Telemedicine: Opportunities for Medical and Electronic Providers

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1 A BCC Research Healthcare Report : for Medical and HLC014D Use this report to: Understand the economics of telemedicine in terms of business models and cost-benefit analysis, and evaluate the industry from an investment standpoint Identify emerging opportunities in the telemedicine market in cutting-edge technology development, value-added services, and newer applications Develop business strategies to take advantage of the ways in which telemedicine significantly affects larger markets such as healthcare, health insurance, home care, telecommunications, networking, disease management, e-health, and healthcare IT Quantify markets for technology and services in the telemedicine market. T: , F: sales@bccresearch.com

2 The global telemedicine market is expected to grow from $9.8 billion in 2010 to $23 billion in 2015, at a compound annual growth rate (CAGR) of 18.6% over the next 5 years. Introduction is the use of telecommunications technology to deliver medical information or services to patients or other users at a distance from the provider. offers a network and framework for e-healthcare wherein patients and healthcare service providers are on a common delivery platform for healthcare services. In simple words, telemedicine covers all healthcare services being delivered remotely with the help of telecom technologies. E-health is better supported by the use of telemedicine. establishes a common collaborative channel, supporting information exchange between patients and healthcare service providers, as well as simultaneously among multiple healthcare service providers. offers significant comfort in delivering healthcare services while also providing better quality treatment at a reduced cost. This is treated as the most important value-added service in making the decisions to opt for any specific healthcare service provider or relevant support service providers such as telecom players. started with telephone-based consultation. It was later used within and among hospitals, mainly for B2B purposes, and involved videoconferencing among specialists, education personnel, and referral providers. Still later, hospitals began using telemedicine for post-acute care and in remote ICUs. Lately, disease management companies have been exploring telemedicine for home care. BCC Research report provides the information about the ways in which collaborative healthcare can be better and more economically implemented through telemedicine. This report also provides a comprehensive market forecast for multiple market segments (e.g., technologies, services, applications, geographical). BCC aims to identify the key success factors in the telemedicine market and to gauge the ways in which this market can significantly affect larger markets such as healthcare, health insurance, home care, telecommunications (telecom), networking, disease management, e-health, and healthcare IT. The report is useful to telemedicine hardware manufacturers, software providers, telecom and networking companies, the healthcare industry, and healthcare insurance companies. The information for the report has been collected through both primary and secondary research methodologies by interviewing manufacturers and users of telemedicine technologies and services, as well as by reviewing secondary sources such as company literature, conference proceedings, and related government data. SUMMARY FIGURE FORECAST FOR THE GLOBAL TELEHOME AND TELEHOSPITAL SERVICE MARKET, ($ MILLIONS) 20,000 : $ Millions 15,000 10,000 5, Telehospitals/clinic Telehome *Numbers have been rounded. Source: BCC Research

