Opportunities and Challenges

for eHealth in Brazil

The most relevant resource for news, information and networking for healthcare in Latin America.

It discusses relevant issues in Business, Technology, Innovation and Entrepreneurship, in order to provide empowerment and inspiration for the leaders in the sector, helping them to make better decisions.

Empreender Saúde was created in 2010 by physicians and it is based in São Paulo, and now it’s part of the ES Media group.

It impacts more than 30k people monthly in its proprietary events and digital channels.

Who is talking to us?All the healthcare stakeholders are connected through our platform

Market PositionReaders are looking for who is similar to them, that’s why they go for niched channels (new media). By adopting this approach, ES keeps growing fast and has become a reference in Business and Technology in Healthcare.

1º Main reference in Brazil

source: alexa, google analytics

208%Growth in 2014

Dear and Happy CustomersA diverse number of clients, with different goals and businesses

Overall Challenges in Brazil to start a Company

- High and Complex Tax Load - Poorly-qualified workforce - Hard to open and hard to close a company - High-cost employee benefits over equity - Scarce venture capital investment and risk-averse culture - Impossible to take an IP out of university - Logistics and Infrastructure (trucks and ports) - Tech: Non-API’s ecosystem - Boletos and Installments are must haves - 3G is really 1G

Source: Brazil Startup Report

Overall Opportunities in Brazil to start a Company

- Brazil is the gateway to success in Latin America - Internet Population is high 50% (India: 13%) - Mobile Phone Penetration is even higher 126% (US:106%) - Credit card Penetration 69% (US: 71%) - Facebook Penetration: 35% (India: 5%) - Buscapé: Acquired by the giant Naspers for US$ 342mi - PeixeUrbano: Acquired by Baidu, chinese giant

Source: Brazil Startup Report

Overall Challenges for eHealth in Brazil

- No major solution uses terminologies (HL7, openEHR, Snowmed) - Even government solutions lacks integrations (DATASUS) - Poorly-skilled workforce for Health Informatics (small number) - IT Infra-structure is very very bad - IT is supportive, not strategic - Legislation in medicine is clueless and dark (telemedicine is

Skype) - Government is more worried about Cuban doctors than eHealth - Hospital adoption of EMRs is slow (less than 10%) - Payment models take risk from the person, decreasing needs for

B2C solutions

Overall Opportunities for eHealth in Brazil

- Brazil has a fast-growing healthcare sector (9-10,2% of GDP, 15% CAGR)

- UnitedHealth bought Amil - it eases integration for foreigners - Almost 400k physicians, and still lacking (telemedicine?) - 4th largest pharmaceutical market in 2016 (Walgreens, CVS entering

the market) !

- The market is interesting for global players - Cerner/Einstein Hospital - But Local and interesting companies are starting to appear:

- MinhaVida (~WebMD): 15M in rev, invested by Intel Capital - MV (EMR): 100M in rev; Bionexo (buying platform), 25M in rev,

both invested by Insight Venture Partners - Local differences are barriers for new entrants: Qualicorp: 600M,

38% EBITDA

VITOR ASSEITUNO +55 11 99281 3555

vitor@empreendersaude.com.br