Connected Health market in Europe Health & Mobile World Congress 2015

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1 European Connected Health Alliance Bringing Together the future of Health, Social Care & Wellness Connected Health market in Europe Health & Mobile World Congress / info@echalliance.com

2 EU Population (2014) = 507,4 millions European Union (EU) = 28 countries Health system resources & activities 3,4 physicians per 1000 population 8 nurses per 1000 population 35% GPs / 65% specialists 6,3 consultations per person per a year 5,3 hospital beds per 1000 population (decreasing) 7 days average length of stay at hospital

3 Health system organisation at a glance 28 countries in Europe with national rules Different models but in all countries a principle : Universal cover Strong position of public sector in Health systems (73% of Health expenditures) Not a EU centralized decision: national budgets, national Health policy and own priorities European Commission: only trends and policy for Research and Innovation Mix of Private/Public GPs, Specialists GPs as main gate: Many countries give incentives to patients in order to start he care pathway with the GP

4 Demographic/Epidemiologic facts & figures Life expectancy Women 86,1 Men 82,7 Chronic diseases Leading cause of mortality and morbidity in Europe Around 80% of global health expenditures (966 billions $USD) Ageing population Around 20% of European citizens have +60 years old 30% in 2030

5 Financial facts & figures Health Expenditures 2266 $USD per capita 9 % of EU GDP (1150 billions $USD) Funders/payers For Health: national funds (mainly tax-based), regional health trusts, hospitals, private insurances For Ageing: local authorities are purchasers supported by national funds (tax-based), private insurances For wellness: costumers, some local authorities (tax-based) Private insurances (26% of the expenditures) Complementary insurance: cover the cost-sharing with public coverage Supplementary: additional services Duplicate: access faster or larger choice of providers

6 Health Expenditures % GDP

7 Health Expenditures by function

8 Key figures Population = 81,8 M Health expenditures = 376,2 billions $USD (11,3% GDP / $USD/capita) GERMANY Health System key characteristics Basis concept: universal access Sharing of decision-making powers between the sixteen La nder (states), the federal government and statutory civil society organizations The ministries in each Land (state) are responsible for passing their own laws, supervising subordinate authorities, and financing investment in the hospital sector Statutory health insurance (SHI) (public) Private insurances : primary and complementary (choice of citizens 10%) Connected Health in Germany 2000: concept of Integrated Care possibility to sign contracts directly with health insurances on Home care 2004: laws for Interoperability between states and PHR with electronic cards (Gematik) 2009: Risk stratification of patients new way of funds sharing

9 Key figures Population = 65,3 M FRANCE Health expenditures = 275,2 billions $USD (11,6% GDP / $USD/capita) Health System key characteristics Centralization of decision: ministry of Health, National Health Authority (HAS) Strong National Public Insurance (100% for chronic diseases expenditures) Private insurances : only complementary (96% of french population) Private GPs Connected Health in France 2009: creation of regional Health agency 2009: national framework of Interoperability national EHR 2010: law about Telemedicine, definition of medical acts but no pricing 2013: new National Health strategy centered on patients and GPs 2015: 1 st pricing program for Remote monitoring for chronic diseases 2015: connected health program (new EHR, chronic diseases services, imaging systems ) / 80M invested by the government in 5 regions : Ageing new law / population support program, around 200+ M

10 Key figures Population = 63,2 M Health expenditures = millions $USD (9,4% GDP / $USD/capita) UNITED KINGDOM Health System key characteristics National Health Service: 100% public system, managed by the central state Universal public service - Free for the citizens Organization Primary Care Trust (PCT): manage a local area (GPs, nurses, social care and patients) Strategic Health Authorities (SHA): assess PCTs and manage funds Foundation trusts: hospitals with a large autonomy, free to contract with different providers Specificities in Scotland (NHS24) and in Northern Ireland Connected Health in UK Since 2005: ehealth program with NHS Connecting for Health, 20,7 M$USD; with different projects: PACS, VPN for Hospitals, Booking for professionals, PHR (Care Records Services) 2015: new NHS program / PHR on web platform and mobile apps

11 EU Key characteristics Fragmentation of the market 28 countries with Regional approaches Proof of concept (clinical trials / each country) Business models & procurement issues (public procurement) Lack of interoperability and legal harmonization within the EU Mainly public health and social care systems in Europe Policies & Innovation funding programs for Connected Health Paradigms transition: from curative to preventive, personalised health Private sector is a complement or a substitution or a duplicate system

12 European Connected Health Alliance Bringing Together the future of Health, Social Care & Wellness Julien Venne, Strategic Advisor / info@echalliance.com