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There is some more editing to do on this after a couple of recent presentations for feedback, but Halle advised us to get our application in stat!
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@RxAppsConfidential
Developing customizable smartphone and web applications for doctors to personalize patient engagement in
chronic care situations.
@RxAppsConfidential
The Inspiration
Mom
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Doctors miss things by no fault of their ownMedications do not work by themselves
The pattern – Repeated in College
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Treatment Follow Up is inconsistent
60% of Patients adherent at 3 months
43% Adherent at 6 months
Only 20% make recommended follow up appointments during first 3 months
~50% Overall Adherence Long Term
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IMAGINE A NEW CARE CONTINUUM…
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Doctor gives diagnosis and ‘prescription’ to set up account
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Profile – Set up by PatientWeb
(S)
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Use Walkthrough
Customize Prompt and Respond View History
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OR
Built in logic
Please reach out to an emergency contact:Mom: 617.555.5656Robert: 917.665.7272Emergency: 911
Normal, Healthy
Irregular, Alarming
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Doctor can monitor in real time and easily reach out; change questions on the fly
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Provider Dashboard and Registry
Patients will eventually be prioritized based on severity of condition at last check in (trending patterns also taken into account)
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80% of patients in weekly communication with care team had medication changed
within 60 days vs 15% in treatment as usual
Better Treatment
Treatment Adjustment and Medication Adherence for Complex Patients With Diabetes, Heart Disease, and Depression: A Randomized Controlled TrialLin, EHB, et al. (2012) Annals of Family Medicine 10:6-14.
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“Doctor engagement outside of care setting increases adherence by 33%”
Better self-management
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Over $28 B in savings for MH Alone
*
*
*
Improved QOL, Management of other Conditions
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Accountable Care Organizations (ACO) want Monitoring
MonitoringPredictive Analytics
Simple, Intuitive interfaces
@RxAppsConfidential @RxAppsConfidentialPrescribable Apps
HITECH/EMRsTech Reform Mobile
ACO/PPACAPayment Reform
Market factors aligned for the first time
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Benefits of Use Patients
Higher quality of life Providers and Concierge Care Systems
Competitive advantage Opportunity for increased revenue
Large Hospital Systems (ACOs, IDNs) Population management Shared Savings Program quality reporting
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Revenue: Per member per month subscription
Scenario 1 – Focus:Only past inpatient/ED history
At $10/mo: $36,000,000/yearProviders: +$12,000,000/year + SSP bonuses
Scenario 2 – Volume:All Patients Receiving Treatment
At $5/mo: $93,000,000/yearProviders: +$18,600,000/year + SSP bonuses
Calculations based on 5 large provider systems
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5 ‘Dream’ Customers, ~1.6 Million Users Paul Sherman, Med. Dir. at Group Health
Board President of Seattle Counseling Service, 660k covered lives Tom Sequist, CDO at Harvard Vanguard/Atrius
Researches quality improvement and under-represented demographics, 1 M covered lives
George Isham, Med. Dir. at HealthPartners Board of ICSI and NCQA, 1.4 M covered lives
Martha Wofford, VP at AETNA Head of Consumer Platform, 13 M covered lives
Alfred Fortin, SVP at HMSA mHealth Enthusiast, 600k covered lives
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Competition
Customizable Mental Health
Social Community
Physician Dashboard Education
?
Care Mgmt Companies
Emerging market, so not much yet. And no one focused on MH
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The Ask Funding: $500k for next 12 months
Q2 2012 Q3 2012 Q4 2012 Q1 2013
HIPAARedeploy
Private Provider
TrialBU Focus
Group
EnterprisePartner/
Customer
SocialCommunityDeployed
Build…
500k 500k
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Team
John Moore III, CEO Former genetics scientist Organizer, Boston Health 2.0
Chapter Elio Maggini, CTO
Multi-startup CTO Successful exits to Google and
Nokia; Visual VM for VZW Christopher McDonald, CFO
Back end developer Corporate financial analyst, RBS
John Moore Jr. Leading Healthcare IT analyst Idea originator and lead mkt
advisor
Chris Stakutis Patient engagement research at CA
Tech Hospital software sales executive at
Patient Keeper Anne Whitman, PhD
Founder, Cole Resource Center at McLean Hospital
Leading patient advocate Sarah Lord, PhD
Director, Center for Technology and Behavioral Health at Dartmouth Psychiatric Research Institute
Thor Bergerson, MD Owner, ADHD Boston Director, Hallowell Center New York
Founders Advisors
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Advancing treatment outcomes for chronic illness
Email: [email protected]: @RxApps
“This could help us immensely with our quality payments.”