3 Scope of Study The global telehospitals/ clinics market in 2009 was $5.6 billion and accounted for 71% of the total market. This sector is worth $6.9 billion in 2010 and is expected to reach $15 billion in 2015, a compound annual growth rate (CAGR) of 16.8%. The scope of the report is broad and includes: Descriptions of various telemedicine technologies, including hardware, software, telecommunications, and network applications Analysis of market trends, with data from 2009, estimates for 2010, and projections of compound annual growth rates (CAGRs) through 2015 Discussion of cutting-edge technology development, value-added services, and newer applications Thorough analyses of patents Information about industry players, their strategic directives, product portfolios, and operational presence. Table of Contents : Chapter One: Introduction Study Goals and Objectives Reasons for The Study Intended Audience Hardware Manufacturers Software Providers Telecom and Networking Companies Service Providers Healthcare Companies Health Insurance Companies Scope of Report Methodology and Information Sources Analysts Credentials Related Bcc Publications BCC Online Services Disclaimer Chapter Two: Summary Summary Table Forecast for The Global Telehome and Telehospital Market, Summary Figure Forecast for The Global Telehome and Telehospital Service Market, ($ Millions) Chapter Three: Overview Structure Figure 1 Structure of A Network Key Playing Fields in Figure 2 Winning Imperatives for (Telehome Care, Telehospital B2B, Telehospital B2C) Market Drivers Figure 3 Market Drivers Changing Healthcare Paradigm: Inevitable Need for Increasing Chronic Diseases Complexity of The Healthcare Network Figure 4 : Key To E-healthcare Rising Cost of Home Care Increasing Number of Aging Patients Requiring Daily Care Higher Spending On It Moving From Treatment To Early Intervention Need for Better Clinical Outcomes Growing Investments in Driven By The Rising E-healthcare Market Increasing Focus of Companies On As A Key Market Differentiator Improved Technology Infrastructure Spurring Growth in Entry of Tier I Players Expanding Market Scope Centralized Ehr and Emr Are Driving The Need for Increasing Acceptance of By Patients Figure 5 Increasing Acceptance of By Patients Key Challenges Figure 6 Major Challenges Faced By Programs (%) Figure 7 Challenges in : Economics Versus Clinical Outcome Technical Financial Reimbursement Government Funding for Programs Companies Afraid of Lower Returns From Operational and Social Issues Training and Accreditation Availability of Telecommunications Bandwidth Market Awareness Legal and Regulatory Issues Device Safety and Effectiveness Privacy Practitioner and Facility Licensure Medical Liability and Malpractice Issues Standards : Moving Up in The Value Chain Figure 8 : Moving Up in The Value Chain Market Structure Overview Figure 9 Market Structure Global Telehome and Telehospitals/clinics Market Table 1 Forecast for The Global Telehome and Telehospital Market, Global Market Forecast By Table 2 Forecast for Market By, Global Telehome Market By Table 3 Forecast for The Global Telehome Market By, Global Telehospitals/clinics Market By Table 4 Forecast for The Global Telehospitals/clinics Market By,

4 The telehome market, which represented 28.5% of the market in 2009, is expected to capture nearly 35% by This sector is valued at nearly $2.9 billion in 2010 and is expected to increase at a 22.5% compound annual growth rate (CAGR) to reach $7.9 billion in : Table of Contents, continued Figure 10 Forecast for The Global Telehome and Telehospitals/Clinics Market, : Hardware, Software, and Services Table 5 Forecast for The Hardware, Software, and Service Market, Through 2015 Figure 11 Service Market Applications Figure 12 Application Market Stakeholders Figure 13 Stakeholders Market Structure Market Dynamics Figure 14 Cash Cows in Chapter Four: Technologies and Markets Technologies Figure 15 Mapping The Technology Value Chain of Integrated : Top of The Value Chain Figure 16 Integrated Model Complex Networks Demanding Standardization Across Integrated Open-end Technology: The Key To Integrated Medicine Moving Toward More Reliable and Effective Technologies Factors Affecting Reliability of Clinician Experience in Imaging Dermatology Applications Audio Signals Larger Use of IP-based Converged Networks in Opting for Web- and Wireless-based Distribution Use of Both Multipurpose and Therapy-based Equipment Lowering The Cost of Increasing Speed and Reliability of Data Transfer Reduced Bandwidth Requirement Increased Use of Wireless Technologies in Vendors Prefer To Lease Equipment Launching More User-friendly Technology Using More Computer-based Diagnosis Markets Global Technology: Hardware, Software, and Telecom Market Overview Table 6 Global Technology Market, Table 7 Forecast for The Telehome and Telehospital Technology Market, Telehome Technology Market