Wearable devices: will they really catch on in the health insurance industry?

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Transcript of Wearable devices: will they really catch on in the health insurance industry?

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Wearable devices – Will they really catch on in the health insurance industry?

The annual smart wearable healthcare market volume will grow from $2 billion in 2014 to $41 billion in

2020, a compound annual growth rate of 65%.- Source: Soreon Research

Wearable technology could lower hospital costs by as much as 16% over the course of 5 years, and remote

patient monitoring technologies could save the global healthcare system $200 billion over the next 25 years.- Source: CDW Healthcare

88% of physicians want patients to monitor their health parameters at home- Source: Orange Healthcare

63% of insurers see wearables as having a 'significant impact' on the industry, and that their use in premiums would be 'wide-spread' in just two years - Source: Accenture Technology Vision Report

35% of insurers are investing comprehensively in digital as part of their overall business strategy- Source: Accenture Technology Vision Report

51% of insurers plan to partner with major digital technology and cloud platform leaders in the next two years- Source: Accenture Technology Vision Report

44% of insurers believe the volume of data they manage has grown by 50% or more in 2015- Source: Accenture Technology Vision Report

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Contents

I. Wearable devices: Trends and challenges

II. Next steps for Insurers and Health care providers

III. Case study: healthcare devices by risk factors

IV. Case study: wearable devices used by Health Insurers

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Wearable devices: Trends and challenges

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The evolution of connected technologies is bringing the healthcare industry to a convergence point

Proactive management

Reactive management

Gen

eral

hea

lth

care Specific d

isease

s

2nd generation

• Proactive health monitoring

3rd generation

• Proactive monitoring

• Specific disease personalization

• Real-time• Data processing

1st generation

• Reactive programing and monitoring

2nd generation

• specific disease focus

The evolution of connected technologies Health Care Industry

Trends and impacts

1. Technology

The features and focus of wearable devices are going to be more sophisticatedand move beyond well-being, general care, and specific diseases.

3. Players

The adoption of wearable devices has grown broadened from health enthusiast to healthcare providers, employers, insurance companies

2. Data

Different type of actionable data are collected from users, from health life styles to specific disease data that could be used for labs and clinical research.

4. Incentive adoption

Employers and insurers are starting to take proactive approaches to the adoption of mobile with incentives to decrease medical cost.

5. Business models

Incentivized adoption changes life style and behaviors of customers and will shift the underwriting, pricing and profit model of healthcare industry players.

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While connected devices have begun to gain traction, opportunities remain

Product Development

Underwriting& Risk

Management

Policy & Claims Management

Healthcare Services

Provider Network

Management

Provision of Care

MarketingSales &

Distribution

Insurers Care ProvidersHealthcare services

Ke

y In

sigh

tsIo

Tp

laye

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rs

Most insurers integrate wearables into their marketing strategy to engage customers, employees or partners though very few are using the data for underwriting

Some players have incorporated wearable devices data into life insurance pricing, offering premium discounts to entice less risky customers

Insurers have set pricing options based on how frequently policyholders agree to share personal health data

New products announced by major insurers which include free wearables and premium discounts for healthy lifestyles

Insurers in near term plan to use wearables to:

⁻ Support workers’ compensation and personal auto injury claims management

⁻ Offer riders for other products such as long term care and critical illness through data analysis

⁻ Identify fraud in claims management through video, images and audio

With very few insurers active in this segment, wearables (IoTplayers) offer huge opportunity for health insurers to partner with healthcare service providers

IoT players may enable monitoring & managing recuperation time of patients, helping further in claims management

Hidden Potential

Integration RequiredEmerging Area

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Regardless of the recent growth in connected technologies recently, there are still obstacles

Consumers Insurers

Government/ regulations

Health Care Service

Providers

Low adoption rate with people

not motivated enough to wear

the trackers or devices

High costs of wearable devices

Data privacy concerns limiting

the use of wearables

Employees &

Employers

Individuals

Health Insurers

Life Insurers

Technology Providers

Insuretechs(Startups)

Complex consumer engagement

to build trust

Higher infrastructure

investment for connected

information

Data collection strategy for

unstructured data

Security challenges

Interoperability issues with

existing primary and secondary

healthcare systems

Higher analytics requirement

for better healthcare delivery

and treatments

Low reliability and connectivity

of wearable technology

Personal Data Protection Act

for privacy guidelines and

policies

Low integration of the public

and private healthcare systems

Lack of standards around user

privacy and security as well as

intellectual property issues

Inconsistent quality of data

precision, highly dependent

upon device specs

Requirement of two way

communication and sending

readings directly to the

hospital's integrated medical

records system

High investment required for

connected device development

Lack of customer base for

complete product definition and

analytics

Sensor technology

Medical device

manufacturers

Government Health

Departments

Hospitals

Polyclinics

Pharmacies

Doctors

Fintechs

Insurance

Technology

startups

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Next Steps for Insurers and Healthcare Providers

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Data collected through wearable devices will bring important changes to the value chain

Products & Services Offering

Underwriting Pricing Risk Prevention Claims

More personalized products and services by targeting specific health statuses

Adaptable packages and protections to match customer expectations

Underwriting of generic illness will drop due to close monitoring

Focus on underwriting of specific diseases / risk types will be more preferred and affordable

Predict most vulnerable and likely risk types and price accordingly

More accurate pricing thanks to precise data and granular variables

Detect the first passive signalsthrough data and take immediate prevention measures

Additional functionalities to provide alerts, warning and to react in a timely manner

Facilitate decision making for claims approval supported by collected data

Automating claims process

Facilitating interaction with customer

Well-being dataCalories consumption, sport and fitness data to track user’s health condition and well-being status

Clinical Lab data Self-monitored health data streamed directly into clinical data repositories for lab tests to monitor the user’s health condition, and into e-health records of patients with chronic diseases.

