A New Generation of Digital Health Customers by Alain Peddle
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- Ping An Health aims to improve healthcare experiences in China through innovative digital solutions like its Good Doctor platform which provides online access to doctors, specialists, medications and more (1 sentence). - It seeks to manage healthcare costs by promoting prevention and chronic disease management using personalized plans, reminders and rewards to encourage healthy behaviors (1 sentence). - Ping An has a roadmap to develop a more efficient and contained healthcare system through vertical integration of online and offline services and exploiting big data, networks and other digital tools (1 sentence).
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A New Generation of Digital Health Customers by Alain Peddle
- 1. A New Generation of Digital Health Customers ALAIN PEDDLE PING AN HEALTH - DEPUTY GENERAL MANAGER ELECT DISCOVERY - GENERAL MANAGER RESEARCH AND DEVELOPMENT LAB
- 2. Owner of the world’s longest-standing scientific health management program 6 million clients Globally Largest group high-end health insurer in China#1 Share of the mid-end & high- end health insurance market in China 60% Largest direct billing hospital network in China Largest health insurer in South Africa#1
- 4. Digital products are disrupting traditional business models New trends emerge Innovative start- ups create disruptive business models Early adopters start embracing the new models Advanced incumbents start adapting to the new model Mainstream customers adopt Tipping point The new normal Laggard incumbents die
- 5. Investment in health related technology, products and start-ups has grown exponentially SOURCE: Rock Health Investment doubled since 2013 20% CAGR Forecast to surpass $24 billion by 2020 Digital health start-up funding 2014 vs. 2011 - 13 USD billions 0.9 1.4 1.8 2011 2012 2013 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 2011 - 2013 2014 2014 $4.1B $5B $4B $3B $2B $1B $0B
- 6. Healthcare delivery is being disrupted across the value chain Population management Telemedicine Risk selection Health and Wellness Digital tech and devices Drug adherence Social support mechanisms Cloud-based EHR Marketplaces for providers 23 and me
- 7. How relevant are these potential disruptors to health insurance? Population management Post-acute care coordination Combine people, technology and process to reduce re- admission rates Service Vendor to Payors Flexible model to cater to wide variety of patient groups Drug adherence Medicine management service Take the hassle out of medication adherence Novel pharmacy model Improve drug adherence by as much as 40% Telemedicine Telemedicine platform Uber mode of healthcare seemlessly connecting patients and doctors Triage health needs
- 8. The opportunities for digitally led healthcare innovation in China 20% CAGR Affluent mid- market growth by 2020 Healthcare spend to reach ~1 trillion USD by 2020 Source: McKinsey macroeconomic model update. (Apri.2012) Source; MOH; OECD; Euromonitor; China national and city statistical year book; Mckinsey analysis 110 billion USD investment in digital healthcare technology by 2020 By 2020 every citizen to have an Electronic Health Record Source: BCG modelling and analysis Source: “National Plan for Health Service System”, China State Council 2015 +15% growth in active mobile social users (+ 77 million) China's rate of diabetes prevalence is the highest in the world. Source: CNNIC, Tencent, Sina, GSMA Intelligence Source : Journal of the American Medical Association (JAMA) September 2013 2012 2020 20% CAGR 51% Mass Affluent 2015 4.1 2010 4.1 2020 > 6 trillion
- 9. Core Financial Business Non-traditional business Ping An Group is already investing heavily in non-traditional financial service models Online to offline ecosystem Food Entertainment Housing Transport Health Simultaneous development of traditional and non-traditional financial services Shared platform Cross and up-selling InvestmentInsurance Banking
- 10. Ping An Health roadmap of opportunities Guide clients when they seek healthcare (cost, quality and a better customer experience) Improve the experience of people seeking healthcare in China Manage costs through disease prevention and disease management Develop a healthcare system that is more contained and efficient Exploit big data choices, social networks, referral networks, health records, fraud… 1. Client experience 4. Navigation 3. Develop a closed system2. Manage costs 5. Exploit the data
- 11. Ping An Health roadmap of opportunities Guide clients when they seek healthcare (cost, quality and a better customer experience) Improve the experience of people seeking healthcare in China Manage costs through disease prevention and disease management Develop a healthcare system that is more contained and efficient Exploit big data choices, social networks, referral networks, health records, fraud… 1. Client experience 4. Navigation 3. Develop a closed system2. Manage costs 5. Exploit the data