By Table 8 Telehome Technology Market By, Telehospital Technology Market By Table 9 Forecast for The Telehospital Technology Market By, Hardware Hardware Market Overview Hardware Market By Table 10 Hardware Market By, Table 11 Hardware Market By Telehome and Telehospital, Table 12 Programs By Technology* Home Care Hardware Market Figure 17 Home Care Units (Peripherals) Geographical Segments Table 13 Telehome Hardware Markets By, Market Shares Figure 18 Current Home Care Unit Market Share in Programs (%) Benchmarking Home Care Units Telehospitals/Clinics Hardware Market Geographical Segments Table 14 Forecast for The Telehospitals/Clinics Hardware Geographic Market, Equipment Segments Videoconferencing Systems Videoconferencing Units: Market Share Figure 19 Current Room-based Videoconference Market Share in Programs (%) Figure 20 Current Market Share of Roll-about Videoconference Units in Programs (%) Figure 21 Current Desktop, Laptop, and Set-top Computer Units Market Share in Programs (%) Figure 22 Current Videophone Market Share in Programs (%) Benchmarking Videoconferencing Units Store-and-forward Systems Teleimaging Equipment: Market Share Figure 23 Current Teleimaging Equipment Market Share in Programs (%) Telepathological Equipment Market Shares Figure 24 Current Telepathological Equipment in Programs (%) Software Software Market Overview Table 15 Forecast for The Software Market for Telehome and Telehospitals/clinics, Software Market By Table 16 Forecast for The Software Geographic Market, Telehome Software Market By Table 17 Forecast for The Telehome Software Market By, Telehospitals/Clinics Software Market By Table 18 Forecast for The Telehospitals/Clinics Software Market By, Through 2015 Benchmarking Software Companies Telecom and Networking Telecom and Networking Market Overview Table 19 Forecast for The Telecom and Networking for Telehome and Telehospitals/clinics, Telecom and Networking Market By Table 20 Forecast for The T&N Geographic Market, Telehome T&N Market By Table 21 Forecast for The Telehome T&N Geographic Market, Telehospitals/Clinics T&N Market By Table 22 Forecast for The Telehospitals/Clinics T&N Geographic Market Forecast, Through 2015 Market Shares

5 : Table of Contents, continued Figure 25 Current Programs and Telecommunication Providers* Patent Analysis General Trends Figure 26 U.S. Patents, Trends By Technology Figure 27 U.S. Patents Issued Relating To, Through October 2010 (%) Services Overview Telehome Services Figure 28 Telehome Services: Moving Up in The Value Chain Figure 29 Telehospital B2B and B2C Services in Services Facility Management Services Services Supporting E-health Services Supporting Home Care Interoperable Network Services Virtual Network Providers Services Mobile Emergency Services Interface Between Primary and Secondary Care Primary Care Kiosk-based Services Supporting Telenursing Services 24/7 Call Center Services Support for Outsourced Medical Services Services for Disease Management Managed Services for Rural Areas Telehealth Education -based Niche Services Service Market Table 23 Forecast for The Service Market, Telehospital Services Table 24 Forecast for The Global Telehospitals/Clinics Store-and-forward and Real-time Videoconferecing Service Market, Table 25 Forecast for The Global Telehospital Storeand-forward Services for The Radiology, Cardiology, Dermatology, and Pathology Market, Through 2015 Table 26 Forecast for The Global Telehospitals/Clinics Cardiology, Psychiatry, and Urban and Rural Markets, Chapter Five: Applications Figure 30 Applications: Market Sizeversus Penetration Applications Overview Figure 31 Applications Overview Application Market Table 27 Forecast for Global Telehospitals/Clinics Store-and-forward and Videoconferencing Market, Figure 32 Forecast for The Global Telehospitals/ Clinics Store-and-forward and Videoconferencing Market, ($ Millions) Telehospitals/Clinics Store-and-forward Technology Market By Table 28 Forecast for The Telehospitals/Clinics Store-and-forward Technology Market By, Telehospitals/Clinics Videoconferencing Technology Market By Table 29 Forecast for The Telehospitals/clinics Videoconferencing Technology Market By, Telehospitals/Clinics Videoconferencing Technology Market By Application Table 30 Forecast for The Global Telehospitals/Clinics Store-and-forward Market By Application, Through 2015 Table 31 Global Forecast for Telehospitals/clinics Real-time Videoconferencing Market By Application, Market Overview Table 32 Forecast for The Global Telehospitals/Clinics Market for Store-and-forward and Videoconferencing Technology, Through 2015 Figure 33 Forecast for The Global Telehospitals/ Clinics Market for Store-and-forward and Videoconferencing Technology, ($ Millions) : Store-and-forward Market Overview Table 33 Forecast for The Global Telehospitals/clinics Store-and-forward Cardiology Tech and Service Market, Figure 34 Forecast for The Global Telehospitals/ Clinics Store-and-forward Cardiology Technlogy and Service Market, 2009 and 2015 ($ Millions) : Videoconferencing Market Overview Table 34 Forecast for The Global Telehospital Videoconferencing for Cardiology Technology and Service Market, Market Drivers Healthcare Services Using for Early Detection of Abnormalities Hospitals Outsourcing Cardiology Image Management To Specialists Cardiac Patients Experience Higher Comfort Levels With Larger Number of Cardiac Patients Monitored Remotely Trends in Usage for Pediatric Cardiology Remote Monitoring and Post-acute Care for Supporting Image Handling in Supporting Ecg Transmission in Increasing Use of Web-based Interface for Mobile Emergency Services Opting for Teleradiology Table 35 Global Forecast for The Telehospitals/Clinics Store-and-forward Radiology Technology and Service Market, Figure 35 Forecast for The Global Telehospitals/ Clinics Store-and-forward Radiology Technology and Service Market, 2009 and 2015 ($ Millions) Recent Developments 24-hour Services By Teleradiology Companies Development of Subspecialty Centers Use of Filmless Imaging Dartmouth Develops Low-bandwidth Telesonography System New Teleradiology Solution By Philips To Assist in Detection of Lung Lesions Telepathology Table 36 Forecast for The Global Telehospital Storeand-forward Pathology Technology and Service Market, Figure 36 Global Telehospitals/Clinics Store-andforward Pathology Technology and Service Market, 2009 and 2015 ($ Millions) Recent Trends

6 Table of Contents, continued : Telepathology Helps Laboratories Increase Revenues By Leveraging Mutual Global Partnerships Hospitals Reducing Pathological Cost and Increasing Promptness By Using Hybrid Systems Ultrarapid Virtual Slide Processor and Dynamic Image Telepathology Improving Telepathology Effectiveness Telepsychiatry Table 37 Global Forecast for The Telehospitals/Clinics Videoconferencing Psychiatry Technology and Service Market, Figure 37 Forecast for The Global Telehospitals/ Clinics Videoconferencing Psychiatry Technology and Service Market, 2009 and 2015 ($ Millions) Dermatology Dermatology Market Overview Table 38 Forecast for The Global Telehospitals/clinics Dermatology Technology and Service Market, Through 2015* ($ Millions) Hospitals: Urban and Rural Applications Figure 38 Telehospital Videoconferencing Urban and Rural Market, 2009 and 2015 ($ Millions) Chapter Six: Economics of Business Models Figure 39 Overview of Revenue Models Figure 40 Business Models of Risk and Reward Sharing Model Joint Operating Model Facilitator Model Integrator Model Subscription-based Service Provider Model Pay As You Go Shared Model Cost-benefit Analysis Quick Facts On Savings From Remote Patient Monitoring Reduced Traveling By Nurses Table 39 Savings From Nurses Traveling Costs Savings From Rehospitalization Table 40 Average Hospitalization and Telehome Care Cost ($) Call Center Savings Cost Comparison: and Normal Consulation Avenues Increasing Top-line Revenues of The Hospital Added Specialist Billing Added Remote Patients Avoiding The Need for Transfer From Rural Hospitals : A Compelling Business Case Global Healthcare Has Mammoth Savings By Home Care Market Increasingly Adopting Telecom Companies Largely Seeing As Key Market Differentiator for Themselves in Long Run E-health Market Using As The Pivotal Technology Chapter Seven: Stakeholders: Analysis Tier I Players Tier I Players Consolidating in The Market To Win The Lion s Share of The Future E-healthcare Market Healthcare Companies: Hospitals, Insurance Companies, Clinics, Gps, and Disease Management Companies Hospitals Will Use As A Key Differentiator Rural Hospitals Will Not Lose Revenues Annual Healthcare Management Programs for Patients, Non-patients, and Families On Multiple Business Models Specialists, General Practitioners, and Healthcare Companies From Low-cost Countries Will See A Greater Demand for Outsourced Medical Healthcare Services Clinics and Primary Care Consultants Will See A Significant Benefit From Toward Secondary Care Consultation Healthcare Companies Are Viewing As A Tool To Cut Healthcare Costs Physicians Getting Ready for E-visits Disease Management Companies Planning To Expand Network Beyond U.S. Telecom and Network Players Telecom and Networking Companies Are Actively Participating in The Delivery of Global Services Telecom Companies Supporting Ip-based High-speed Data Transfer Networks Telecom Companies Partnering With Disease Management Companies Hardware Suppliers Sales of More Reliable Portable Equipment Capturing Multiple Clinical Signals Are Expected To Grow Integrated Is The Future of The Market Subscription-based Models Will Lead Other Models Wireless Wearable Devices Will Find Increasing Application in Teleradiology,, Telepathology, and Telepsychiatry Will Be The Top Four Applications Software Providers Software Companies Support Integrated With Open-end Architecture Integrators: Telehome and Telehospital Integrators To Tap Families Ready To Spend for Convenience of Primary Healthcare Plans for Multiple Distribution Channels Chapter Eight: Consolidation and Ownership Trends Table 41 Merger and Acquisition for Fiscal Years, 2006 To 2010 Chapter Nine: Company Profiles Hardware Suppliers Aerotel Medical Systems, Ltd. Cardiocom Ibm Healthcare and Life Science Intouch Technologies Medical International Research Medtronic, Inc. Siemens Healthcare Roche Software Providers Allscripts Agfa Healthcare Imetrikus Medic4all Vamstec 3M Health Information Systems Videoconferencing Companies Doctors Telehealth Network Euromed Networks Polycom Tandberg Sony Emblaze-vcon

7 Table of Contents, continued Lifesize Communications Telecom Players Alcatel-lucent AT&T Cisco Verizon Communications, Inc. Integrators Amd, Inc. American Telecare, Inc. Lifewatch Ag Cybernet Medical Corporation Robert Bosch Healthcare Honeywell Hommed Shl, Ltd. Viterion Telehealthcare Vitel, Inc. Zydacron Hospitals Apollo Hospitals John Hopkins Medicine Massachusetts General Hospital Kansas University Center for and Telehealth University of Pittsburgh Medical Center University of Kentucky Chandler Hospital Chapter Ten: Conclusions Is A Key Deciding Factor in Increasing Companies Share of The E-healthcare Market Is Gaining Acceptance Will Only Realize Its Full Market Potential After Its Full Integration With The Healthcare System Despite No Clear Policy On Reimbursements, Healthcare Players Are Actively Pursuing Reliability Is The Key Buying Criteria for Technology Offers A Potential One-stop Solution for Telehome and Telehospital Is Opening for All Stakeholders Appendix I Table 42 Programs Studied Appendix II Table 43 Allowable Services and Provider Types for States Providing Medicaid Reimbursement for Appendix III Table 44 Reimbursement Methods Used By States Providing Medicaid Reimbursement for Appendix IV Acronyms 176 pages 44 tables Related Reports Technologies for Long-term Care and Home Healthcare: Global Markets ID: HLC079A Published: 04/10 Medical Device Sensors: Technologies and Global Markets ID: HLC080A Published: 02/10 The Elder Care Market: Products and Services ID: HLC062A Published: 06/09 About BCC Research BCC Research is a leading publisher of high-quality, technology market research reports and technical publications. BCC Research reports provide quantified measurements of the market and all major industry segments, as well as in-depth analysis of key market drivers and trends. BCC Subscriptions Access hundreds of published reports and automatically receive newly published research with a BCC Report Subscription. We can tailor a complete package of material that meets your needs and budget. BCC Custom Research Improve your strategic planning efforts with a BCC custom research study. We will work with you to determine what information is needed and deliver specific qualitative and quantitative analysis that supports your business objectives. Call or (Intl), or sales@bccresearch.com for more information about any of BCC Research s products and services. :