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www.ParksAssociates.com | 972.490.1113 | © PARKS ASSOCIATES 1
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Engaging Consumers with Connected Health Technologies
Presenters Jennifer Kent Senior Analyst, Parks Associates
Harry Wang Director, Health & Mobile Product Research, Parks Associates
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Audio Recording
›To replay the webcast, click here: https://attendee.gotowebinar.com/recording/8090972176645867521
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Webcast Agenda
›Connected health market: segments and trends ▪Key market segments
▪Market drivers/trends
▪Major players
›In focus: wearables ▪Wearable’s Impact on Health & Fitness
▪Key players’ wearable strategies
› Connected health consumers – who are they? ▪Consumer segmentation
▪Health consumers’ motivations
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Connected Health Market: Segments & Trends
Wellness & Fitness Virtual Care
Chronic care management through connected technologies
HOW WE DEFINE CONNECTED HEALTH
Independent Living
A $9 billion+ Opportunity by 2017
$1.2 billion Revenues by 2018
A $14 billion Potential by 2018
A $6.5 billion Consumer Market by 2018 (without Apple’s Impact)
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Connected Health: Engaging Consumers
Engage Consumers at Every Care Decision Touch Point
HOSPITAL
DOCTOR’S OFFICE
WORK HOME
FITNESS CLUBS
RETAIL • EHRs • Work Flow • Telemedicine
• ePrescribing • Patient Portals • Virtual Care
• Independent Living • Chronic Care Mgmt • Care services shopping
• Wearables • Health apps
• Convenience Care • ePrescribing • Healthy living
choices
• Convenience Care • Wellness Programs
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Connected Health Drivers - Regulatory
›Affordable Care Act ACO momentum picks up §Participation on the rise
§CMS review finds Medicare Shared Savings ACOs and Pioneer ACOs generated $380M+ in savings after 12 months in operation
Incentives for patient outcomes § Incentives to decrease re-admissions
§Push for preventative care
§Market opportunities
§ Need to fill gap in care between office visits
§ Need devices/services to make self-care more intuitive & accountable
›HITECH Act Incentives for health data digitization § As of April 30, 2014, 477K care providers
are eligible for incentive payments and 383K care providers have received payment
§CMS has paid more than $15.4B through the Medicare EHR Incentive Program
§CMS has paid more than $7.9 billion through the Medicaid EHR Incentive Program
Incentives for patient engagement §Moving from MU Stage 1 to MU Stage 2
requires greater patient outreach and engagement with care technologies
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Connected Health Drivers - Technology
▪Mass adoption of smartphones
▪Product design breakthroughs ▪ - Positional/movement sensors (accelerometer, gyroscope, GPS/geo-fencing)
▪ - Health sensors (heart rate, sleep quality)
▪ - User-friendly interfaces
▪Booming Health App Ecosystems
0%
20%
40%
60%
80%
Q1/2010 Q1/2011 Q1/2012 Q1/2013 Q1/2014
Smartphone Ownership Among BB HHs 2010- 2014
©2014, Parks Associates
0%
10%
20%
30%
40%
50%
60%
70%
Health and Fitness Apps Apps Overall
Gro
wth
in D
aily
App
Ses
sion
s
Growth in Health App Engagement December 2013-June 2014
Source: Flurry Analytics Associates
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›Consumer Empowerment ▪Data Transparency
▪Pricing Transparency
▪Reviews, Ratings, & Second Opinions
Connected Health Drivers – Consumer Trends
›Demographic Shifts ▪Rapidly aging population § 20% of US population 65+ by 2020
§ Rise in Chronic Conditions
§ Market Opportunities:
– Chronic care management
– Independent living
– Caregiver needs
▪Younger consumers embrace ▪technology § Mobile first
§ Social sharers
§ Quantified self
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Wearable Health Tech
Health
EARS
Fitness
Security & Safety
Home & Lifestyle
Communication Infotainment EYES
WRIST
FINGER
CHEST/NECK
UPPER ARM
HEAD
SHOES
CLOTHES SENSORS
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Wearables for Health and Wellness
Wearable for Health &
Wellness
M2M Connections
Smart watch with Fitness
Features
Health Devices for
Personal Use
Medical Devices for Clinical Use
Health Wellness
Fitness & Wellness Devices
Health and Wellness Apps
Health & Wellness Data
Software & Gateway
