Business Models and the R word (Reimbursement) at mHealth Summit
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© 2014 - All rights reserved. Business Models and the ‘R’ Word (Reimbursement) Bonnie Feldman, DDS, MBA - Business Development for Digital Health www.drbonnie360.com | @DrBonnie360 | [email protected]
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Transcript of Business Models and the R word (Reimbursement) at mHealth Summit
© 2014 - All rights reserved.
Business Models and the ‘R’ Word (Reimbursement)
Bonnie Feldman, DDS, MBA - Business Development for Digital Healthwww.drbonnie360.com | @DrBonnie360 | [email protected]
Life Sciences
Health Plans Healthcare Providers
Shift from Volume to Value: New
Business Models
An Alphabet Soup of R options
• Fee for service
• Pay for performance
• Shared risk
• Full capitation
Retail
Telecom Co
Tech PlatformsApple
GoogleSamsung
Consumer demand:
New Business Models
© 2014 - All rights reserved.
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Apps Devices
$
Revenue Sources
mHealth Reimbursement Models
3rd
Par
tyC
on
sum
er
Pay
er
Apps Devices
Freemium
Advertising
Upsell Content
Basic and premium app
Device with app
Mobile existing service
1
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PWC mHealthinsights (2013)
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2
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© 2014 - All rights reserved.
Different Perspectives from:
•Bernhard Kappe – Founder & President Pathfinder
•Andy Flanagan – CEO Telcare
•Dan March – Co-founder & Chief Commercial Officer Trial Fusion
•Alexis Gilroy – Partner, Jones Day
© 2014 - All rights reserved.
Questions
•How can we work together so that patient centric care becomes a business driver for success?
•What role can biopharma play to shorten the timelines in drug development?
•What role can medical device industry play to more quickly incorporate data and digital tools into their offerings?
© 2014 - All rights reserved.
Sources• Volume to Value
• Keckley, P. (2012). Value-based Pricing for Pharmaceuticals: Implications of the Shift from Volume to Value. Deloitte Center for Health Solutions, 1-22. Retrieved November 2014, from http://deloitte.wsj.com/cfo/files/2012/09/ValueBasedPricingPharma.pdf
• Main, T., & Slywotzky, A. (2012). The Volume-to-Value Revolution: Rebuilding the DNA of Health from the Patient In. Oliver Wyman, 1-31. Retrieved November 2014, from http://www.oliverwyman.com/content/dam/oliver-wyman/global/en/files/archive/2012/OW_ENG_HLS_PUBL_Volume_to_Value_Revolution_2.pdf
• Nace, D. (2014). The State of Value-Based Reimbursement and the Transition from Volume to Value in 2014. McKesson Health Solutions, 1-37. Retrieved November 2014, from http://mhsinfo.mckesson.com/rs/mckessonhealthsolutions/images/MHS-2014-Signature-Research-White-Paper.pdf
© 2014 - All rights reserved.
Sources• Mobile Health Business Models
• MHealth App Developer Economics 2014. (2014). research2guidance, 1-39. Retrieved November 2014, from http://research2guidance.com/r2g/mHealth-App-Developer-Economics-2014.pdf
• Mobile Health: Who Pays? (n.d.). A.T. Kearney, 1-33. Retrieved November 2014, from http://www.atkearney.com/documents/10192/178350/mobile_health.pdf
• Scheel, O., Anscombe, J., Wintermantel, T., & Reincke, E. (2013). Mobile Health: Mirage or Growth Opportunity? A.T. Kearney, 1-25. Retrieved November 2014, from http://www.mobilehealthglobal.com/media/upload/pdf/mobile-health--mirage-or-growth--opportunity_editora_39_7_1.pdf
• Wasden, C., & Weirz, D. (2012). MHealth - Payment, ROI, and Reimbursement. Healthcare Information and Management Systems Society (HIMSS), 1-12. Retrieved November 2014, from http://himss.files.cms-plus.com/FileDownloads/2013-mHIMSS-Roadmap-ROI.pdf
© 2014 - All rights reserved.
Sources• New Patient-Centric Health Model
• Healthcare's New Entrants: Who Will Be the Industry's Amazon.com? (2014).
PWC Health Research Institute, 2-18. Retrieved November 2014,
from http://www.pwc.com/us/healthcare-new-entrants
• Main, T., & Slywotzky, A. (2014). The Patient-to-Consumer Revolution: How High Tech, Transparent Marketplaces, and Consumer Power are Transforming U.S. Healthcare. Oliver Wyman. Retrieved November 2014, from http://www.oliverwyman.com/content/dam/oliver-wyman/global/en/images/insights/health-life-sciences/2014/October/The-Patient-To-Consumer-Revolution.pdf
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Bonnie Feldman DDS, MBA
Business Development for Digital Health