Data is transforming from Monitoring Fitness, to Clinical Lab Testing and E-Health Records

Regulatory landscape will evolve to give more granular guidelines

Dat

a U

sage

Social media networks- Epidemiological

impact assessment based on social network data and better pricing model of community risk

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Wearables can be used to promote prevention and health coaching

Partner with wearable companies to track

consumer fitness data and provide incentives

Leverage wearable devices data during checkups or patient visits to support

diagnoses and advice

Partner with health startups and wearables to

integrate content / marketing material

Insurance Carriers

Healthcare Providers

Insurance Carriers

By incentivizing customers with gift cards, gym reimbursements, etc. consumers will be more apt to stay healthy- Thus, the associated risk of insuring this customer is lowered

Additionally, incentives will improve customer loyalty and brandawareness as a positive touchpoint with insurance brands

As consumers continue to flock to startup fitness apps and cutting edge wearables, there is an opportunity to be more involved in content within these channels

Insurers can leverage these emerging channels to share relevant content and introduce potential customers to their brand

These customers may be preferred giving their focus on fitness, though data from these providers can be leveraged to target appropriate risks

Regular checkups can include reviewing heartrate and exercise data to help ensure patients are keeping proper habits

Additionally wearable data can be used when diagnosing a condition during a doctor or hospital visit to help understand how the patient’s heartrate and other vitals have been functioning recently

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Claims processes can be further automated by using connected devices

▪ Recent studies show that monitoring fitness using the current generation of mobile devices reduces health claims by 16%▪ Imagine when the quality of data, real-time feedback and ease of use of wearables becomes the norm, the reduction in health

claims will be substantial▪ The saving are so striking that some insurers and employers are now subsidizing the cost of wearables as part of their wellness

program

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Partnerships with healthcare providers can improve efficiency in treating minor illnesses and responding to emergency situations

Improving the potential outcome of a heart attack, through early detection

Life threat detect: early detection (or prediction) of potentially life threatening conditions such as a heart attack

Life threat evac: priority notification to emergency services of your location and condition (even if you are incapacitated)

Life threat eval: real-time connection through your wearable devices with a qualified expert to assist you with evaluating your symptoms and vital signs; can automatically set up an appointment with your preferred health provider

Monitoring and alerting of epileptic seizures

Current wearable devices can call for help during a seizure Products in development may one day be able to predict a seizure

before it happens They may even help avoid a seizure entirely by prompting

medication before it strikes

Prevention of allergic reactions and medical emergencies

Nima, a smartphone-connected allergen device that tests food for various proteins and substances beyond gluten

Aibi is a wearable and easy to use epinephrine auto-injector for kids to determine allergic reactions and a medical emergencies alert system to alert adults in case of an emergency situation

Veta smart case is a transparent case with temperature sensor to monitor and raise alerts when the wearer suffers an allergic situation

Several initiatives and trends are visible concerning partnerships of wearable companies with healthcare providers:

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Insurance carriers and healthcare providers should begin testing these strategies

Establish key performance metrics and develop the project plan for integration with partners and providers and updates to existing systems

Develop partnerships and define terms of the agreements

including data security and privacy controls

Manage the implementation including the systems integration, data management and analysis, and associated content creation

Gather the right team of experts with insurance knowledge and startup

connections to identify and prioritize strategic objectives

InsuranceCarriers

Healthcare Providers Analyze existing data structures and governance models with

partners and define integration requirements

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Case study: healthcare devices by risk factors

Wearable devices case study

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Connected Devices Benchmark – Adoption Vs. Specialization

1. Insurers and employers are

focused on the general well-

being and fitness aspect

providing fitness trackers as part

of their customer acquisition &

data analytics initiatives

2. Disease specific wearables is an

emerging area for health

insurers as well as health care

providers

3. Critical illness, although one of

the major components of health

insurance, is yet to see a high

adoption rate of wearables –

opening up a huge opportunity

for health insurers

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2

3

Deg

ree

of

spec

ializ

atio

n

Degree of adoption in Health Insurance

Circadia

Health

Breast CancerCircadia

Health

Diabetes

Circadia

Health

well-being- High Stress, sleep

Circadia

Health

Seizures

Circadia

Health

Parkinson’s disease

well-being – Stress,

fever, cardio vitals

Foetus monitoring

Knee & foot

health

High Stress

Fitness & sleepFitness & sleep

Hospitalization

Dental HealthJet Lag

General well-being

Prescribed Medication

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2

3

Circadia

Health

Autism

Healthcare

Diabetes

Smart

Contact lens

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OVERVIEW

Dexcom G5 employs Continuous Glucose Monitoring (CGM) to provide accurate, real-time glucose readings for people with type

1 or type 2 diabete.