-CMO, Pioneer ACO
“If outcomes can be improved, this is a goldmine.”
-CEO, Carve-out payer
“Better management of mental health population? Yes, we need that.”
-VP, Safety-net system
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BACKUPS
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80% of patients in weekly communication with care team had medication changed
within 60 days vs 15% in treatment as usual
Better Treatment
@RxAppsConfidential
“Doctor engagement outside of care setting increases adherence by 33%”
Better self-management
@RxAppsConfidential
Mobile offering adoption by large providers
MU MU Stage 2 Convenience and Loyalty
ACO Year 1: Quality reporting
ACO expansion; Year 2: Quality based payment
Quality MonitoringPreventive Engagement
Messaging and acce
ss
mPHR and Appointment
Scheduling
EHR
ACO/PCMH Model
Now: Time to Act
Adop
tion
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Expansion
2012
2017
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Vassar: Neuroscience
Post-undergrad: 2.5 years research at MGH, NIBR – not for me
Post-research: MA2 and RVL Internships
1st Consulting Project: Health IT Market Overview for major VC
My Path to PrescribableApps2003
2011
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Mobile-web enabled
6
6
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Summary PrescribableApps is a patient-
provider engagement solution Patients will better self-manage
and doctors will provide smarter treatment
Payer systems are starting to invest in mobile offerings for competitive advantage (Aetna, Intermountain, Highmark, etc).
Very large (>$100 Bn) emerging market for accountable care organizations
6
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Vision: Platform for Connected and Continuous Care
6
“This could help us immensely with our quality payments.”
-CMO, Pioneer ACO
“If outcomes can be improved, this is a goldmine.”
-CEO, Carve-out payer
“Better management of mental health population? Yes, we need that.”
-VP, Safety-net system
@RxAppsConfidential
Patient Engagement Offerings Social community for
sharing experiences
Badges for continued engagement, acknowledgement
Educational resources, interactive videos
VIDEO SERIES
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Why this strategy will work:
4% return users on traditional static browsers, 40% return users with mobile web.
Doctor engagement outside of care setting increases adherence by ~33%
92% of US population owns a cell phone, and smartphone saturation is expected in 3 years
We are developing a prescribable behavioral intervention, which has never been done before
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What we’re looking for now: Funding: $500k for next 12 months
HIPAA compliance Integration with first EMR system Use cases for customers, strategics
Trial set up at BU, advisor can get us into rapid testing at Dartmouth
Advisors and Feedback Hospital administration connections, warm intros Go-to-market validation Algorithms/‘big data’ expertise Consumer advocate leader (Anne Whitman?)
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Market – Mental Health OnlyScenario 1 – Focus:
Only past inpatient/ED history$21 Bn, 6 Million Patients
5% Reduction of costs = $166 saved per pt/year5 Large Payers/Providers = 300,000 ptsAt $10/mo: $36,000,000/yearProviders: $12,000,000/year + SSP bonuses
Scenario 2 – Volume:All Patients Receiving Treatment
$113 Bn, 31 Million Patients
2% Reduction of costs = $72 saved per pt/year5 Large Payers/Providers= 1,550,000 ptsAt $5/mo: $93,000,000/yearProviders: $18,600,000/year + SSP bonuses
60% Margin$21.6 M
20% Margin$18.6 M
Assume cost is $4/pt per mo: