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HEALTH+ Information Network
        Improving lives of Vietnamese with Coordinated Care




Professor: Manfred Bues                             Pham Tan Liem
Class: BIS2012, IBA                                Doan Duc Phuoc
                                                   Pham Huy Thanh

                                                              HEALTH+
                                                                1
Case Study
 In 2009, an audit* of 500 medication
 lists from Hospital 115 shows that :
     - 47.17% medicine has no relation
     to patient’s condition
     - Typical medication list has 6-10
     medicine
     - Many medicines used in one list
     have similar therapeutic condition
     or have interaction with each other


                                                             Hospital 115 – Tier 1 Public Hospital
                                                             527 Sư Vạn Hạnh, P.12 – District 10,
                                                             HCM City

                                                                                            HEALTH+
Source : SGGP newspaper on September 1st 2009
                                                                                               2
   http://www.baomoi.com/Home/SucKhoe/sggp.org.vn/Phat-benh-vi-dung-thuoc/3151653.epi
More medicine = healthy ?




                        HEALTH+
                            3
Vietnam Public Insurance Budget
    50
              Vietnamese patient is copaying 47% on
    45                     top of this*
    40                                                                 37.3
    35
                                                     29
    30                           25.2
    25
    20                                                                                    Income
    15        13.5                                                                        Remain
    10
                                                            5
     5                                  2.8
     0
                          -3                                                       -2
    -5
                2009               2010                2011              2012
Unit : trillion VND
Source : Vietnam Joint Annual Health Review 2011
             jahr.org.vn/downloads/JAHR2011/JAHR2011_ToanboVN.pdf
(*) : http://vihema.gov.vn/28/section.aspx/did/3691/cid/5/nguoi-dan-chi-47-chi-phi-y-te
                                                                                               HEALTH+
                                                                                                   4
Health Care Expenditure
                      Prescription Drug / Total health care cost
        100
         90
         80
                                             The system is
         70                                  deeply broken!                                   65%
         60
         50
         40
         30
                     17,3%                                                14,3%
         20                            13,3%            10,3%
         10
          0
                    Japan           Germany              USA             Canada           Vietnam*

Vietnam GDP 2011 : ~$122 billion.
Health care spending 2011 : ~6,8% GDP => Prescription drug : ~$5,4 billion
                                                                                                     HEALTH+
Source : OECD Health Data 2010, WHO                                                                    5
(*) : http://tuoitre.vn/Chinh-tri-Xa-hoi/500755/Gia-thuoc-cao-lam-giam-chat-luong-y-te.html
Patient




                Health+
                                 Insurance
Doctors,      Information        companies
Healthcare
providers       Network




                                 Drug
 Pharmacies
                                 companies

                                         6
Health+ Business Model




                         7
Customer Segment & Value Proposition




                                   8
Customer Segment & Value Proposition

                   High quality service

                     Affordable cost




                Support in decision making

                  Precision and usability

                    Reduce legal risks


                                             HEALTH+
                                               9
Customer Segment & Value Proposition


                           Access to large client base
Pharmacy
                             Precision and usability




                           Prevent fraudulent claims
Insurance
                              High quality service




   Drug
                          Reliable market information
 Companies
                                                         10
Channels




           11
Channels



Secure Health Portal




  Special Software
Interface for Doctor              12
Channels



SW Interface for Insurance




   SW Interface for
     Pharmacy                           13
Channels

                                                 Product   Product
                                                    A         B
                                                                        Market share


                                                     Product C



On-demand market analysis           6
   for drug companies
                                    5
                                    4
                                    3
                    Effectiveness   2                                         Age 3-10
                                                                              Age 11-20
                                    1
                                                                              Age 21+
                                    0
                                        1st week 2nd week 3rd week 4th week
                                                                                  14
Relationship




               15
Relationship



                       Promoting
Pharmacies                                          Insurance




             Patient               Drug Companies

                                                         HEALTH+
                                                            16
Relationship




           Cross Selling
Patient                    Insurance




                                 HEALTH+
                                       17
Relationship




             Customer Loyalty

Patient




                                HEALTH+
                                 18
Relationship




                      Up Selling


Drug Companies




                                   HEALTH+
                                    19
Revenue Streams




                  20
Revenue Streams



Patient
              Free Services



Doctor


                              HEALTH+
                               21
Revenue Streams


                    Transaction Fee

Pharmacies




                  Insurance Claim Fee

Insurance

                                        HEALTH+
                                         22
Revenue Streams



                      Analysis/Report Fee



Drug Companies




                                            HEALTH+
                                             23
Revenue Streams
     How big is the market?
Vietnam GDP
    2011
                    $122 billion

                                                  $8,3 billion                   $5,4 billion

                                                     Total                        Prescription
 Healthcare
   Ratio
                         6,8%                      Healthcare                        Drug
                                                   Spending                          Value



                          If HEALTH+ achieve 100% market share in 2011
                            Estimated revenue in 2011 : ~ $200 million*


 (*) : 4% per medication transaction – 2% from pharmacy and 2% from insurance claim
                                                                                             HEALTH+
                                                                                                 24
Key Resources