Dynamic glucose data can be accessed via mobile app. The Dexcom G5 Mobile continuous glucose monitoring (CGM) System is

the first completely mobile continuous glucose monitoring system - sending glucose readings to the users’ compatible smart

device every five minutes.

Glucose data tracked by G5 can be easily integrated with

app such as Apple Health.

It expands patient options for viewing real-time CGM data.

Compared to product with invasive measure and complex

operation process, G5 provides a better customer

experience.

A discrete sensor located just on the abdomen, continuously

measures glucose levels.

CGM data is automatically transmitted to the iPhone via

Bluetooth and to Dexcom cloud through the phone.

- The integration with the phone enables a user to share

and access his real time data and also get alert and

relevant notification.

- The Dexcom web-based software platform simplifies

diabetes data reporting and management for patients,

caregivers and healthcare professionals

Optional and alternative receiver device to monitor blood

sugar level.

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Disease-specific

Wearable Technology

Category

2015

Launch

Type I & II Diabetes

Target Customer

US

Location

Dexcom G5 for diabetemornitoring

Product

KEY FEATURES KEY BENEFITS

1

2

3

1

2

3

Disease / Diabetes

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KEY FEATURES

OVERVIEW

iTBra is a personal screening tool for breast cancer, which has demonstrated an 87% correlation to a verified, clinical diagnosis

of breast cancer including with those patients with dense breast tissue

Developed in conjunction with Nanyang Technological University of Singapore, the Cyrcadia Health solution employs big-data

predictive analytic software to deliver accurate screening result

Revolutionary wearable technology to provide breast

cancer prevention

Provides home-based breast cancer early detection, which

is more convenient and accessible than breast

examinations in clinic

Foster the awareness of cancer prevention and the habit

of regular self-examination

Accessibility: Home-based, non-invasive and discreet early

breast health screening system

- The sensors track temperature changes to monitor

increased blood flow that correlates with the growth in

cancerous tumours

Connectivity: Smart phone enabled device communicates

with Cyrcadia Health solution laboratory

- Big-data predictive analytic software employed to deliver

accurate, reproducible and automated results to health

care providers

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Disease-specific

Wearable Technology

Category

To be announced

Launch

Women

Target Customer

US

Location

iTBra for breast cancer monitoring

Product

KEY BENEFITS

Disease / Breast cancer

Breast tissue diagnosis wear

Short Description

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OVERVIEW

The E4 wristband is a wearable wireless device designed for continuous, real-time physiological monitoring in daily life

Used for data-gathering in empirical studies or clinical trials

Impressive ability to integrate with other apps and

devices

Real time data monitoring and seamless connection with

cloud storage

Embedded with multiple sensors that can capture skin

temperature, sympathetic nervous system arousal, heart

rate, heart rate variability (HRV), and other cardiovascular

features

Wristband can be connected to mobile phones through

Bluetooth and data can be viewed and accessed on a secure

cloud storage and PC

Photoplethysmography Sensors measure Blood Volume

Pulse (BVP), from which heart rate, heart rate variability

(HRV), and other cardiovascular features may be derived

3-axis Accelerometer captures motion-based activity and

tags events and correlate them with physiological signals

User can build custom apps that leverage real-time data

from the wristband

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Disease-specific

Wearable Technology

Category

2014

Launch

Clinicians, Academics

Target Customer

US

Location

E4 wristband

Product

KEY FEATURES KEY BENEFITS

Disease / Cardiovascular disease

Wrist bands for monitoring heart rate

Short Description

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OVERVIEW

Kinesia 360 uses wearable sensors and a mobile application to continuously and objectively measure Parkinson’s symptoms

during the day. An electronic diary also records patients reported outcome and medication events

Kinesia One measures Parkinson’s disease motor symptoms including tremors. Individuals interact with an ipad app while

wearing a sensor to assess symptoms

Easy to use and the system can be integrated into clinical

trials or patient care.

Real-time monitoring of post-hospitalization activities

and medication.

Kinesia 360: Two sensor bands allow accurate and clinically

validated assessment of Parkinson’s motor symptoms. The

bands communicate with a dedicated app via Bluetooth. And

patients interact with the app by inputting diary data. Motor

and diary data are transmitted to a secure cloud storage,

which can be accessed by clinicians via the Kinesia web

portal

Kinesia One: The sensor is worn on the finger during

specific tasks, it transmits the motion data wirelessly to iPad

mini using a Bluetooth radio. The user interacts via the tablet

touch screen

Proview: Turns maps of each patient in the database into

viewable PDFs

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Disease-specific

Wearable Technology

Category

2015

Launch

Patient with Parkinsons

Target Customer

US

Location

Kinesia 360

Kinesia One

Proview

Product

KEY FEATURES KEY BENEFITS

Disease / Parkinson

1

2Sensor bands for monitoring Parkinson’s disease symptoms

Short Description

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OVERVIEW

QardioCore is a wearable and wireless electrocardiogram (EKG/ECG) device, which targets comprehensive heart health

monitoring. Clinically validated, it also focuses on design and features that fit into people’s lifestyle

QardioCore EKG/ECG monitor is the winner of many prestigious awards for its innovative technology and design

