a glimpse into the future business and technology of mhealth- 02

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A Glimpse into the Future Business and Technology of mHealth

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Page 1: A Glimpse into the Future Business and Technology of mHealth- 02

WORKING DRAFTLast Modified 2/10/2011 11:53:36 PM Eastern Standard TimePrinted 10/02/2011 13:11:02 W. Europe Standard Time

Page 2: A Glimpse into the Future Business and Technology of mHealth- 02

WORKING DRAFTLast Modified 14/02/2011 13:30:24 W. Europe Standard TimePrinted 2/11/2011 9:32:35 AM Pacific Standard Time

H lth A Gli i t thmHealth: A Glimpse into the Future Business and Technology

f H l hof mHealth

Alessio Ascari, Lisa EllisMcKinsey & Company

February 14th, 2011

CONFIDENTIAL AND PROPRIETARYAny use of this material without specific permission of McKinsey & Company is strictly prohibited

Page 3: A Glimpse into the Future Business and Technology of mHealth- 02

… demand is strong …Need is there…

% respondents indicating “extremely” or “very” interested

Significant interest in mHealth products

2005 2030 2050Projected healthcare spend as percentage of GDP

Healthcare spend - increasingly unsustainable

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Phone doctor 68

26

57USA 15 25

15 22

37

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26

Korea 6

Sweden 10

10

15

15

22

1:53:36 PM

Printed 10/02

Drug delivery 58

3014

Mortality rate per 1 000 populationLack of access to basic healthcare

2/2011 13:11:02

Health watch 593635

Mortality rate per 1,000 population

221

4005x mortality

3635

IndiaBrazilUSA

221152

78

LatamWestern AsiaAfrica1

McKinsey & Company | 21 Excludes South Africa

LatamWestern Europe

AsiaAfrica1

Page 4: A Glimpse into the Future Business and Technology of mHealth- 02

… and the business model works… Technology is available…

Disguised example business case P & L▪ Mobile phone

penetration

▪ Smartphone

Telecom 67%

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▪ Smartphone adoption in mature markets

▪ Existing

>30%

ast Modified 2/10/2011 11

▪ Existing technologies adequate

1:53:36 PM

Printed 10/02EBITDep-EBITDAOpexRevenue

Medical Devices

▪ Glocaps

▪ SIM Pill

2/2011 13:11:02

Our work has indicated a positive NPV

EBITDepreciation

EBITDAOpexRevenue▪ Bluetooth BP monitor

Our work has indicated a positive NPV for mHealth services, with some even

providing double digit returnsSoftware▪ Triage algorithms

in use

M di l

>10 years

McKinsey & Company | 3

▪ Medical apps on the iTunes store> 5000

Page 5: A Glimpse into the Future Business and Technology of mHealth- 02

…no wonders pilots are sprouting around the world NOT EXHAUSTIVE

Integrated care solution with

Vitaphone: 24-hour healthcare monitoring and ECG analysi

Remote chronic disease care

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solution, with web-based health manager

Chronic DiseaseRemote Mgmt

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Health watch for

Innovative emergency response model

Health tips and Q&A via SMS 1:53:36 P

MP

rinted 10/02

watch for epilepsy children Remote advice

and mobile care solution

Audio and visual alerts

SMS-based Drug authentication

Remote triage/referral 2/2011 13:11:02

HIV/AIDS awareness via SMS

Patients in rural areas connected SMS

vaccination planning reminders

authentication (partnering with Telcos)

Prevention of drug shortages

mHealthinfo

g

Real-time weighing and diagnosis

Medication adherence solution

via SMS

Remote doctor i i

via satelliteremindersdrug shortages

Healthcare k t i i

McKinsey & Company | 4SOURCE: McKinsey presentation from the 2010 World Economic Forum (WEF) in Davos

diagnosis solution services in Bangladesh & Pakistan

worker trainings

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Working D

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So what is stopping H lth f 1:53:36 PM

Printed 10/02

mHealth from taking off?

2/2011 13:11:02

McKinsey & Company | 5

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A complex ecosystem with multiple stakeholders playing critical roles and with economic incentives not always aligned

1

Regulators

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Payor Healthcare storage/ analytics

server

MNO service

1:53:36 PM

Printed 10/02Device

MNO server

Authentication/Encryption

2/2011 13:11:02

Device Manufacturer Remote

monitoring deviceData

transmission

server

Data collection

Intervention

McKinsey & Company | 6

Patient Physician

Page 8: A Glimpse into the Future Business and Technology of mHealth- 02

Shared standards and regulations not always in place2

Adoption

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Railways

?Tipping Standards and 1:53:36 PM

Printed 10/02

?point regulations

2/2011 13:11:02

3D Digital MediaTime

McKinsey & Company | 7

Page 9: A Glimpse into the Future Business and Technology of mHealth- 02

3 Above all, the cultural change required for several parties involved

. . . toFrom

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MP

rinted 10/022/2011 13:11:02

McKinsey & Company | 8

Page 10: A Glimpse into the Future Business and Technology of mHealth- 02

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Where are we i ? 1:53:36 P

MP

rinted 10/02

going?

2/2011 13:11:02

McKinsey & Company | 9

Page 11: A Glimpse into the Future Business and Technology of mHealth- 02

Healthcare 2015: our vision for the near future

Patient calls caregiver at his/her convenience any time of day/week as soon as symptoms begin

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soon as symptoms begin

Physician speaks to patient over phone relying also on data from ast Modified 2/10/2011 11

Physician speaks to patient over phone, relying also on data from biometric sensors (m-stethoscope, smartphone-based ultrasound, etc.)

1:53:36 PM

Printed 10/02

SMS reminders ensure that patient takes medicine as prescribed; can report side effects, etc. in real time

2/2011 13:11:02Patient can be monitored remotely and advised if conditions worsen or if lifestyle elements negatively impact the situation

Patient can access global medical expertise in a connected world

McKinsey & Company | 10

Page 12: A Glimpse into the Future Business and Technology of mHealth- 02

The core mHealth contributors to the vision

Remote Doctor Services

Doctors / specialists triage and offer medical advice to patients or healthcare professionals

Remote Health Monitoring

Providers remotely monitor chronically-ill patients and manage treatments accordingly

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p pover the phone / video

p g g y

D h i i d li I f i / H l h & W ll ff i

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Drug authentication and compliance Patients check drug authenticity and health workers monitor medication prescription remotely

Information / Health & Wellness offeringsPatients and health workers access information repositories directly

1:53:36 PM

Printed 10/02

remotely

Centralized resource scheduling Assisted-care support

2/2011 13:11:02

Mobile and automated workflow applications will enable real-time scheduling and notification to improve system utilization

Frail and elderly patients will receive optimized home-based care

Telediagnostics

Patients from remote locations will be able to get a diagnosis from the best specialists far

Electronic/mobile Health Records

Clinical and administrative data will be stored in a centralized data repository

McKinsey & Company | 11

get a diagnosis from the best specialists far away

in a centralized data repository

Page 13: A Glimpse into the Future Business and Technology of mHealth- 02

Three mHealth services will be widespread, leveraging core eHealth enablers

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Remote doctor services

Remote health monitoring

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▪ Addresses ~80% of world population

▪ Works with existing

▪ Addresses ~70% of HC costs

▪ Enhances providers

▪ Easy to launch

▪ Minimal 1:53:36 PM

Printed 10/02

Works with existing technology

▪ Proven business model

Enhances providers value proposition

▪ Improves lifestyle as well as costs

investment▪ Compliment

ary to other services 2/2011 13:11:02

SMS based servicesSMS-based services

Centralized resource scheduling

El t i h lth d

McKinsey & Company | 12

Electronic health records

Page 14: A Glimpse into the Future Business and Technology of mHealth- 02

mHealth benefits

Social and lifestyle

Macroeconomic

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Social and lifestyle

▪ 150,000 lives saved per year

▪ 2 5 Million DALY saved per year

▪ US$200 Bn per year of savings in healthcare systems costs through RHM

▪ (example OECD+BRIC) ast Modified 2/10/2011 11

▪ 2.5 Million DALY saved per year

▪ (example sub-Saharan Africa)

1:53:36 PM

Printed 10/02

Financial

▪ Double digit EBIT margin at steady 2/2011 13:11:02

▪ Double digit EBIT margin at steady state

▪ Increased customer loyalty resulting in reduced customer churnreduced customer churn

▪ New revenue streams and players

McKinsey & Company | 13

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mHealth provides a market opportunity for a variety of players REMOTE DOCTOREXAMPLE

Mobile operators

Details follow

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Healthcare service providers Systems integrators

1:53:36 PM

Printed 10/022/2011 13:11:02

Device OEMs Software vendors

McKinsey & Company | 14

Page 16: A Glimpse into the Future Business and Technology of mHealth- 02

Mobile operators: core assets to leverage and potential roles to play

ConnectivityAssets

▪ Proven micro billing infrastructure

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▪ Proven micro-billing infrastructure

▪ Reliable communication channels

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Hosting / Billing

▪ Authentication and secure storage

▪ Distribution channels close to end 1:53:36 PM

Printed 10/02

Distribution channels close to end users

▪ Experience with both B2C and B2B 2/2011 13:11:02

Experience with both B2C and B2B

▪ Brand recognition critical for launching new innovative services

mHealth services

▪ Trusted relationships with regulators and governments

McKinsey & Company | 15

services

Page 17: A Glimpse into the Future Business and Technology of mHealth- 02

Thank youW

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odified 2/10/2011 111:53:36 PM

Printed 10/022/2011 13:11:02

McKinsey & Company | 16

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