                25
Key Resources



           Platform




Staff                 Data Center

                                    HEALTH+
                                     26
Key Activities




                 27
Key Activities

System development

   Partnership

 Customer support




                                  HEALTH+
                                   28
Key Partners




               29
Key Partners

Datacenter provider

 Drug companies

    Marketing

    Hospitals




                               HEALTH+
                                30
Cost Structure




                 31
Cost Structure

        Marketing

   Software development

       Maintenance

Support customers, partners




                                     HEALTH+
                                      32
Summary
• Bad medicine causes serious health problem
  and huge loss in healthcare budget (2,21%
  GDP ~ $2,7 billion in 2011)
• HEALTH+ multi-sided platform facilitates
  secure health information exchange
  – High quality healthcare service
  – Affordable cost
  – All “win” – huge potential in profitability
• Backbone for a healthy and modern society
                                                  HEALTH+
                                                   33

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Health+ information network

  • 1. HEALTH+ Information Network Improving lives of Vietnamese with Coordinated Care Professor: Manfred Bues Pham Tan Liem Class: BIS2012, IBA Doan Duc Phuoc Pham Huy Thanh HEALTH+ 1
  • 2. Case Study In 2009, an audit* of 500 medication lists from Hospital 115 shows that : - 47.17% medicine has no relation to patient’s condition - Typical medication list has 6-10 medicine - Many medicines used in one list have similar therapeutic condition or have interaction with each other Hospital 115 – Tier 1 Public Hospital 527 Sư Vạn Hạnh, P.12 – District 10, HCM City HEALTH+ Source : SGGP newspaper on September 1st 2009 2 http://www.baomoi.com/Home/SucKhoe/sggp.org.vn/Phat-benh-vi-dung-thuoc/3151653.epi
  • 3. More medicine = healthy ? HEALTH+ 3
  • 4. Vietnam Public Insurance Budget 50 Vietnamese patient is copaying 47% on 45 top of this* 40 37.3 35 29 30 25.2 25 20 Income 15 13.5 Remain 10 5 5 2.8 0 -3 -2 -5 2009 2010 2011 2012 Unit : trillion VND Source : Vietnam Joint Annual Health Review 2011 jahr.org.vn/downloads/JAHR2011/JAHR2011_ToanboVN.pdf (*) : http://vihema.gov.vn/28/section.aspx/did/3691/cid/5/nguoi-dan-chi-47-chi-phi-y-te HEALTH+ 4
  • 5. Health Care Expenditure Prescription Drug / Total health care cost 100 90 80 The system is 70 deeply broken! 65% 60 50 40 30 17,3% 14,3% 20 13,3% 10,3% 10 0 Japan Germany USA Canada Vietnam* Vietnam GDP 2011 : ~$122 billion. Health care spending 2011 : ~6,8% GDP => Prescription drug : ~$5,4 billion HEALTH+ Source : OECD Health Data 2010, WHO 5 (*) : http://tuoitre.vn/Chinh-tri-Xa-hoi/500755/Gia-thuoc-cao-lam-giam-chat-luong-y-te.html
  • 6. Patient Health+ Insurance Doctors, Information companies Healthcare providers Network Drug Pharmacies companies 6
  • 8. Customer Segment & Value Proposition 8
  • 9. Customer Segment & Value Proposition High quality service Affordable cost Support in decision making Precision and usability Reduce legal risks HEALTH+ 9
  • 10. Customer Segment & Value Proposition Access to large client base Pharmacy Precision and usability Prevent fraudulent claims Insurance High quality service Drug Reliable market information Companies 10
  • 11. Channels 11
  • 12. Channels Secure Health Portal Special Software Interface for Doctor 12
  • 13. Channels SW Interface for Insurance SW Interface for Pharmacy 13
  • 14. Channels Product Product A B Market share Product C On-demand market analysis 6 for drug companies 5 4 3 Effectiveness 2 Age 3-10 Age 11-20 1 Age 21+ 0 1st week 2nd week 3rd week 4th week 14
  • 16. Relationship Promoting Pharmacies Insurance Patient Drug Companies HEALTH+ 16
  • 17. Relationship Cross Selling Patient Insurance HEALTH+ 17
  • 18. Relationship Customer Loyalty Patient HEALTH+ 18
  • 19. Relationship Up Selling Drug Companies HEALTH+ 19
  • 21. Revenue Streams Patient Free Services Doctor HEALTH+ 21
  • 22. Revenue Streams Transaction Fee Pharmacies Insurance Claim Fee Insurance HEALTH+ 22
  • 23. Revenue Streams Analysis/Report Fee Drug Companies HEALTH+ 23
  • 24. Revenue Streams How big is the market? Vietnam GDP 2011 $122 billion $8,3 billion $5,4 billion Total Prescription Healthcare Ratio 6,8% Healthcare Drug Spending Value If HEALTH+ achieve 100% market share in 2011 Estimated revenue in 2011 : ~ $200 million* (*) : 4% per medication transaction – 2% from pharmacy and 2% from insurance claim HEALTH+ 24
  • 26. Key Resources Platform Staff Data Center HEALTH+ 26
  • 28. Key Activities System development Partnership Customer support HEALTH+ 28
  • 30. Key Partners Datacenter provider Drug companies Marketing Hospitals HEALTH+ 30
  • 32. Cost Structure Marketing Software development Maintenance Support customers, partners HEALTH+ 32
  • 33. Summary • Bad medicine causes serious health problem and huge loss in healthcare budget (2,21% GDP ~ $2,7 billion in 2011) • HEALTH+ multi-sided platform facilitates secure health information exchange – High quality healthcare service – Affordable cost – All “win” – huge potential in profitability • Backbone for a healthy and modern society HEALTH+ 33