Incorporated within modern lifestyle and increase

potential usage through comfortable and unique design

With real time data sharing and analysis, QardioCore has

wide application such as medical-level chronic condition

monitoring and sports performance management

Connectivity: View and accurately record live continuous

EKG/ECG data on iOS device

QardioCore also monitors heart rate and heart rate

variability, body temperature, stress levels, respiratory rate

and activity tracking

QardioCore wireless EKG monitor has been clinically

validated to accurately record and analyze user's overall

heart performance in real time so doctors and healthcare

providers can access medically accurate live data remotely

QardioCore wireless bluetooth EKG monitor is splash and

rain-resistant, suitable for everyday use

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Heart Disease

Wearable Technology

Category

2014

Launch

General

Target Customer

Australia

Location

QardioCore

Product

KEY FEATURES KEY BENEFITS

Disease / Heart disease

ECG wearable for health monitoring especially heart rate

Short Description

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OVERVIEW

Spire is a wearable activity tracker worn on the waistband or bra strap designed to analyse breathing to determine levels

of tension, calm, or focus

It is a wearable device that not only tracks people’s activity, but also monitors tension and stress. It seeks to identify

potential mental health issue and improve the state of mind by introducing daily meditation and breathing exercises

Dedicates to mental health monitoring, the market of

which has few player

Suitable for employee tension management

Spire uses research from Stanford‘s Calming Technologies

lab to understand people’s state of mind

Spire helps user to discover the time they are stressed,

where it happens, and what they were doing, in addition to

its activity tracking functions

Connectivity: Able to integrate with apple health and iOS

application to upload data and generate user reports

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Mental Health

Wearable Technology

Category

2014

Launch

General, employee

Target Customer

Singapore

Location

Spire stress tracker

Product

KEY FEATURES KEY BENEFITS

Disease / Mental health

Activity trackers for hypertension and stress management

Short Description

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OVERVIEW

Neuroon is an intelligent sleep mask that combines medical grade sensors and software with a mobile application to help

ease jet lag, track sleep cycle and conduct sleep analysis

The wireless device connects to a mobile app to monitor brain waves, analyzes sleep patterns, and uses bright light therapy

to help improve sleep quality

Produces detailed and comprehensive sleep analysis

Other major functions such as jet lag blocker and sunlight

boost attracts potential buyers with similar needs

There are four biometric sensors in the Neuroon that

measure EEG, EOG, pulse, motion and temperature with four

LED lights that give signals to the user

The mask communicates with the app on both IOS and

Android systems, transferring biometric data, and enabling

user to access the full suite of six functionalities

Four different components make up the Neuroon system:

the mask itself (made of hypoallergenic material), a

removable sensor pack (chargeable via microUSB), LED lights

and electronics encased in the mask and the companion

mobile app

The Neuroon app is developed to better help user explore all

functionalities

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Sleep Analysis

Wearable Technology

Category

2013

Launch

General

Target Customer

France

Location

Neuroon sleep mask

Product

KEY FEATURES KEY BENEFITS

Well-being / Sleep analysis

Sleep mask for sleep analysis & jet lag reduction

Short Description

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OVERVIEW

Embrace is designed to improve the lives of people that live with epilepsy by continuously monitoring physiological stress,

arousal, sleep and physical activity

Like other fitness watches ,the Embrace watch provides a multi-functional experience – it can also be used for stress

management, sleep management and remote monitoring

Comprehensive data analysis system and easy data

extraction. Opt-in choice to consent to distribution of

personal data).

Stylish and comfortable design compared to other

epilepsy prevention devices.

4 different sensors are implemented to capture real-time

physiological data accurately.

Affordable choice for seizure monitoring and notification,

sleep monitoring, stress management and activity tracking.

Key features embedded in Embrace:

- Nervous System monitoring

- On-wrist notification

- Sleep monitoring

- Stress management

- Activity tracking

Connectivity: The Embrace watch is linked to the wearer’s

mobile device via Bluetooth connection, which allows the

systems to analyze the information.

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Well-being,

Wearable Technology

Category

2015

Launch

General

Target Customer

US

Location

Embrace Watch

Product

KEY FEATURES KEY BENEFITS

Well-being / Stress and sleep management

Watch to monitor sleep patterns & stress management

Short Description

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OVERVIEW

Fitbit Blaze is one of the most popular smart watches dedicated to fitness monitoring and activity tracking

Multiple fitness activity trackers based on consumer needs e.g. steps, distance, calories burned, floor climbed, active minutes,

sleep tracking and alarms, continuous heart rate, auto exercise recognition etc.

One of the earliest players in the market, with strong

branding and large client base.

Multiple functionalities but with an affordable price.

Practical but stylish as well.

Improved workout experience through continuous heart

rate tracking, GPS connection and workout coaching etc.

It can be connected with phones to receive text alerts and

control music

It records sleep cycle and can better people to tailor their

sleepinghabits

Key models include: Zip, One, Alta, Flex, Charge, Charge HR,

Blaze, Surge, Aria

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Smart Health

Wearable Technology

Connected Health

Category

2016

Launch

General

Target Customer

US

Location

Fitbit fitness watch

Product

KEY FEATURES KEY BENEFITS

Well-being / Fitness

Activity tracker for general well-being

Short Description

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OVERVIEW

Stridalyzer is a recent entry in the rapidly-growing market for wearable fitness-tracking devices

Stridalyzer focuses on the feet and the knees

It includes basic features like pace, distance, stepcount, runhistory, real time measurements, post run analysis & guidance.

