Digital Health and Emerging HealthTech in Southeast Asia
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www.pwc.com/sg Digital Health and Emerging HealthTech in Southeast Asia: Facts and the Value, Challenges Faced & Success Factors for Implementation Digital Health Conference: Telemedicine 4.0 Dorsett Grand Hotel, Subang, Malaysia 20-21 June 2019 Dr. Zubin J Daruwalla, MBBCh (Hons), BAO, MRCSI, MCh (Orth), MMed (Orth) Health Industries Leader, PwC Singapore & PwC South East Asia Consulting
How long did it take the telephone to get to 50 million users? A. 15 years B. 35 years C. 55 years D. 75 years Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
How long did it take the television to get to 50 million users? A. 3 years B. 13 years C. 23 years D. 33 years Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
How long did it take Angry Birds to get to 50 million users? A. 1 year B. 1/2 year C. 3 months D. 1 month Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
NEW ENTRANTS – NEW TECHNOLOGY – NEW BUSINESS MODELS NEW FINANCING MECHANISMS – NEW HEALTHCARE DELIVERY MODELS Accessibility Interoperability Security (Cyber) Affordability Integration New entrants Safety A+ Care New Health Economy People Technology Engagement Transparency Privacy Transformation Experience Treatment Expertise Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
The pace of digitization is exponentially increasing; years to days Digitalization Adoption Telephone 75 years Radio 38 years TV 13 years Internet 4 years Facebook 3.5 years iPod 3 years TIME TO 50 AOL 2.5 years MILLION USERS DrawSomething! 50 days Angry 35 days Birds Source: visual.ly.com Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Singapore has already become the Asian centre of HealthTech deals, providing potential for start-ups to grow and scale in the region with the expectation that more HealthTech start-ups will be based in Singapore as our HealthTech market continues to grow significantly HealthTech Deal Volume Share by Market Singapore’s HealthTech Funding (excluding China and India) According to Galen Growth Asia’s report, Singapore witnessed 26 HealthTech funding deals in 2018, closing a record breaking 2017 2018 total of US$134M. It is in fact the third largest digital health ecosystem in Asia. Japan Japan 30% Singapore 29% Japan Singapore Australia 29% Japan 27% Australia Australia 18% South 13% SingaporeKorea Singapore Vietnam Vietnam 5% Australia 11% Vietnam South Korea South Korea 4% Indonesia 5% South Korea Taiwan Japan 3% Taiwan 3% Japan Hong Australia Kong 1% Thailand 3% Australia Myanmar Singapore 1% Philippines 3% Singapore Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC 8
According to Enterprise Singapore, HealthTech start-ups currently already comprise 9% of all start-ups in Singapore HealthTech Start-ups in Singapore According to Enterprise Singapore, there are 269 HealthTech and MedTech startups out of 3,144 startups. Among these, 53% of HealthTech startups are incorporated within 5 years. HealthTech start-ups by sectors 23% 33% 16% 28% Biotech Digital health Healthcare Medtech Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC 9
Even across emerging markets, there are countless new digital health models being developed, many of which have already revolutionized the way care is delivered Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Harnessing the power of digital technology will be key to helping Southeast Asia’s health industry bridge the gap and provide access to and affordability of care, as well as catalyze the proliferation of quality care delivery in the region. Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Source: US Bureau of Labour Statistics, 2015 Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Healthcare organizations have much to benefit from a developed digital health market. Patient empowerment and centricity Improved client engagement and patient experience Reduction in human error and thus improved patient safety Optimization of operations Improved cost efficiency Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
So if all these advantages exist, what are the challenges to adoption then? The reasons for this slow adoption in the healthcare industry are complex. Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Challenges Faced Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC 16
“We are different with our differences making the application of developed market business models futile” At times, organisations do not realise that the varying and often volatile demographics of emerging markets differ from developed economies with market segment and consumer preferences changing rapidly, the four key differentiating factors being (1) Population Growth, (2) Population Aging, (3) Population Distribution, and the (4) Population Income Rise of the Middle Class. Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