Data and Analytics
EHR PHR
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0
2
4
6
8
10
2010 2011 2012 2013
Mill
ions
of U
nits
U.S. Digital Activity Tracker Unit Sales (2010-2013)
Connected Digital Activity Tracker
Non Connected Digital Activity Tracker
Tracking market growth
Parks Associates Industry Report: Wearable Computing: Fitness and Health in Style © 2014 Parks Associates
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Fitbit dominates the fitness tracker market
0% 5% 10% 15% 20% 25% 30% 35% 40%
Other
Basis
Philips DirectLife
Striiv
Adidas MiCoach
Jawbone Up
BodyMedia Fit
Polar
Garmin
Nike Fuelband
Nike+ Sensor
Samsung
Fitbit
% Own Specified Brand
Fitness Tracker Brand Adoption (Q2/14)* "Which type of digital pedometer or fitness/activity tracker do you use?"
(Among Consumers in BB HHs who Own and Use a Pedometor/Fitness Tracker, n=284, ±5.82%)
Source: 2014 Q2 Survey N=10,000 Broadband heads-of-households ©2014 Parks Associates
*Preliminary results; final tabulation may change
6% of consumer in
BB HHs report owning and personally
using a digital pedometer or
fitness tracker.
5% are very likely to buy
one in the next 12 months.
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Key Players: Wearable Market for Health & Wellness
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Apple-Mayo-Epic Alliance—Good or Bad
q These market leaders will set momentum to drive healthcare industry more consumer centric
q Collaboration will make EMR and health systems more open with data sharing, which is a thorny issue for market growth
q The partnership will foster similar moves from each’s competitors, creating a healthy competition
q Apple and Epic are notoriously closed systems in their respective industry; such collaboration may leads to even more closed ecosystem that drives competitors out of market
q Epic is slow-moving and its software is built on legacy technology. Integration is going to fail because of technology or cultural clashes
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0% 10% 20% 30% 40% 50%
Participated in online support group
Communicated electronically with healthcare or health insurance professional
Stored health information electronically
Used device to track health patterns
Used health app
Used website for appointments, lab results, or prescriptions
Used provider or insurer website
Looked up health info online
Digital Health Activities (Q4/13) "Q4015. Over the last 12 months, on how many days have you…"
(Among BB HHs Surveyed, n=832, ±3.4%)
% Engaging in Activity
A substantial number of consumers use digital tools to manage their health.
Source: American Broadband Households and Their Technologies Q4 2013 N=2,500 Broadband heads-of-households © Parks Associates
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Parks Associates segmented consumers into four groups based on their health conditions and activities.
Healthy and Engaged (Health conscious, don't
have chronic health problem)
Young and Indifferent (Not health conscious,
don't have chronic health problem)
Challenged but Mindful (Health conscious, have chronic health problem)
Unhealthy and In Denial (Not health conscious,
have chronic health problem)
Health Groups (Q4/13) (Among BB HHs Surveyed, n=832, ±3.4%)
Source: American Broadband Households and Their Technologies Q4 2013 N=2,500 Broadband heads-of-households © Parks Associates
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The Young and Indifferent segment is less likely to look up health info online.
0%
10%
20%
30%
40%
50%
Communicated electronically
withhealth professional
Participated in online support
group
Used website for
appointments, lab
results, or prescriptions
Used provider or insurer website
Stored health information
electronically
Used device to track health
patterns
Used health app Looked up health
info online
Healthy and Engaged (n=215, ±6.68%) Young and Indifferent (n=173, ±7.45%)
Challenged but Mindful (n=212, ±6.73%) Unhealthy and In Denial (n=232, ±6.43%)
Digital Health Activities by Health Groups (Q4/13) "Q4015. Over the last 12 months, on how many days have you…"
(Among Respondents in Specified Groups)
% E
ngag
ing
in A
ctiv
ity
Source: American Broadband Households and Their Technologies Q4 2013 N=2,500 Broadband heads-of-households © Parks Associates
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Health conscious consumers use digital health tools more frequently than others.
0
1
2
3
4
5
6
7
8
Used website for appointments,
lab results, or
prescriptions
Communicated electronically with health professional
Used provider or insurer website
Participated in online support
group
Stored health information
electronically
Used health app Looked up health info online
Used device to track health
patterns
Healthy and Engaged (n=215, ±6.68%) Young and Indifferent (n=173, ±7.45%) Challenged but Mindful (n=212, ±6.73%) Unhealthy and In Denial (n=232, ±6.43%)
Avg. # of Digital Health Activities by Health Groups (Q4/13) "Q4015. Over the last 12 months, on how many days have you…"
(Among Respondents in Specified Groups, Outliers Excluded)
Avg.
Tim
es o
ver l
ast 1
2 M
onth
s
Source: American Broadband Households and Their Technologies Q4 2013 N=2,500 Broadband heads-of-households © Parks Associates
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Lack of time, motivation, and energy are constant obstacles to exercising regularly
0% 20% 40% 60%
Other No opportunities to play team sports I enjoy
Unsure how to exercise properly Friends/family not interested in exercising with me
Too tired because I habitually stay up late doing lesiure activities Exercise equipment/gym fees/personal trainer are too expensive
No convenient place to exercise Exercising is too difficult for me
Too tired because I'm unable to get sufficient sleep Job or schedule makes it difficult to exercise
Have very little free time Rather do other things with my free time
I do not like to exercise Difficult to stay on a regular exercise schedule
I lack the motivation to exercise
% Selecting Obstacle to Exercise
Obstacles to Exercising Routinely (Q2/14)* "Which of the following make it difficult for you to routinely exercise?"
(Among Consumers in BB HHs Who find it Difficult to Exercise Routinely, n=2,104, ±2.14%)
Source: 2014 Q2 Survey N=10,000 Broadband heads-of-households ©2014 Parks Associates *Preliminary results; final tabulation may change
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Doctors playing a minor role in fitness tracker adoption
0% 20% 40%
It was or it will be a gift
My doctor recommended it
A family member or friend recommended it
I need to better manage an underlying health condition
It will make my current exercise routine more convenient or engaging
I want to live a healthier lifestyle
I want to lose weight
I want to more easily track my health or fitness data
% Selecting Motivation for Purchase
Motivations for Fitness Tracker Purchase (Q2/14)* "Which of the following are motivations behind your purchase or likely purchase?"
(Among Consumers in BB HHs Who Own and Use a Pedometer/Fitness Tracker or are likely to buy a Pedometer/Fitness Tracker in the Next 12 Months, n=552, ±4.17%)
Source: 2014 Q2 Survey N=10,000 Broadband heads-of-households ©2014 Parks Associates *Preliminary results; final tabulation may change
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6% of respondents said a doctor personally recommended they use a app to manage their health.
Yes
No
I am not sure
Source: Consumers & Technology Q3 2013 N=3,000 Broadband heads-of-households © 2013 Parks Associates
Mobile Health App Recommended by Doctor (Q3/13)
"Q4050. Has a doctor ever personally recommended you use a smartphone/tablet app to manage your health?"
(Among All BB HHs, n=3,000, ±1.79%)
Unlikely (rating 1-3)
Neutral (Rating 4)
Likely (rating 5)
Very Likely (rating 6-7)
Likelihood Of Using Doctor-Recommended Mobile Health App (Q3/13)
"Q4075. If your doctor recommended you use a mobile app to manage your health, how likely would you be to download and use the app as recommended?"
(Among Respondents Whose Doctor Did Not Recommended Health App, n=2,825, ±1.84%)
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Doctor follow-ups increase users’ perception of health app effectiveness.
75% of all health app
users believed the
health app improved
their health condition.