Tracks fundamental aspects of form and running style,

which most trainers say are the foundation of achieving

better performance and staying injury-free

The sensors in the insole connect with a smartphone app,

which through a combination of local and cloud-based

processing, learns the runner’s running form, style and

various pressure points, and provides real-time advice to the

runner to help them run with the correct form

It uses patent-pending hardware and sensing technology,

along with sophisticated bio-physical modeling of the human

leg during running for its analytics

Stridalyzer helps runners by simplifying these parameters

into two fundamental metrics: PerfScoreTM , the measure

of their overall performance in a run, and FormScoreTM, the

measure of their running form and style (and hence the

injury risk) over the run

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Well-being

Wearable Technology

Category

2015

Launch

coaches and trainers

Target Customer

US

Location

wearable sensor-tted insole

Product

KEY FEATURES KEY BENEFITS

Well-being / Fitness

Insole sensors for feet & knees for injury prevention, placed inside running footwear

Short Description

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OVERVIEW

Modoo is one of the smallest fetal monitoring devices. It provides continuous fetal heart rate monitoring as well as

physiological data recording of the mother-to-be

It also enables the mother-to-be to communicate with a physician by sharing monitoring data and also works as a fitness

tracker, improving the users’ health management

One of the smallest fetal monitoring products in the

market

“Passive monitoring” without radiating, which makes fetus

monitoring continuous, easy and safe

Fetal heart rate and heartbeat: Modoo enables mothers-to-

be to record their babies’ heart rate and heartbeat at

anytime and anywhere

Maternal health: By recording their heart rate, breathing,

walking distance and sleep quality, Modoo helps to monitor

the health status of mothers-to-be

Fetal movements: Staying alert 24/7, Modoo continuously

records the babies’ movements

Modoo makes communication more effective by connecting

both App and hardware

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Maternity

Wearable Technology

Remote monitoring

Category

2015

Launch

Pregnant women

Target Customer

US

Location

Modoo fetus monitoring patch

Product

KEY FEATURES KEY BENEFITS

Maternity

Fetal heartbeat monitoring device

Short Description

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OVERVIEW

This electric toothbrush is embedded with a Bluetooth chip that sends the sensory data to a mobile app that records dental

hygiene protocol

It is made to sense when, how often and for how long it is in the mouth whilst brushing teeth.

Beam also offers a dental insurance plan coupled with direct shipment of brush related product

One of the few wearable devices related to dental health

management

Potential future incorporation with insurance plan

provided by this company

App connected: Six-axis motion sensor tracks and records

users’ daily brushing habits and data is transferred to

smartphone via bluetooth

Children incentivizing feature: Get real time notification of

when and how long children brush their teeth

Reward system: Collect stars as user brush and compete

with family and friends to earn real rewards like free beam

brush refills

Personal settings: Able to adjust the brush speed, monitor

battery life and brush head life all from smartphone

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Dental insurance

Wearable Technology

Category

2012

Launch

General

Target Customer

US

Location

Electric Toothbrush

Product

KEY FEATURES KEY BENEFITS

Dental

With Bluetooth Built-in, electric brush is used for dental hygiene and insurance rewards

Short Description

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Hospitalization

OVERVIEW

MyCarolinas Tracker app directly integrates with more than 25 health trackers, 3 pulse oximeters, and 7 bluetooth blood

pressure cuffs to keeps track of patients’ health records

Carolinas HealthCare System utilizes Canopy as their electronic health record and makes all the information available to be

viewed by the physician in their electronic health record

By connecting the devices to Electronic Medical Records

(EMR) system, hospitals can achieve greater

completeness, timeliness and accuracy of data than via

manual recording

Easy tracking of the various blood pressure readings —

enabling the physician to titrate the patient’s blood pressure

appropriately

Clinically relevant data: Take data from wearables and make

it clinically relevant for patients and physicians

Enhances Clinical Decision Support (CDS) capabilities: CDS

helps doctors with diagnosis and decision-making tasks, such

as drug selection and dosing

The app tracks lab data, such as blood sugar and cholesterol

levels and helps create reports to be shared with doctor or

health coach

Free app for the Carolinas patients

XX

Wearable Technology

Connected Health

Category

2015

Launch

General

Target Customer

US

Location

MyCarolinas Tracker

OneCarolinas

Product

KEY FEATURES KEY BENEFITS

Apps to track patients health records & reports

Short Description

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Medication

OVERVIEW

FDA-approved medication (ABILIFY) has been combined and submitted for approval with a sensor within the medication tablet

(the Proteus ingestible sensor) to measure actual medication-taking patterns and physiologic response

In Jan 2016, Barton Health, a California hospital became the first in the US to prescribe ingestible sensors from Proteus

Proteus and Otsuka Pharmaceutical, a Japanese life sciences company, applied for regulatory approval of an anti-depressant

drug incorporating an ingestible sensor (March, 2016)

