Healthcare 2020—Business Model Transformation Guidebook

Exploring New Models for Monetizing Services and Solutions

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Healthcare as an industry is entering a phase of rapid transformation. Digitization of products, services, and commerce models are democratizing current healthcare systems and unlocking new values by displacing high-cost gatekeepers and previously inaccessible segments. Around 80% of the business models in 2025 will be driven by platform-based healthcare analytics and intelligence solutions. In B2B business models, service-based models tend to be more agile than product-based ones. Service- and fee-based models will continue to gain more traction from now on compared to the previous decade. Product-as-a-Service, Platform-as-a-Service, and Data-as-a-Service are a few business models that have proven future revenue streams beyond the sale of the “hard asset”.

Table of Contents

Executive SummaryBusiness Model Considerations 6 Big Themes for Business Model Innovation in HealthcarePharmaceuticals and Biotechnology—Business OutlookEvolving Pharma/Biotech Business ModelMedical Device—Business OutlookEvolving Medical Device Service-based Business ModelOpportunity Analysis—Emerging Healthcare Business ModelsSelected Examples—Emerging Business Models in Healthcare SpaceResearch Scope and MethodologyResearch Objective and MethodologyResearch ScopeMacro Overview—Why the Change is Needed?Why are Companies Failing and Increasingly being Restructured?Market Performance—Pharma and Medical Device IndustryHealthcare Segments—Investment TrendsRoad to Value-based Reimbursement (VBR)CMS Targeted Payment TransitionHospitals’ Reimbursement Models and Associated Risk TypesHospitals’ Reimbursement Models and Associated Risk Types (continued)Population Health Management, Central to VBR, is Difficult Business for ProvidersHealthcare Digital TransformationPatients are Bringing a Consumer Mindset to Healthcare InteractionsKey Factors Driving Healthcare Consumerism in USKey Factors Driving Healthcare Consumerism in APACPharma/Biotech—Business Model Essentials for New Health EconomyEvolving Pharma/Biotech Business ModelKey Trends Driving Pharma/Biotech Business Model ShiftCase Study—Novartis Portfolio Rationalization StrategySelected Pharma Examples—Journey from Mass to Lean Operating ModelSelected Pharma Examples—Journey from Mass to Lean Operating Model (continued)Pharma Journey from Hub to Hotspot ModelLarge Pharma/Biopharma Shifting Product Portfolio Strategy Large Pharma Shifting Market Focus from West to EastAPAC to Emerge as the Epicenter for Regenerative Medicine LaunchesAlternate Business Models—Innovation beyond the PillAlternate Business Models—Innovation beyond the Pill (continued)Alternate Business Models—Innovation beyond the Pill (continued)Medical Device—Business Model Essentials for New Health EconomyEvolving Medical Device Service-based Business ModelCase Study—Medtronic Diabetes Solution Innovation PathKey Trends Driving MedTech Business Model ShiftWhat is the Value for ACOs and Hospitals?Scenario Analysis—MedTech and Hospitals Risk-sharing Contracting OptionsScenario Analysis—MedTech and Hospitals Risk-sharing Contracting Options (continued)Scenario Analysis—MedTech and Hospitals Risk-sharing Contracting Options (continued)MedTech and Hospitals—Emerging Risk-sharing Contracting OptionsSelected Innovative Risk-sharing Deal Structures Public-Private Partnership Models for Chronic Disease Management InitiativeMedical Device Target Customer ClassificationCase Study—Medtronic’s Preferred Purchasing PathMedical Device Companies—Portfolio RationalizationCase Study—J&J Medical Device Business RestructuringTop M&As within Medical Devices SpaceTop M&As within Medical Devices Space (continued)Shifting Care Delivery Focus from Treatment to PreventionTelehealth Business Models Emerging in APACTelehealth Business Models Emerging in APAC (continued)Telehealth Business Models Emerging in APAC (continued)Healthcare Technologies and Innovative Business ModelsOpportunity Analysis—Emerging Healthcare Business ModelsHeat Map—Emerging Business Models in Healthcare Space (continued)Research Parameters and Considerations—Emerging Healthcare Business Models (continued)Iggbo—On-demand Anytime/Anywhere Blood Draw ServiceHealint—Global Platform for Patient Monitoring, Research, and Clinical Data (Singapore)Augmedix’s Google Glass-based System for HealthcareDoor2Door Doctor—Doctors on Call Services (Malaysia) Telstra Health—Innovative Platform-based Telehealth Services (Australia)physiQ—Personalized Predictive Analytics Solution Validic API—Cloud-based Asset Light SaaS ModelSyncera—Rep-free Orthopedic Supply Chain ModelMedtronic Hospital Solutions—Cath Lab Managed ServicesPhilips Lumify—App-based Handheld Ultrasound SolutionTego—IoT-enabled Smart Assets Management SolutionsCohealo—Medical Equipment Collaborative Consumption Business Model 23andMe Business ModelSelected Companies—Direct-to-Consumer Business Model for Genome Data ServicesTrialReach—Democratizing the Clinical Trial ProcessGlobal Health and Travel—Telehealth and Medical Travel Services (Singapore)GlaxoSmithKline Australiaomada—Next-generation Digital Behavioural TherapiesApixio—Cognitive Computing Platform for VBCInsilico Medicine—Deep Learning Platform Solutions for Drug Repurposing and Biomarker DevelopmentWalmart’s Care Clinic to Offer One-stop ShoppingCVS Health—Improve Specialty Medicine Drug AdherenceArtificial Intelligence Assists Non-physicians in Care DeliverySuper Pharmacy Megastore (Malaysia)CritiNext eICU—Bringing High-end Intensive Care to Rural Hospitals (India)SERMO—Global Physician Social Networking Siteintegratedliving Australia Ltd.—Home and Aged Care Services (Australia)Embedded Wireless Labs Sdn. Bhd.—Home and Aged Care Services (Malaysia) Hospital2Home (Singapore)Tetsuyu Healthcare Holdings Pte Ltd—Home Care Services (Japan)patientslikeme—Online Patient Social Network (US)GP2U—Healthcare Marketplace and Online Health Community (Australia)Specialists on Call—Telemedicine Managed Services (US)OPM—On-demand 3D-printed Medical ImplantsGame for Health Europe—Open Innovation to Gamify HealthSelected Open Source Businesses and Revenue Models Selected Open Source Businesses and Revenue Models (continued)Valedo—Gamifying Back Pain Therapy for Home CareSelected Wearables Business Models & Revenue StreamsSelected Companies—B2B Clinical Care Service ExamplesSelected Companies—B2B Non-clinical Services ExamplesSelected Companies—B2C Clinical Care Service ExamplesKey Conclusions—Future Business Model ConsiderationsWho is the Central Focus of Your New Business Model?Healthcare’s Emerging Business ModelsLessons from Failed Business Models of Health Start-upsOpportunity Analysis—Key Healthcare TechnologiesHealthcare Industry Attractiveness Luring New Entrants5 Competitive Keys for Business Model InnovationConclusionsLegal DisclaimerAppendixMarket Engineering Methodology

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