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How to finance a serious game in health care woensdag 7 november 12

Finance a serious game in healthcare

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During the Games for health 2012 conference CbusineZ held a presentation on how to finance a serious game. Summarised as: stop creating games, start creating treatments

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Page 1: Finance a serious game in healthcare

How to finance a serious game in health care

woensdag 7 november 12

Page 2: Finance a serious game in healthcare

Index

2

- Healthcare challenges

- The healthcare landscape

- The ideal ‘financing method’: part of the treatment

- Financing the serious game startup

woensdag 7 november 12

Page 3: Finance a serious game in healthcare

3

The cost of healthcare have risen sharply

Rise cost of hospitalcare in Netherlands last 5 year

Cost increase in AWBZ (elderly care) in 10 year

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Page 4: Finance a serious game in healthcare

3

The cost of healthcare have risen sharply

Rise cost of hospitalcare in Netherlands last 5 year

Cost increase in AWBZ (elderly care) in 10 year

30 %to 20 mrd €

woensdag 7 november 12

Page 5: Finance a serious game in healthcare

3

The cost of healthcare have risen sharply

Rise cost of hospitalcare in Netherlands last 5 year

Cost increase in AWBZ (elderly care) in 10 year

30 %to 20 mrd €

66 %to 21 mrd €

woensdag 7 november 12

Page 6: Finance a serious game in healthcare

4

In 1970:

72 year

Life expectancy has risen

LINH, RIVM,

+3

And will increase the coming years

65+ in 2010:2,5 mln

The increase in life expectancy will lead to an increase in the number of elderly people

Baby in2010: 83jr

woensdag 7 november 12

Page 7: Finance a serious game in healthcare

4

In 1970:

72 year

In 2020there are3,3 mln 65+

Life expectancy has risen

LINH, RIVM,

+3

And will increase the coming years

65+ in 2010:2,5 mln

The increase in life expectancy will lead to an increase in the number of elderly people

Baby in2010: 83jr

woensdag 7 november 12

Page 8: Finance a serious game in healthcare

5

We live longer.... But not always healthy...

LINH, RIVM,

woensdag 7 november 12

Page 9: Finance a serious game in healthcare

5

We live longer.... But not always healthy...

LINH, RIVM,

woensdag 7 november 12

Page 10: Finance a serious game in healthcare

5

We live longer.... But not always healthy...

LINH, RIVM,

27% smokes

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Page 11: Finance a serious game in healthcare

5

We live longer.... But not always healthy...

LINH, RIVM,

40% over weight15% obesity27% smokes

woensdag 7 november 12

Page 12: Finance a serious game in healthcare

5

We live longer.... But not always healthy...

LINH, RIVM,

50% doesn’t exercise enough

40% over weight15% obesity27% smokes

woensdag 7 november 12

Page 13: Finance a serious game in healthcare

5

We live longer.... But not always healthy...

LINH, RIVM,

50% doesn’t exercise enough

40% over weight15% obesity27% smokes

Unhealthy lifestyle is an important reason for chronicle illness

woensdag 7 november 12

Page 14: Finance a serious game in healthcare

6

Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise

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Page 15: Finance a serious game in healthcare

6

Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise

Depression COPD Diabetes heartcondition

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Page 16: Finance a serious game in healthcare

6

463.000

Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise

Depression COPD Diabetes heartcondition

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Page 17: Finance a serious game in healthcare

6

463.000569.000

Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise

Depression COPD Diabetes heartcondition

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Page 18: Finance a serious game in healthcare

6

463.000569.000

1.1 mln

Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise

Depression COPD Diabetes heartcondition

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Page 19: Finance a serious game in healthcare

6

463.000569.000

1.1 mln1.2 mln

Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise

Depression COPD Diabetes heartcondition

woensdag 7 november 12

Page 20: Finance a serious game in healthcare

6

463.000569.000

1.1 mln1.2 mln

Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise

Depression COPD Diabetes heartcondition

Can you imagine what this means for care delivery?

woensdag 7 november 12

Page 21: Finance a serious game in healthcare

7

Patiënt empowerment could be a huge contribution but still faces hurdles in implementation

Patiënt empowerment showsvaluable contribution

Health 2.0Shared Decision Making Serious

gaming

Several studies showed:- better outcomes- less cost- less professional involvement