70% of all
prescribed health app users said
their doctor followed-up on their app
use. 0%
20%
40%
60%
80%
100%
Doctor Followed Up (n=123, ±8.84%)
Doctor Did Not Follow Up (n=52, ±13.6%)
% R
epor
ting
The
Heal
th A
pp Im
prov
ed T
heir
Heal
th
Health Improvement by Doctor Follow-Up About App Usage (Q3/13)
Source: Consumers & Technology Q3 2013 N=3,000 Broadband heads-of-households ©2013 Parks Associates
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Presenters Jennifer Kent Senior Analyst, Parks Associates
Harry Wang Director, Health & Mobile Product Research, Parks Associates
Thank you.
www.ParksAssociates.com | 972.490.1113 | © PARKS ASSOCIATES 24
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John Mattison Chief Medical Information Officer Kaiser
Adam Pellegrini Vice President, Digital Health Walgreens
James R. Mault M.D., F.A.C.S. VP and Chief Medical Officer Qualcomm Life
Chris Young VP, New Virtual Market Development and Incubations Ascension Health
Chris Nicholson VP and COO Humana Wellness
KEYNOTE SPEAKERS
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Connected Health Summit: Engaging Consumers will provide industry players with in-depth analysis and industry perspective on what the connected healthcare revolution — and the resulting consumerization of healthcare — means for their businesses.
›Why Attend:
›Who Attends: § Device makers and distributors
§ Healthcare providers
§ Insurance and health institutions
§ Software and app developers
§ Telecom and broadband service providers
§ Technology enablers
§ Brands and merchants
§ Mobile infrastructure providers September 4-5, 2014 The Omni Hotel, San Diego
§ Hear emerging service provider strategies and business models integrating health monitoring and wellness
§ Understand how the Affordable Care Act (ACA) is placing the consumer in charge of healthcare decisions
§ Discover how social networking, mobile, and apps are reshaping consumer interests and behaviors and affecting a growing number of industries, including health & wellness
§ Learn how new legislation shifts are increasing demand for telehealth products and services
§ Network with leaders in the connected health industry with a specific focus on the consumer
§ Evaluate new mobile infrastructure technologies enabling mobile health solutions
CHARTER SPONSORS
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Agenda
›Technology and Partnerships ▪ Research Presentation The Connected Consumer: Current
State of the Digital Health Market
▪ Discussion Panel Healthy Living, Connected Devices, and Wearables
▪ Keynote Fireside Chat The Shift to Consumer-Centric: Perspectives from Health Systems § John Mattison, Chief Medical Information Officer, Kaiser, and
§ Chris Young, VP, New Virtual Market Development and Incubations, Ascension Health
▪ Population Health Management: Tracking Technology’s Impact
▪ Keynote § Christopher J Nicholson, Vice President, Humana Wellness
▪ Discussion Panel Path to Quality of Care: Leveraging Technology for ACOs
▪ Discussion Panel Independent Living: Engaging the Elderly and Caregivers
▪ Discussion Panel The Role of Connected Devices in Digital Health
▪ Keynote § James R. Mault, M.D., F.A.C.S., Vice President and Chief Medical Officer,
Qualcomm Life
›Consumer Engagement and Change ▪ Research Presentation Connected Devices, Digital Health
Services, and Health
▪ Discussion Panel Moving the Digital Health Market Forward: Consumers Take Charge
▪ Keynote Consumer Engagement As A Loyalty Strategy
§ Adam Pellegrini, Vice President, Digital Health, Walgreens
▪ Research Presentation Consumer Segmentation: Are you Engaging Them the Right Way?
▪ Discussion Panel Incentivizing Behavioral Changes: The Impact of Apps and Big Data
▪ Discussion Panel Healthcare Purchasing Decisions: The Power of the Informed Consumer
▪ Discussion Panel Effective Strategies to Drive Healthy Living through all Life Stages
▪ Discussion Panel Investment Trends in Consumer Health
THURSDAY SEPT. 4 FRIDAY SEPT. 5
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