- 12. Key unmet needs 1. Improve the experience of people seeking healthcare in China What are the key unmet needs and concerns Access to quality care Access to information Child and childbirth related care Preventive care Survey question: On a scale of 1 to 5, how satisfied are you with healthcare provision in the public health system? 1 = “not satisfied at all”, 5 = “very satisfied” 3.0 3.1 3.3 3.3 3.3 3.3 3.4 3.5 Accessibility Price Service attitude Environment Ethics Hygienic condition Treatment safety Physician’s skill For Chinese citizens, access is as much a concern as cost Source: 2012 McKinsey patient survey on healthcare services, expenditures and service
- 13. Access is a major concern #1 service employees want: specialist appointment booking Source: PAH Health and benefits survey 2015 Client needs Time CostDistance
- 14. Ping An Good Doctor is the access point addressing the no 1 issue health queries per day >100 000 registered users > 20 000 000
- 15. Significant investment in technology and people Full-time family doctors 1000 Contracted doctors 50 000 7 / 24 / 365 + Consultations Text |Video | face-to-face + Interpretation of reports + Follow up phone calls + 1000+ health checkup centers + 2500+ Partner hospitals
- 16. Access to specialists Specialists 5 000 + From 3A hospitals across China + Online appointment set-up + One click calling
- 17. Access to medication + Online consultation with pharmacists + Delivery within 2 hours in Shanghai common drugs 2 000
- 18. + Expert advice from doctors and Health Stars + Interpretation of health check- up and other diagnostic reports + Personalized push of customized contents Expert advice
- 19. Ping An Health roadmap of opportunities Guide clients when they seek healthcare (cost, quality and a better customer experience) Improve the experience of people seeking healthcare in China Manage costs through disease prevention and disease management Develop a healthcare system that is more contained and efficient Exploit big data choices, social networks, referral networks, health records, fraud… 1. Client experience 4. Navigation 3. Develop a closed system2. Manage costs 5. Exploit the data
- 20. Disease prevention and disease management Lifestyle choices can cause disease Chronic disease in China 4 main risk factors 4 main risk factors 60%Of all deaths worldwide LEADTO RESPONSIBLE FOR 1 Currently, 200 000 people die from smoking-related diseases every year From 2000 to 2040 Estimated 200% increase in deaths from cardiovascular disease Source; China Ministry of Health research foundation interview 2012 Aging, Health, and Chronic Conditions in China and India: Results from the Multinational Study on Global AGEing and Adult Health (SAGE)1 Paul Kowal, Sharon Williams, Yong Jiang, Wu Fan, P. Arokiasamy, and Somnath Chatterji. National Academies Press (US); 2012. In 2010 the number of people with diabetes is estimated to be more than 92 million, with another 148 million pre-diabetic
- 21. Physical activity improves mortality and health Source: Internal Discovery Analysis Source: Vitality and DHMS member data Mortality rate q(x) Impact of improvement in physical activity (Mortality rate) Relative hospital cost per patient 1 2 3 -48% -60% Active Inactive Inactive -55% -17% Inactive Low Medium High Vitality engagement Source: Internal Discovery Analysis
- 22. Physical activity triggers a healthy lifestyle Did not exercise Started exercising Buy more HealthyFood Undertake Preventative measures Undergo Screenings Do more online assessments Uplift in overall engagement +16% 23% 26% 43% Improvement in points after becoming physically active 79% Source: Internal Discovery Analysis
- 23. Get Active Get RewardedAchieve your goals Device integration allows tracking and rewards
- 24. Chronic disease management + Customized by expert doctors + Hundreds of health care plans + Daily reminders + Effective incentive mechanism
- 25. Ping An Health roadmap of opportunities Guide clients when they seek healthcare (cost, quality and a better customer experience) Improve the experience of people seeking healthcare in China Manage costs through disease prevention and disease management Develop a healthcare system that is more contained and efficient Exploit big data choices, social networks, referral networks, health records, fraud… 1. Client experience 4. Navigation 3. Develop a closed system2. Manage costs 5. Exploit the data
- 26. 3. Develop a more contained and efficient healthcare system Vertical integration through technology Online to offline 2013 2015-16 2018 2018+2015
- 27. 4. Guide clients to quality healthcare that’s also cost-effective Electronic health records Value No.ofproviders Potential impact of managed referrals Impact of guidance & infoDifferences in provider costs
- 28. 5. Exploit data to reduce costs, improve quality and the customer experience Electronic health records Dynamic underwriting Age Risk Traditional Dynamic The power of networks
- 29. Some thoughts and insights along this journey
- 30. The health insurance company of 2020 Selecting the best clients Access to quality care Managing choice of providers Keeping people healthy Fraud management Aiding choice Convenient and seamless experience Reducing out- of-pocket costs Enabling personal health management COMBINETECHNOLOGYANDDATA
- 31. Some thoughts and insights along this journey 1. Different skills, people and focus 2. Fail fast, learn quickly 3. Capture value everywhere 4. Your disruptive competitor is out there 5. New partnerships…
- 32. END