Patiënt empowerment is not part of the regular treatment process

Our current methods are too cognitive based

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Page 22: Finance a serious game in healthcare

Index

8

- Healthcare challenges

- The healthcare landscape

- The ideal ‘financing method’: part of the treatment and the consequensesfor development

- Financing the serious game startup

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Page 23: Finance a serious game in healthcare

The financing option is determined by the goal of the serious game

9

Goal of the serious game

Marketing toolCost of organisation by the organisation using it for the enhancement of their proposition

Enhancement of treatment

Training of professionals

Consumer“Entertrainment”

Customer centric approach“app store tactics”

Embed in formal training

Improve treatment to above ‘state of the art levels’

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Page 24: Finance a serious game in healthcare

What health insurers are not purchasing seperately

10

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Page 25: Finance a serious game in healthcare

What health insurers are not purchasing seperately

10

Part of material used in a tariff

Chirurgical scalpel

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Page 26: Finance a serious game in healthcare

What health insurers are not purchasing seperately

10

Part of material used in a tariff

Chirurgical scalpel

MRI scanner is purchased by hospital…

MRI Scanner

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Page 27: Finance a serious game in healthcare

What health insurers are not purchasing seperately

10

Part of material used in a tariff

Chirurgical scalpel

MRI scanner is purchased by hospital…

MRI Scanner Serious games

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Page 28: Finance a serious game in healthcare

New treatments are purchased when the effects are better then the golden standard

11

effe

ct

Golden standard(state of the art)

Treatment basedon serious gaming

In most Western countries medical professionals have the obligation to use the “golden standard”

Supplier has the obligation to ‘prove’ that the new treatmenthas better effects then the current Golden standard

woensdag 7 november 12

Page 29: Finance a serious game in healthcare

New treatments are purchased when the effects are better then the golden standard

11

effe

ct

Golden standard(state of the art)

Treatment basedon serious gaming

In most Western countries medical professionals have the obligation to use the “golden standard”

Supplier has the obligation to ‘prove’ that the new treatmenthas better effects then the current Golden standard

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Page 30: Finance a serious game in healthcare

A new diabetes treament would have to prove it has a better effect then the Golden standard

12

Imagine: A new diabetes treatment

Before it would be used andreimbursed…

Design

Laboratory test tot test result conform specification

Field test to confirm effectiveness (stage 1)

Double blind test to confirm higher effectiveness then Golden

standard

Marketing to care professionals Arranging reimbursement

woensdag 7 november 12

Page 31: Finance a serious game in healthcare

A new diabetes treament would have to prove it has a better effect then the Golden standard

13

Imagine: A new diabetes treatment

Before it would be used andreimbursed…

Design

Laboratory test tot test result conform specification

Field test to confirm effectiveness (stage 1)

Double blind test to confirm higher effectiveness then Golden

standard

Marketing to care professionals Arranging reimbursement

woensdag 7 november 12

Page 32: Finance a serious game in healthcare

A new diabetes treament would have to prove it has a better effect then the Golden standard

13

Imagine: A new diabetes treatment

Serious game

Before it would be used andreimbursed…

Design

Laboratory test tot test result conform specification

Field test to confirm effectiveness (stage 1)

Double blind test to confirm higher effectiveness then Golden

standard

Marketing to care professionals Arranging reimbursement

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Page 33: Finance a serious game in healthcare

Design and create for effect

14

Don’t design a serious game

Develop a treatment!

OrganisationMix of developers, medical professionals , process experts and expert on healthcare cost

Development processVisualise new gameVisualise new treatment processTest payment options

Develop gameDevelop processDevelop implementation

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Page 34: Finance a serious game in healthcare

In the eHealth market we use JV to create criticall mass on forehand

15

Create a joint venture to assemble critical mass

“Joint venture”

devHP HP HP

Assemble a group of potential clients to co-create, use the eHealth tool and share benefits

Creating critical mass before the start

Psy Health directJV with health insurer and mental health institute for delivering depression and fear treatment

Elab GGZA club” of mental health institutes together with a eHealth development organisation

Care2UA combination of GP’s (market), software designers and health insurer (payer)

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Page 35: Finance a serious game in healthcare

In progress:set up of a new Venture Fund esspecially for serious gaming

16

Investors

Knowlegde & Coaching

Serious gamingHealthcareVenturing

Under construction

woensdag 7 november 12