healthcare •Over 10 years experience in
Co-founder and Executive of 3 •Well networked and respected running sales organizations in
Canadian Start-up companies (all within Healthcare industry Health, Insurance and Pharma
successfully sold to major N.A. •Expert in quality healthcare •Developed field force of Agents
corporations) services and Brokers
Experienced 2 IPOs and raised $170 •Qualified experienced Medical •Oversaw new market entry
million for start-ups Doctor

12. Feature on Times of India: http://youtu.be/T7PGLt8RN40
Feature on Young Turks-CNBC: http://t.co/hkzEzeDY
CNBC chat with Dr Naresh Trehan : http://bit.ly/PeyPbN
Feature in Entrepreneur Magazine: bit.ly/O3Y3x7
Feature on National TV (DD) : http://bit.ly/TsFJ0s
EKOHEALTH website & blogs: http://www.ekohealth.in
THANK YOU!