Empowers patients to take the appropriate dose of

medication and better understand the importance of daily

activity levels and other lifestyle changes

ABILIFY tablet contains an ingestible sensor that

communicates with a wearable sensor patch and a medical

software application to monitor the activity patterns and

response for the patients

Discover App: Patients can use the app to keep track of the

medication, set up medication reminders and monitor their

activity levels including steps they have taken, rest levels,

heart rate, blood pressure and weight

Discover Portal: Used by healthcare professionals to monitor

the patient and provide the best treatment plan for the

patient

Analytical services and reports from Proteus Discover may

enable physicians to better tailor treatment to the needs of

the patient

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Personalize Medicine

Wearable Technology

Category

2015

Launch

General

Target Customer

US

Location

Proteus ingestible tablet-embedded sensor

Product

KEY FEATURES KEY BENEFITS

Ingestible tablet to monitor impact of medications on patients

Short Description

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Elderly assistance

OVERVIEW

Partnered with the AIA accelerator program , Simple Wearables is a new tech startup based in Hong Kong making wearable

devices that provide peace of mind for the aging population and their loved ones

Via its wearable product SimpleWave, users can be easily located and detected if they accidentally fall down. The system will

automatically alert families, call an ambulance if needed and track on-going status

Instant response to emergency

Real time monitoring of care coordination

Remote Monitoring and Emergency Response: It

automatically detects a fall and makes a call to a designated

number when that occurs. It can also be pressed like an SOS

button if the user needs help

Simple wearables: Easy for the elderly to carry and support

the locator services

Daily Analysis: Analyzes changes in daily patterns to predict

a fall and will vibrate to alert users to modify behaviors

Revenue Model: Currently through sales of devices and

monthly subscription service for families and hospitals. In

the future, company will provide big data analytics for

insurance providers and healthcare institutions

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Wearable Technology

Connected Health

Category

2013

Launch

Elderly

Target Customer

Hong Kong

Location

Predictive fall detector

Product

KEY FEATURES KEY BENEFITS

Mobile caring system for instant alerts and status updates

Short Description

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OVERVIEW

Z-works is a startup focused on creating devices that can monitor and advise elders’ health conditions via its IoT ecosystem

With a combination of sensors and a corresponding mobile app, integrated with its Z-works cloud platform, Z-works hopes to

ease the burden on the healthcare system and on carers of caring aging people.

Reduction of cost of elderly caring

Effective health monitoring and consulting services

Integrated Device-Cloud System: Enables fast deployment

of customized IoT system, working closely with low-cost

device vendors

Customized App: The LiveConnect Apps can be customized

to accommodate different needs at care facilities, assisted

living communities, and home care users

Consulting Services: Z-works offers consulting services for

IoT data analysis and deep learning solutions to further

enhance customers' solutions

Revenue Model: : Currently through sales of devices. This

newly-established company is also expanding its influences

by “LiveConnect” crowdfunding projects

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Mobile Health

Connected Health

Category

2015

Launch

The Elderly

Target Customer

Japan

Location

IoT sensors suite and corresponding real-time app

Product

KEY FEATURES KEY BENEFITS

Smartcare solution to Monitor health at home

Short Description

Elderly assistance

32

OVERVIEW

FinlTop Biology (Beijing) produces smaller versions of large diagnostic machines that patients can use in their home

With its flagship product - a smart-phone sized electrocardiogram device - users can hold the device and press their thumbs into

two metal sensors that then detect their heartbeats. The corresponding app records the data and users can privately review the

information or forward it to their doctors

Reduction in cost of medical check-up

Real-time health monitoring and analysis

Integrated Health-Care System: A real-time readout appears

in the device and the results are sent to the user’s

smartphone, which can in turn be sent to his or her doctor.

Simple and Affordable: The small electrocardiogram device

is smart-phone size and costs about RMB 300 (US$50).

Smart Analysis: FinlTop’s app analyzes the results and tells

users, in the simplest terms possible, whether they are

healthy or if there is a problem.

Revenue Model: : Currently the company partners with

more than 100 companies, which represent over 1 million

patients. It received an RMB 10 million (US$1.61 million)

seed investment from Yicheng Electronic Technology.

XX

Mobile Health

Connected Health

Category

2013

Launch

Middle class aging population

Target Customer

China

Location

Handheld electrocardiogram deviceWireless glucose meter Pulse oximeterBlood pressure monitor

Product

KEY FEATURES KEY BENEFITS

Real-time app and the handheld device

Short Description

Home clinic

33

Case study: wearable devices used by Health Insurers

Health Insurers Case Study

34

New recurrent products and services with wearable devicesCase 1: Cigna uses wearable technology as a sales and retention tool especially for elderly population

KEY FEATURES

OVERVIEW

Cigna HealthSpring offers multiple products utilizing the wearable technology:

- Cigna-owned health plan serving the aged population. The benefit of the plan is delivered via the Silver&Fit Exercise and

Healthy Aging program, a product of health service organization American Specialty Health (ASH)

- Remote care management with Intel-GE Care Innovations to engage with patients diagnosed with congestive heart failure and

provide blood pressure cuff, scale and interactive tablet to track their daily biometrics and complete Congestive Heart Failure

(CHF) educational program

Reductions in the need for hospitalization by early

detection of problems and involving the doctor

immediately avoiding unnecessary hospital visits, thus

reducing costs

Cigna-owned health plan serving the aged population

Wide options with no additional cost: Access to fitness

facility at no cost (from more than 11,000 fitness facilities)

Easy tracking : Platform tracks exercise at a facility or

through a wearable fitness device or app

Higher incentives: Reward customers when they wear

personal activity trackers, such as pedometers and apps

Quicker access : Automatic tracking & download of the

activity data to the customer’s personal web page at

SilverandFit.com

Remote care management with Intel-GE Care Innovations

Easy and direct access to a Cigna-HealthSpring nurse

practitioner

XX

Insurance,

Wearable Technology

Category

2014

Launch

Eldly Population

Target Customer

US

Location

Cigna-HealthSpring health plan

Remote care management

Product

KEY BENEFITS

1

2

35

New recurrent products and services with wearable devicesCase 2: United Healthcare launched connected wellness platform to reduce health insurance costs by employees

