HC Track: Mega-trends, Mega-opportunities Presented at the F&S 2013 GIL Latin America 31st January 2013 1
Aug 20, 2015
HC Track: Mega-trends, Mega-opportunities
Presented at the F&S 2013 GIL Latin America
31st January 2013
1
1.Demographics 3. Health
Expenses
4. Technology 5. New Business
Model
2.Disease
Burden 2013 Brazil HC Trends
2
Demographics
3
By 2020 Lati A eri a’s Esti ated Populatio Will e Millio . Urban Population Will Account for 80%
0
100
200
300
400
500
600
700
2010 2020
Mil
ion
s o
f P
eo
ple
Population: Breakdown by Age Range
(Latin America), 2010 & 2020
65 Years and
Above
35-64
15-34
0-14
8.4% in 2010 10.6% in 2020
Prevalence in Latin America
(2020):
Hypertension +80 M
Asthma +55 M
Diabetes +30 M
Demographic Age Shifts
and Ties to Disease
Prevalence
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Mega Cities In 2025, 69 Cities in Latin America will have more than one million inhabitants encompassing 224 million people
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Disease Burden
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Healthcare Expenditure Healthcare expenditure in Latin America to grow 30% from 2011 to 2015, reaching $580 billion
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Population with Diabetes in South and Central America will grow
59% by 2030 and reach 40 millions
Global
Rank
Country Millions
5 Brazil 12.4
7 Mexico 10.3
• Brazil and Mexico consolidate as countries with a high burden of diabetes.
• The main driver is the increasing prevalence of OVERWEIGHT: 67% of men and
74% of women in Brazil, by 2015.
• In South and Central America, 12.3% of all deaths are due to diabetes.
Population with diabetes (20-79 years)
2011
Global
Rank
Country Millions
4 Brazil 19.6
6 Mexico 16.4
2030
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Technology
9
Healthcare becomes e-Healthcare
Telehealth Matrix
Customer Focus
Professional
Consumer
Industry Focus
Information Communication Technologies
Healthcare
Traditional Healthcare and Telemedicine
Consumer/Non-healthcare Approaching Telehealth
Core Telehealth EMR/EHR HIE
Tele-pharmacy
Remote Video
Consultation
Simulation/ Training
Mobile Health Software
Mobility/Tablets
Mobile Info Gathering and Delivery
Patient Portals
Wellness Systems
Health Coaching
PERS
Activity Monitoring
Wellness Apps
Tele-imaging
ECG Monitoring
Sleep Apnea
Fitness Apps
PHR
Diabetes
Monitoring
Robotic Telepresence
Mobile Telemedicine
Medication Dispensing
Remote Monitoring
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e-Healthcare becomes mobile-Health
Consumer Devices and Service Ecosystem
• Application Developers
• Application
Store Providers
• Platform
Providers
• Consumer-Paid App Downloads
• Wireless Service
Providers
• New Business Model Participants
i.e.: Payer Supported, Pharma Supported
• Device
Manufacturers
• The mHealth Consumer Devices and Services value chain is complex, as new emerging
software and connected-device innovations are continually being introduced
• mHealth application growth is dependent on increasing smartphone penetration
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New Business Model
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Mega Trend Matrix
Implications of Key Mega Trends within Latin America
Low Degree of Certainty
De
gre
e o
f Im
pa
ct
on
Lati
n A
me
ric
an
Ec
on
om
y
Lo
w
Hig
h
High
Urbanization
Generation Y
“She-conomy”
The Middle
Bulge
Future Economic Growth
Connectivity and Convergence
Innovating
to Zero
Infrastructure
Development
Health, Wellness, and Well-Being
New Business
Model Business Process
Outsourcing Renewable Power
Generation
Rise of
Multilatinas Migration
Social Programs
Note: The size of the bubble represents the scale of opportunity. The Mega Trends have been plotted according to quantitative and qualitative reasoning.
Smart is the
New Green
Mega Trend Matrix, Latin America, 2025
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Prevention vs. Intervention
The end of BIG PHARMA as we know it
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Healthcare today
Healthy Vulnerable Affected Sick
Disease Management
Clinical Diagnostics & Therapeutics
Preventive Services
Physical Exams
Personal Coaching
Communication/ Information Services
Today’s world
Education
Wellness Healthcare
Consumer Products Medical Health Shops
Complementary and Alternative Medicines
Integrated Health Solutions
Future system
Wellness Healthcare
Future healthcare
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Cost of care per day
Healthy, Independent Living
$1 $10 $100 $1,000 $10,000
Chronic Disease Management
Community Clinic
Doctor ’ s Office
0%
100%
Assisted Living
Skilled Nursing Facility
Specialty Clinic
Community Hospital
ICU
HOME CARE
RESIDENTIAL CARE
Qu
ali
ty o
f li
fe
Healthy, Independent Living
Chronic Disease Management
Community Clinic
Doctor ’ s Office
Assisted Living
Skilled Nursing Facility
Specialty Clinic
Community Hospital
ICU
ACUTE CARE
Virtual Hospitals
Shifting the Financial Gravity of the System
IT Convergence and Connectivity
Major Areas of Opportunity
Remote Patient Monitoring
Wellness monitoring and home/self-diagnostics of chronic
conditions.
• High Blood Pressure
• Blood Glucose Monitors
• Insulin Pumps
• Home Diagnostics
• Emergency Response
• Health Apps
Adherence and Compliance
Technology aimed at ensuring the optimal administration
of treatments.
Patient Management
End-to-end management systems for patient records:
admission, panels, treatments, study results, imaging
archive, reimbursement, discharge.
• EMR - Electronic Medical
Records
• PACS - Picture Archiving
Communication System
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The technology exists… someone WILL connect the dots and disrupt the market
Who will put these altogether?
Who will drive this Mega Trend?
Healthcare Mega Trends Latin America
Key Takeaways
Healthcare resources will migrate from
Intervention to Prevention
Information Technology will dramatically
change how patients receive health care:
outpatient setting plus remote monitoring
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Personalized, targeted, real-time health care delivery
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Extracted from “New Mega Trends: Implications for our Future Lives” Author: Sarwant Singh Publisher: Palgrave Macmillan