Healthcare as it should be

Transcription

1 Healthcare as it should be Affordable, personalized and better consultation with your general practitioner, anytime, anywhere, through a shared services of primary care

2 Doctors with no Patients On average, a recently graduated physician takes seven years to create a patient portfolio Source: ANS / Internal Research There are 90,000 general practitioners under 40th that could cover more than 50% of the Brazilian population if an appropriate workload allocation method was used Long Lines For Healthcare Source: Thomson Reuter / Internal Research Patients want fidelity In a search for a physician they know, patients turn to reimbursements, when such physician is not part of their coverage Two week wait period at private care versus up to four months at government care (75% of population) Physicians don't know the patients, and have no information about their health data, risks and conditions Generally with reimbursed physicians, costs are higher and frauds are more frequent Lack of information results in diagnostic errors, and often requires extra time and money for unnecessary exams Source: CFM / Internal Research In light of the above, payers are introducing more and more services to their own service network and looking for best medical practices

3 Vitalbox at Work Patients Providers Payers Vitalbox allocates a General Practitioner ( Family Doctor ) for $6.00 / month (average) Patients are able to visit their respective doctors within a week, even remotely - An urgency fee is applicable for a same day visit Join the market through Vitalbox s sourcing platform Offering a more cost effective health insurance plan to their customers by allocating an exclusive General Practitioner, which will serve their patients following the best medical practices Prior to the first medical appointment, patients are enrolled on a Personal Health Platform, on which all personal health data, risks, and previous medical appointments are recorded - It allows for better diagnostics and reduces treatment costs SUS Opportunity A considerable portion of the population uses a particular doctor to reduce waiting time. 4 months waiting Free of charge Unlimited visits Low quality The physicians will have a platform to attend their patients, face to face or remotely, with up to date health records, risk assessments, and recommendations based on best medical practices Allowing performance compensations by tracking the ability of physicians to keep their patients healthy Innovation Target monthly compensation R$16, Adjust patient flow by standardizing services and procedures on the extended network Workload points to carry 1,806 Verticalization Invest to create a proprietary health services network Base compensation per point R$9.04 Consolidation Avg subscribers needed 1,140 Avg consultation duration min Workdays/year 220 Fail to reduce costs and be acquired To attend 1 million lives using Vitalbox approach, will be necessary around physicians and will cost around R$190 million, a little less of the amount spent on consultations with the traditional method. In the other hand, if it reduces only 10% of waste, fraud and abuse, will represent R$ 80 million savings, considering the same population. Vitalbox Particular 2 weeks waiting R$ 64,00 / visit 3.15 visits avg R$201,60/year 1 week waiting R$ 9.90 / month Unlimited visits R$ / year 1 Every year, 4.5 million individuals migrate from SUS to private services (approximately 3% of SUS population). Source: ANS/Tabnet and IESS R$ 10, is the wage for a physician working for the government program "Mais Médicos". Source: g1.globo.com 2 3 Alternatives Source: Internal research U$1,00 = R$2.22

4 Healthcare system flow as it should be Preventive Preventive Medicine is practiced by all physicians The goal is to promote health and well-being, and to prevent diseases, disabilities, and death Sources: ACPM / Every Patient's Advocate Primary Where internet healthcare startups start patients flow in Health System Where general population usually looks for a doctor Where Payers realize that system will collapse due to high costs Secondary Tertiary Quaternary Primary care should be the first stop for symptoms that are new to an individual. Secondary care means to be taken care of by a physician who has more specific expertise When a patient is hospitalized and needs a higher level of specialty care Primary care providers may be doctors, nurses practitioners or physician assistants Secondary care deals with medical conditions that can not be handled by primary care Tertiary care requires highly specialized equipment and expertise Quaternary care is considered to be an extension of tertiary care, but even more specialized and highly rare Because it is so specialized, not every hospital or medical center offers quaternary care Vitalbox allows for preventive and primary care leading to reduced costs for the payer and improved and personalized care for the patient

5 Revenue Model ($20 Billion addressable Market in Brazil) Service 5 Channel Features & Benefits General Population - Available today Free Enables services 2 e 6 B2C Internet Personal Health Records Health Risk Assessments Personalized alerts and recommendations Preventive Services Subscription & Ad Hoc Reports (Epidemiological and Risk Population information) Health Insurance, Self Funded Health Services - Available today $ 0,07 user/month B2B Direct Sales Self Service Internet Analytics tool with epidemiological data of the covered population targeting actions to reduce healthcare costs Primary Platform General Practitioners - Available today Free Enables services 4, 5 e 7 B2C Internet Electronic scheduling with data on patients' complaint Primary care platform supported by methodologies and protocols Remote consultation Primary Assistance (General Population) SUS population (government) - Dec 2014 $ 6,00 ( avg) user/month B2C Internet Unlimited access to a family doctor with small monthly payments Primary Assistance (Health Insurance / Self Funded Companies) Health Insurance Companies - Dec 2014 $ 6,00( avg) user/month B2B Direct Sales Allocation of portfolios to the primary care sector following the UK model Elimination of fraud (duplicate receipts), and cost reduction on redundant tests and misuse of the system by applying appropriate guidelines and access best practices Clinical outcome control and performance assessment for general practitioners 3 4 $$$ Personal Health Platform 1 2 Target Customer Market Analysis Health Insurance and Pharmaceutical Companies $ ,00 unit B2B Direct Sales Comparative epidemiological data between populations Information on prescriptions and drugs actually consumed Health-related habits Digital Rep (Drugs Promotion) Pharmaceutical Companies $ 10,00 GP/month B2B Direct Sales Alternative method to drugs promotion at a cost 90% less than today 6 7

6 Strong development team + winning technologies = world class solution Framework = Secret Sauce (TornPack) Programming Languages = Python, JavaScript, PHP, Java Key-Value Data Store = Riak, Redis NoSQL DB = MongoDB Infrastructure = Rackspace Personally Controlled Health Record = Secret Sauce Cloud Connector = Secret Sauce (WebSockets) Message System = RabbitMQ Analytics = Pentaho Rules Management = Corticon CMS = WordPress HRA = BioSignia Relational DB = PostgreSQL Clinical outcome & performance mgmt Primary Big Data Analytics & Drugs Promotion Remote Epidemiological Analytics Personal General Practitioner Sourcing Continuous Personally Controlled Health Records Human API In the Market To Be Released

7 How did we get here? By crossing various market tendencies, we saw a big transformation in Brazil's healthcare sector with the use of new technologies, which inspired Vitalbox as a healthcare aid that can be used quickly by Brazilians, as well as citizens worldwide. Carlos Bassi 20 years of experience designing and selling information technology solutions for life sciences, consumer products and retail industries, serving the most respected companies Quit SAP and sold other side business to concentrate on this startup Leads overall company vision, product development and technology strategy. Eduardo Quevedo Seasoned executive, with large experience on complex sales process and new business development Quit SAP and reshaped his profile to concentrate on this startup Leads Sales, Alliances and Operations Marcos Cacalis Business executive with 28 years of experience in Information Technology. Previously as a Consulting Director at SAP, he was responsible for Premier Customers in Brazil. He has also strong experience driving best practices and innovation for Consumer and Retail companies. Board Member Carlos Gomes Seasoned senior executive and entrepreneur who co-founded ilab Sistemas (linear programming planning and optimization solutions), named ilab Solutions after had been acquired by Hexagon. Carlos also worked 11 years for SAP, having played global management roles. Board Member

8 Outlook Assumptions - 1M Primary Assistance users from Health Plan - 100k Primary Assistance users from general population - 5M Personal Health Platform free users Core Revenue Primary Assistance Upside Revenue Drugs Promotion (digital Sales Representative) Market Analysis Preventive Services Subscription (Analytics) Core Revenue U$ 90M Operating Expenses U$ 16M Dec 2014 Operating Income U$ 16M Upside Revenue U$ 20M Raising Now What for? Hiring Launch Sales Operations To deliver... 50K Users from Health Plan 5K Users from general population 500K Personal Health Platform Free Users Revenue U$ 1.5 M U$1.5 Million 2018 Burn Rate Dec 2015 Current U$75K/Month Shareholders

9 Healthcare as it should be Affordable, personalized and better consultation with your general practitioner, anytime, anywhere, through a shared services of primary care