OVERVIEW

UnitedHealthcare Motion, a collaborative platform with Qualcomm, brings together wearable technology, telemedicine and

wellness incentives to empower employees to manage their health and manage costs effectively

It includes a special activity tracker device, mobile sync app, and online account to help users achieve daily goals

Companies with fully insured health plans and between 100 - 300 employees can subscribe to it

Cost Savings :

- Employees can save up to US $1,460 per year based

on their usage

- Employers can also obtain premium savings based

on the combined results of their program

participants

Wide Coverage: Employees and their covered spouses can

track the number of steps throughout the day with custom-

designed wearable devices

Direct link to financial benefits: Employees receive money

by using these wearable devices and earn amount in their

Health Reimbursement Account credits. The amount is

calculated based on the total number, frequency and

intensity of the steps taken.

Secure: Uses secure platform of Qualcomm Life’s 2net

No additional charge as the cost of the device is built into

the premium paid by the employer

XX

Employee Benefits

Wearable Technology

Category

2016

Launch

Working population, Employees

Target Customer

US

Location

United Healthcare motion

Product

Data from the device is synced with the UnitedHealthcare Motion app via Qualcomm Life’s 2net Mobile connectivity platform

Wear Trio-activity tracker everyday

Walk daily to achieve goals

(Frequency, Intensity & Tenacity tracked)

How it works?

KEY FEATURES KEY BENEFITS

36

New recurrent products and services with wearable devicesCase 3: Humana Vitality – A completely new entity set up for wellness strategizing on wearable technology

OVERVIEW

Humana Vitality is Humana’s platform for motivating and rewarding the members to engage in healthy activities

Encourages members with rewards to participate in over 30 activities, including fitness activities such as taking 10,000 steps per

day, with a max annual payout of $240

HumanaVitality has been offered to nearly four million members & its members have ordered more than 250,000 devices

through its rewards program

Participants of HumanaVitality who remained engaged

for 3 years showed an 18 percent increase in healthcare

savings and reduction in sick absencce by 44 percent

Lower premiums: The savings are shared back with

members in the form of rewards resulting in reduced

healthcare premiums

Verified Activities: Ability to seamlessly track member

activity in a verified way, one of the foundations of

HumanaVitality program to reward members

Wide Coverage: Program uses 70 devices, including well-

known brands such as Fitbit, Apple Health, Garmin, Polar and

Jawbone

Current Uses: Uses wearable technology to track steps,

heart rate, calories burned and sleep to gain more insight

into how people lead their lives

Integration of health trackers as a key part of their future

strategy: Humana insurance provider rolled out fitness

device activity tracking to switch from app based model to

direct sync model

XX

Insurance,

Wearable Technology

Category

2016

Launch

Individuals, families, Kids

Target Customer

US

Location

HumanaVitality – Medical, dental

& vision Plans

Humana Pharmacy

Product

KEY FEATURES KEY BENEFITS

37

New recurrent products and services with wearable devicesCase 4: Oscar Health provides connected devices as part of its customer acquisition strategy

OVERVIEW

Teamed up with Misfit to provide free Misfit fitness trackers (which retail for $50) to all its members in an attempt to bring

down employee healthcare costs by encouraging higher activity levels

The app presents users with a daily step goal based on their history of physical activity

Partnered with Amazon to provide gift cards in exchange for meeting health goals

Among the first insurers to incorporate data from

wearables for its underwriting

Connecting tracking tech to a physician: In-house team of

doctors and nurses to get the biometrics data for

monitoring of the health

Gift based Rewards:. Members who reach the day’s goal get

a $1 credit; after the account reaches $20, they can redeem

the credit for an Amazon gift card

Higher user experience: Using Misfit device, data gets

uploaded to the customers profile showing the medical

timelines on Oscar’s mobile app. Facebook-style timeline of

the interactions with doctors, pharmacists, hospitals

Cash for health programs: Members can earn upto US$240

per year by enrolling in the fitness programs

Links customer biometric information straight to their health

insurance acccount

XX

Insurance

Wearable Technology

Category

2014

Launch

Employees, Youth

Target Customer

US

Location

Oscar - Misfit Tracker

Product

KEY FEATURES KEY BENEFITS

38

New recurrent products and services with wearable devicesCase 5: AXA provides a new offering of insurance to encourage consumers to share data for better underwriting

OVERVIEW

Health Keeper by AXA - App and web supported healthcare ecosystem enabling users to keep track of all their activities

AXA encourages individuals to share their personal data - one of the earliest examples of consumers volunteering to share

personal data via a connected device

Health Keeper team is able to connect data from over 140 devices on Fitness, Routine, Nutrition, Sleep, Weight, Biometrics, etc.