2016 Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Population Growth • The rate of population growth in emerging markets presents a significant challenge as infrastructure is not being developed at the same rate resulting in a strain on resources Source: United Nations – World Population Prospects 2015 Revision Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Population Aging • The portion of the population aged over 65 years increasing exponentially presents another challenge to business models that are not tailored to the elderly Source: United Nations – World Population Prospects 2015 Revision Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Population Distribution • The rural percentage of populations across Southeast Asia (and Asia more broadly) make accessibility a challenge for businesses, especially to those whose models are built for developed markets Source: United Nations – World Urbanization Prospects 2014 Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Population Income Rise of the Middle Class • The increasing proportion of middle class whom have a greater willingness to spend result not only in higher expectations (basic and simple care -> quality and complex) but also a greater incidence and prevalence of non-communicable or chronic disease, necessitating a shift of focus of many of today’s point solutions to more holistic ones Source: United Nations – Kharas, H (2010). “The Emerging Middle Class in Developing Countries.” Development Centre Working Papers. No. 295. OECD Publishing Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Other sources of inhibition also exist • Depleted labour market conditions • Nurturing of local medical talent insufficient and compounded by fact that many strive to seek better opportunities overseas • Problem even in developed countries with the need for workforce transformation high up on the agenda • Insufficient and inefficient finance • Inadequate public sector funding impedes sector growth and calls for new financing sources like public-private partnerships • Fragmented and/or immature business, legal and regulatory environment • Structure, governance, frameworks and guidelines are lacking in many nations with the ease of doing business, laws and regulations varying Source: World Economic Forum ‘Network Readiness Index’ 2015 Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
The fact that fundamental gaps exist in every aspect of Information Communication Technology makes it unlikely for emerging economies to adopt the traditional health model Ten parameters required to leverage ICT for social and economic impact Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
As a result however, this allows emerging economies to leapfrog developed markets and adopt the new digital health model Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
“Cost and ROI are not necessarily real concerns” High upfront and maintenance costs for digital transformation, coupled with a difficulty in defining and measuring value in healthcare often have organizations and governments questioning their ROI in digital health. Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Remember this from the earlier slide? Source: US Bureau of Labour Statistics, 2015 Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
2017 Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
High upfront and maintenance costs A transition to paperless records and virtual consults signals a paradigm shift from traditional medical practices Upfront costs to acquire technology may be high Employee training Change management Creation of governance and compliance strategies Cybersecurity for data management, ownership and privacy System integration and maintenance Investing in resources and building capabilities Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
• Different stakeholders see “value” differently (hospitals vs patients) • Taking into account the positive externalities of a healthcare investment (wider impact of vaccinations, for example) • Future outlook shrouded in uncertainty (unable to project long-term) • Lack of consensus over methodology for ROI measurement and metrics in healthcare (ROI = ? net profit/total cost of investment) • Broad impact of technology (cross-functional) • Differing healthcare system characteristics (data availability) defining and measuring value Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
• Different stakeholders see “value” differently (hospitals vs patients) • Taking into account the positive externalities of a healthcare investment (wider impact of vaccinations, for example) • Future outlook shrouded in uncertainty (unable to project long-term) • Lack of consensus over methodology for ROI measurement and metrics in healthcare (ROI = ? net profit/total cost of investment) • Broad impact of technology (cross-functional) • Differing healthcare system characteristics (data availability) defining and measuring value Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
• Different stakeholders see “value” differently (hospitals vs patients) • Taking into account the positive externalities of a healthcare investment (wider impact of vaccinations, for example) • Future outlook shrouded in uncertainty (unable to project long-term) • Lack of consensus over methodology for ROI measurement and metrics in healthcare (ROI = ? net profit/total cost of investment) • Broad impact of technology (cross-functional) • Differing healthcare system characteristics (data availability) defining and measuring value Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
• Different stakeholders see “value” differently (hospitals vs patients) • Taking into account the positive externalities of a healthcare investment (wider impact of vaccinations, for example) • Future outlook shrouded in uncertainty (unable to project long-term) • Lack of consensus over methodology for ROI measurement and metrics in healthcare (ROI = ? net profit/total cost of investment) • Broad impact of technology (cross-functional) • Differing healthcare system characteristics (data availability) defining and measuring value Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
