This document discusses patient digital health platforms (PDHPs) and their potential role in transforming healthcare. Some key points: - PDHPs could fill the "healthcare platform void" by becoming dominant platforms for health apps and data, driving innovation like smartphones platforms have. However, monopolies are a concern. - Emerging PDHP ecosystems may reshape healthcare and integrate with other areas like IoT, payments, and social networks. Interoperability and data sharing between PDHPs will be critical issues. - Market pressures may drive PDHPs to go "broad" and converge with mainstream healthcare through partnerships and incorporating more clinical functions over the next 2-3 years. The speaker expects 2-3

1. Opening Keynote:
Patient Digital Health Platforms (PDHPs):
Epicenter of Healthcare Transformation?
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11th Annual Healthcare Unbound Conference &
Exhibition
December 2014, San Diego, CA
Vince Kuraitis JD, MBA
Principal and Founder, Better Health
Technologies
vincek@bhtinfo.com

2. 1-2 Punch for Healthcare Industry
1) Payment
Reform
2) Digital
Disruption

3. Percentage of Payments that are
Value-Oriented
2010 3%
2013 11%
2014 40%
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4. Agenda
1. What’s the “Healthcare Platform Void”
2. How will the emerging PDHP ecosystem reshape the
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planet?
3. What’s the central issue? It’s about DATA!
4. Will PDHPs converge with mainstream healthcare?
5. How many platforms?
6. What are some “secondary” issues?
7. Why are PDHPs about much more than just
healthcare?
“Sometimes the questions are more valuable
than the answers”

5. Executive Summary
(answers to the questions)
“We don’t know.”
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6. 1) What’s the “Healthcare Platform Void”
• Smartphone market: 2 dominant platforms, 1 M+
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apps each
• Healthcare: thousands of apps, no widely-adopted
platforms

7. Good News, Bad News About Platform
Dynamics
• Dominant platforms >> innovation, collaboration,
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reduced fragmentation
• Dominant platforms >> monopoly, duopoly

8. 2) How will the emerging PDHP
ecosystem reshape the planet?
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9. Platform Contenders
The Patient Digital Health Platform (PDHP) Ecosystem
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10. Other Tech Co. PDHP Ecosystem Players
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11. 11

12. 12

13. How will PDHPs play in new
MEGA-ECOSYSTEMS?
• Internet of Things
• Health Information Exchanges (public, private)
• Smart Home
• Smartphones
• Payment platforms
• Social networks
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14. 3) What’s THE central issue?
It’s about DATA!
• It's about the DATA...and using it to improve patient
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care!
• Will data be interoperable among PDHPs?
• Value creation from data
• “Switzerland” would be rational...however
• Standards consortia
– Industrial Internet Consortium
– Open Interconnect Consortium

15. 4) Will PDHPs converge with mainstream
healthcare? Yes!
Market pressures to go BROAD (vs. NARROW)
1. That’s where the value is
2. Many value propositions are dependent on broad
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networks
3. Need to drive company financial valuations
4. Need for differentiation

16. Apple: Going Broad?
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17. Narrow or broad? What to Watch For:
• Partnerships with health care systems and physician groups
• Data exchange from PDHPs to EHRs.
• Data exchange to PDHPs from EHRs
• PDHPs incorporating new functionalities, e.g.,
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– Patient portals
– Personal health records
– Telehealth/telemedicine capabilities
– Patient education tools
– Medication management capabilities
– Shared decision making tools
– mHealth apps
– …and many others
• Cross-platform sharing of data? Collaborations across PDHPs?
• Integration of FDA approved devices
• Adoption of health IT standards, e.g., Direct, FHIR, BlueButton, CCDA, etc.
• Partnerships/acquisitions with healthcare vendors
• Partnerships with broader community based healthcare providers — home
health, behavioral health, long-term care, etc.
• Physician and other clinicians use of PDHP data and capabilities? enamored or
annoyed?
• Platform positioning within the PDHP ecosystem.

18. 5) How many platforms?
“This Town Ain’t Big Enough”
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19. Android & iOS: 95% Market Share
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20. PDHP Scenarios (2-3 years out)
• Status quo
• Equal platforms >> stall
• One dominant platform
• Mirror of smartphone market: iOS and Android
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dominate
• In the shadows of MEGA-PLATFORMS (IoT)
• IMO: Expect 2-3 platforms

21. 6) What are some “secondary” issues?
• Will EHR vendors play?
• Role of middleware platforms
• Regulatory stall?
• Consumer confusion?
• M&A wildcards
• Partnership wildcards
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22. 7) Why are PDHPs about much more than
just healthcare?
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23. Some Implications
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• Providers
• Payers
• Health IT
• Digital rules are different
1) Payment
Reform
2) Digital
Disruption

24. PDHP
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