For AXA, the major objective is to access potentially

valuable customer data for underwriting purposes in the

future

For customers, it helps to provide cheaper access to a

wide range of services

Customized offering: Customers can set exercise KPIs and

goals and receive tailored content on their indicated health

interest. A global monitoring dashboard of the user’s

exercise activity is displayed on the Health Keeper platform

Incentives to share personal data:

- Gift certificates to get customer consent to share their

personal data with AXA Health France

- By sharing their activity, users earn Fitpoints for health or

wellness services, either for or on a ‘pay per use’ basis, with

a discount based on the user’s level of activity

Cheaper access to medical Services, approx. 10.000 doctors,

wellness services, currently 70 products, 24/7 Medical

Helpline, health / well-being content , purchasing

options with special rates

XX

Insurance

Wearable Technology

Category

2014

Launch

Young Population

Target Customer

France

Location

Health Keeper by AXA

Product

KEY FEATURES KEY BENEFITS

39

New recurrent products and services with wearable devicesCase 6: Medibank incentivizes customers to engage in healthy lifestyle and share their data from wearable devices

OVERVIEW

Australia’s largest insurer Medibank teamed up with flybuys to link customer data from a range of wearable fitness trackers to

their Medibank account, scoring 10 Flybuys points every day they reach a goal of 10,000 steps

Members can add Fitbit, Garmin, Jawbone or Polar wireless activity tracking device to their accounts, thus linking the fitness

data to their health policy

Customer data is used for a more customised profiling of

risk and risk assessment as well as premium calculation

Incentive for sign-up: Provides a free Fitbit Flex Wireless

Activity Tracker for sign-up of an account with MediBank

Incentive to choose healthy options: When Medibank

members link their flybuys membership, they collect triple

points each time they buy fresh fruit and veg and frozen veg

at Coles

Example: Medibank members may earn one flybuys point

per $2 paid on their Medibank premiums, and triple points

for every dollar spent on fruit and vegetable purchases in

Coles stores across the country.

XX

Insurance

Wearable Technology

Category

2015

Launch

General

Target Customer

Australia

Location

Medibank Flybuys

Product

KEY FEATURES KEY BENEFITS

40

New recurrent products and services with wearable devicesCase 7: Singaporean wearable startup develops T.Jacket to help people suffering from sensory ailments

OVERVIEW

A wearable touch technology vest provides deep touch pressure to wearers – T.Jacket simulates the feeling of a hug with

laterally applied air pressure to calm, comfort and soothe the nerves of anyone who is stressed or anxious

T.Jacket could be easily controlled by a smartphone app

T.Jacket can also help people with sensory modulation difficulties who are sensory seeking and/or sensory over-responsive

It helps people recover from mental disorders like sensory

processing difficulties (SPD), autism spectrum disorder

(ASD), attention deficit hyperactivity disorder (ADHD),

Alzheimer’s dementia and post-traumatic stress disorder

(PTSD)

High portability: T.Jacket is a hoodie vest for everyday use

and controlled by an app via smartphone/tablet to get

customizable, portable deep touch pressure on the go

Light and convenient: Uses an automatic air-pump system

(an alternative to the heavy weighted-vest), to be used both

at home and outside

Continuous tracking: Built in sensors measure and

automatically record user activity levels (seated, walking,

jumping, running). Tjacket app automatically stores and

uploads the information onto the cloud system for easy

access

Choice of pressure programs prevents the wearer's body

from becoming habituated to the pressure, to enable longer

periods of attentiveness to be achieved

XX

Insurance

Wearable Technology

Category

2014

Launch

People with special needs

Target Customer

France

Location

T.Jacket

Product

KEY FEATURES KEY BENEFITS

41

New recurrent products and services with wearable devicesCase 8: Connectedhealth Singapore delivers remote monitoring solutions to the major health care providers

OVERVIEW

Connectedhealth provides remote health monitoring solutions to allow healthcare, nursing and fitness providers to reduce cost

and increase productivity. It facilitates end-to-end connectivity between medical devices and electronic medical records

The platform connects scales, thermometers, fitness trackers, glucose meters, pulse oximeter, spirometers, pedometers, pill

dispensers and blood pressure monitors to upload the patient data to Connectedhealth cloud which further transmits the

patient data seamlessly to the hospitals and doctors

Reduction of costs of outpatient cares

Real time prioritized access to all patient measurements

Remote Health monitoring and dashboard: Provides secure,

seamless measurement transfer between medical devices

and electronic medical records.

Nursing manager application transfers health care

measurements from patients to remote care provider.

Portable tablet provides nursing access to patient records.

Data Privacy: Continua compliance ensures patient privacy

regulatory requirements are met. Nurse access is secured via

three-layer authentication. Patients are authenticated with

their fingerprints. Measurements taken are stored in

authenticated patient's records.

Revenue Model: Provides platform services on a per patient

basis by integrating with the hospitals, healthcare analytics

& call center

XX

Wearable Technology, connected health

Category

2010

Launch

General

Target Customer

Singapore

Location

E-health platform

Fitness monitoring platform

Nursing Manager Application

Diabetes Management

Product

KEY FEATURES KEY BENEFITS

42

Contact US

Should you have any inquiries regarding this topic, please contact us:

AsiaCharles DALLY: [email protected] +852 3904 3030Joann MA: [email protected] + 852 3904 3030

North AmericaPatrick BUCQUET: [email protected] +1 212 453 6713Tim JAEKLE: [email protected] +1 646 592 5331

EuropeLaurent HEMERY: [email protected] +33 1 75 77 27 80Florian HEMERY: [email protected] +33 1 75 77 27 80