• Different stakeholders see “value” differently (hospitals vs patients) • Taking into account the positive externalities of a healthcare investment (wider impact of vaccinations, for example) • Future outlook shrouded in uncertainty (unable to project long-term) • Lack of consensus over methodology for ROI measurement and metrics in healthcare (ROI = ? net profit/total cost of investment) • Broad impact of technology (cross-functional) • Differing healthcare system characteristics (data availability) defining and measuring value Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
• Different stakeholders see “value” differently (hospitals vs patients) • Taking into account the positive externalities of a healthcare investment (wider impact of vaccinations, for example) • Future outlook shrouded in uncertainty (unable to project long-term) • Lack of consensus over methodology for ROI measurement and metrics in healthcare (ROI = ? net profit/total cost of investment) • Broad impact of technology (cross-functional) • Differing healthcare system characteristics (data availability) defining and measuring value Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
ROI measurements re-imagined Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Recognizing the potential for cost savings Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Success Factors for Implementation Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC 41
2018 Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
The clock is already ticking…Is the time ripe for healthcare? The most valuable retailer, owns no inventory The world’s most popular media owner, creates no content The world’s largest taxi company, owns no vehicles The world’s largest accommodation provider, owns no real estate Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
A new era of health is upon us…Are we ready for a hospital which has no patients? Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
As a clinician, I’ve always believed we should use technology to complement our clinical practices, not replace them (at least not yet) Are we losing the healing ‘touch’ of medicine? Image from: Philips / www.usa.philips.com Image from: http://medicalfuturist.com/why-people-should-not-fear-digital-health/ Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
NEW ENTRANTS – NEW TECHNOLOGY – NEW BUSINESS MODELS NEW FINANCING MECHANISMS – NEW HEALTHCARE DELIVERY MODELS Accessibility Interoperability Security (Cyber) Affordability Integration New entrants Safety A+ Care New Health Economy People Technology Engagement Transparency Privacy Transformation Experience Treatment Expertise Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Accessibility Interoperability Security (Cyber) Affordability Integration New entrants Safety A+ Care P.A.T.I.E.N.T.S. People Technology Engagement Transparency Privacy Transformation Experience Treatment Expertise Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
As technology gets more sophisticated, digital innovations and care delivery could evolve from a HCP professional coming to the patient to detection & treatment capabilities inside the body 2010 2020 2025 2030 Improved Processing and Shrinking sensor sizes and Cloud and mobile Artificial intelligence and software engineering innovative manufacturing communication technologies Nano-technology Wearables Ingestible & implantable sensors Ambulance drones Convergence of “Trauma care in a rucksack” healthcare Smart homes technology capabilities Run by brain-machine interfaces and AI? You go to healthcare Healthcare comes to You carry healthcare Healthcare is inside you you Source: “The Singularity is Near” by Ray Kurzweil, PwC analysis Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
“If you fail to prepare, prepare to fail” Three key factors amongst many that support the culmination of a state of adequate preparedness exist • Regulatory and compliance management • Secure deployment of connected medical devices • Data governance, protection and privacy Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
Other success factors also exist s Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC 50
Connectivity Culture Credibility Change management Cost (Affordability) Convenience Consent (Accessibility) (Privacy, HIPPA, PDPA) Cybersecurity Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC 51
8 Cs -> 1 C Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC 52
ollaboration Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC 53
THE FUTURE OF HEALTH IS DIGITAL LET US KEEP PATIENTS AT THE HEART OF WHAT WE DO USE TECHNOLOGY TO COMPLEMENT OUR CLINICAL PRACTICES, NOT REPLACE THEM Digital Health and Emerging HealthTech in Southeast Asia June 2019 PwC
THANK YOU For further information, please contact: Dr. Zubin J Daruwalla Health Industries Leader PwC Singapore & PwC South East Asia Consulting t: +65 9751 7023 e: zubin.j.daruwalla@pwc.com © 2019 PricewaterhouseCoopers. All rights reserved. PwC refers to the Singaporean member firm, and may sometimes refer to the PwC network. Each member firm is a separate legal entity. Please see www.pwc.com/structure for further details. Liability limited by a scheme approved under Professional Standards Legislation
Wearables Case Study: Verily and Alcon – Digital contact lenses for diabetes management 1 2 Sensors are embedded A microscopic wireless antenna between two soft layers of then communicates this data to a lens material and a pinhole wireless device, which transmits in the lens allows tear fluid it to external receiver devices to seep into the sensor and (users, care givers, providers be used to measure blood etc.) sugar levels. 4 3 Providers can predict Continuous glucose data adverse events caused by is also sent to an diagnosis based on associated app on the continuous glucose user’s smartphone which monitoring data prompts the user to act and make decisions Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 56
Wearables Case Study: SENSIMED Triggerfish® – Smart contact lenses to tackle glaucoma 1 SENSIMED Triggerfish Sensor is a ® 3 The data is transmitted through a thin soft disposable silicone contact lens flexible cable from the Antenna to the embedding a micro-sensor that portable recorder captures spontaneous circumferential changes at the corneoscleral area 4 The portable recorder, worn by the patient, stores the acquired data during the monitoring 2 The adhesive SENSIMED session. At the end of the recording period, the Triggerfish Antenna, which is placed ® around the eye, receives wirelessly the data is transferred via Bluetooth from the information from the contact lens recorder to the software previously installed on the practitioner’s computer • Provides information on continuous natural changes to the eye to ophthalmologists including intraocular pressure • Allows improved glaucoma management and faster intervention Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 57
Wearables Case Study: GenSight Biologics – Biomimetic goggles to treat faulty retina with a goal to preserve or restore vision Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 58
Wearables Case Study: ReThink Medical – Heart failure prediction • Raised $3m for a wearable that predicts and prevents heart failure • Algorithms can detect signatures of worsening heart conditions weeks before patient senses them; usually a month of worsening conditions and heart failure • Data transmitted via WiFi hub to a provider, who intervenes if problems detected • Partnership with Japanese device company Terumo Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 59
Wearables Companies driving innovations in smart clothing Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 60
Wearables Other wearable examples by Pharma and MedTech NEC/Gunze Ltd. - Developed an Toshiba - rolling out two activity trackers that intelligent undershirt that can be can help caregivers monitor seniors connected to a smartphone and provide remotely. Through an analysis of sensor data, the data on the health of the person wearing Silmee W20 and W21 wristbands can help track the amount of time a user spends eating as well as it. The shirt has an ultra-fine and flexible conversing with others. The bands can compile the sensor (which can be removed before data into life logs to be shared with caregivers the shirt is washed) that can monitor posture, heart rate, and calories consumed and burned. Kyocera - announced that it will collaborate with The Takeda – Getting serious about digital Takeda walks the walk Association for Preventive Medicine of Japan in the field of with its digital accelerator model The company has also healthcare to offer a new service, Daily Support®, which aims launched iBData, a wearable digital technology pilot program to assist with continuous lifestyle habit improvements through to support patients and physicians with the management of the use of a smartphone and wearable device combined with inflammatory bowel disease (IBD). The program is a individual guidance from healthcare professionals. Planned to partnership with Texas Digestive Disease Consultants and launch in fall 2015 in Japan, the service will be provided to Vanderbilt University Medical Center and is designed for IBD companies, health insurance unions and healthcare service patients to track their symptoms and lifestyle factors with providers seeking better health management for employees wearable watch technology and clients. Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 61
Point of care diagnostics Case Study: eyeNETRA – Point of care diagnostics and VR Mobile Clinic Kit with Printer • MIT-incubated start-up that offers a series of Point of Care diagnostic tests for refractive errors (near and far sightedness) Smart Phone Autorefractor Smart Phone Lensometer • The equipment easily plugs into smartphones and has supporting applications which enable easy diagnosis, recording and transmission of test results • The company is now seeking partners to create prescription Virtual Reality Screens Smart Phone Lensometer Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 62
Telemedicine Case Studies: MedShr and MyDoc – Smart phone apps that can be used to seek second opinions via affordable and accessible teleconsults Create cases Share & Discuss Connect & Network Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 63
Telemedicine Case Study: Tan Tock Seng Hospital, Singapore – Improving eye care with tele-ophthalmology • Modified teleconferencing system to enable patients and specialists to see and speak to each other • System is set up at easily accessible neighborhood polyclinics and uses portable cameras and multiple computer screens • Clinic does a pre-consultation assessment and results are shared with specialists ahead of the consultation • Initiative found to reduce the load of acute care institutions and is now being extended to multiple polyclinics Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 64
Drones Case Study: Deft University of Technology – Ambulance drone with cardiac defibrillator • Ambulance drone in-built with a cardiac defibrillator that can reach patients during a cardiac arrest within 12 square km in less than 1 minute • Via telemedicine and an in-built camera, an emergency operator can give instructions and observe for correct application by the civilian responder • Survival rate from a cardiac arrest could be increased to 80% under the quick arrival response of the ambulance drones, rising even to 90% when an untrained responder is given accurate instructions by the emergency operator. Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 65
Genomics Case Study: GenSight Biologics – Genetic engineering-based novel therapies for neurodegenerative diseases of the eye The proprietary Mitochondrial Optogenetics uses gene therapy to Targeting Sequence (MTS) permits introduce a gene encoding for a missing mitochondrial proteins to be light-sensitive protein into specific target shuttled into the mitochondrion, enabling cells in the retina enabling them to respond restoration of mitochondrial function to light stimulation in place of damaged photoreceptor cells Leber Hereditary Optic Neuropathy (LHON) Retinitis Pigmentosa (RP) Geographic Atropy in dry-AMD Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 66
Big data Case Study: Intelligent Research in Sight (IRIS™) – Registry for ophthalmology cases What is IRIS™? What does IRIS™ offer? • First comprehensive eye disease • Consistent quality reporting clinical database standards and outcome • Captured data from 10,800 measures for eye diseases ophthalmologists covering more • Measures efficacy of various than 48 million patients (2015 therapy options estimate) • Identifies areas for further • Uses HIPAA-compliant methods to research and validation collect data from EHRs • Provides real-time feedback and drives improvements in quality and outcomes Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 67
Artificial intelligence Case Study: Google’s Deep Mind – AI to diagnose diabetic retinopathy and AMD • Google’s Deep Mind team is partnering with UK’s NHS to develop a machine learning algorithm that can scan millions of retinal images and detect diabetic retinopathy and age-related macular degeneration (AMD) • Physicians currently diagnose using physical medical charts and interviewing patients but the error rates are 10-20% on average Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 68
Artificial intelligence Some other examples of AI in healthcare Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 69
Digital Case Study: 6 over 6 – Digital optometry tools for consumers GlassesOn GlassesOn Eyes • Mobile-based digital optometric tools to • Currently under development check eyesight and buy glasses online • Manipulates optical and perceptual • Uses a patent technique involving phenomena to give full measurement of manipulation of light; registered as a Class 1 refractive errors Exempt Medical Device with the FDA • Provides a spontaneous, fashion-centric experience Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 70
Digital Case Study: Novartis and TicTrac – Patient engagement platform for people with multiple sclerosis • Partnership with patient engagement platform for multiple sclerosis patients to record data from wearables and social media • The campaign prompts participants to track different aspects of their lifestyle including weight, activity, mood, and workload • This data is used to create visualizations of their day-to-day life. Participants can sync various platforms and devices with Tictrac's platform including Fitbit, Jawbone UP, Withings, Gmail, Facebook, and Runkeeper Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 71
Digital Case Study: Mount Sinai – Healthcare information access Mount Sinai Hospital and Apple co-developed an app which connects healthcare professionals. App provides healthcare professionals with anywhere access to data from 66 applications used in the hospital. Data includes clinical data, reference materials and patient information. Passwords and VPN certificates provide the appropriate levels of security Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 72
Digital Case Study: Ningbo – Digital and cloud hospital in China Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 73
New entrants Case Study: A futuristic combination to replace hospitals? Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 74
New entrants Case Study: Are telcos the perfect medium? PwC’s DoubleJump™ Interchange supports collaboration across an ecosystem with telcos being ideal partners Data Sources Care Team / Patient / Analytics/Apps Remote Clinician Apps Consumer Monitoring Apps Visualization / Reporting Public / Government Statistical Monitoring Packages Devices Benchmarking (biometrics) Sensing / Analytics & Cognitive Activity IoT Computing Engines Sensors (steps, GPS) PwC’s DoubleJump™ EHR/HIE Hospitals / Clinics (clinical records) Interchange Registry / Support Group (Self- Reported) Family, Friends, Kiosk (remote Claims Pharmacy platform and Patient monitoring) (Cost/ Research Data Activities (prescription and Advocates Utilization) (e.g., Omics) fulfillment data) Retail Researchers Risk-Bearing Entities Community Collaborators Programs Pharmacy Ecosystem Enablers Technology Contracts Shared Services Value Capture Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 75
New entrants Case Study: Insurance Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 76
New entrants Case Study: Retail Retail Health, Retail Medicine and the New Healthcare Experience People expect convenience, quality and transparency when choosing how to spend time and money – and increasingly they seek the same from healthcare providers. Retail health is emerging as a means of delivering quality, convenient care to millions of consumers, as well as a model for healthcare systems to consider when providing services to new and existing patient populations. Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 77
New entrants Examples of various industry sectors using telemedicine service offerings Global Healthcare Trends and the Transformative Future of the Industry June 2017 PwC 78
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