1

mHealth Prescribing: Dead or Thriving?

Matt Tindall

General Manager, Consumer Solutions

IMS Health

www.appscript.net

Proprietary and Confidential 2

DRUGS MEDICAL DEVICES

• Global

• Census

• Zip-code

level

• Diagnosis

• Patient

demo-

graphics

• Global

• Comprehe

nsive

• Physician-

level

• Market

dynamics

• Switch,

repeat

• Specialty,

oncology

• Treatment

patterns

• Quality

metrics

• Outcomes

• Pathway

cost and

health system

performance

• Biomarkers

• Gene

sequences

1954 NOW

• Patient

attitudes,

preferences

and behavior

• New/different data sources

• Millions of “suppliers”

• No procurement or distribution

mechanism

• Personal Health Info. (PHI)

An Emerging Treatment Modality

DIGITAL THERAPIES

DE-ID DATA ID DATA

85% of global Rx 100,000

suppliers 10+ petabytes of

data

Measurement

Performance Insights

Stakeholder Enablement

120k+Health Apps 1,000’s of

Wearable's & Clinical Devices MM’s

of Content Units

WHOLE-SALE

MEDICAL AUDIT

RX PRESCRIPTION

EHR

LONGITUDINAL PATIENT RECORDS

MEDICAL CLAIMS

SOCIAL MEDIA

GENOMIC DATA

DIGITAL HEALTH DATA

GLOBAL DATA MODELS, CROSS-DATA INTEGRATION

3

Patient Engagement is Important; Value is Clear

Patients who did not take an active role in their healthcare

cost 8-21% more than patients with high activation levels

Patients with higher levels of activation demonstrated nine

out of 13 improved healthcare outcomes

Source: Health Affairs, 2 year study led by Jessica Greene of George

Washington University’ s School of Nursing (N=32,000 adult patients)

4

Significant Technological Advancement and Adoption Requires Education and Time

5

We Are Just Beginning the Journey

We Are Here

6

mHealth Prescribing Today

125K Health Apps

1,000’s Wearables &

Clinical Devices

MM’s Content Units

?

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High Demand and Interest, Specific Challenges

89% of physicians would recommend a mobile health app to a patient (1)

33% of doctors have recommended an app to their patients (2)

“I don’t prescribe apps because I don’t know which

ones are good”

“Apps are the future but need good reconciliation”

“…no official policies or tools for app prescribing”

Source: (1) IMS Institute Report 2013, (2) Manhattan research

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mHealth Prescribing Market Acceleration

• SocialWellth acquires Happtique, raises $7.5M for health app

prescription platform

• iMedicalApps announces iPrescribeApps to be available Q3 2015 -

clinically vetted apps that physicians can prescribe to patients

• GE, Stanford University launch digital health efficacy startup

Evidation, absorb The Activity Exchange

• iGetBetter raises $1.1 million for post-discharge monitoring via apps

• Ochsner Health System launches the O-bar, a genius bar for mobile

health application and wearable device discovery

• Cleveland Clinic Innovations launches online store for digital health

tools

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Need for Solutions - Strong Signals Appearing Across the Ecosystem

THE RIGHT

APP

THE RIGHT

DEVICE

THE RIGHT

CONTENT

Mayo Clinic App “40% Reduction in MI

Readmissions”

Other notable recent successes: Partners Healthcare “50% reduction in readmissions”, HRS / Penn

Medicine “53% reduction in readmissions”…

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Early Focus on Certifications, Endorsements and Ratings…

Clinical

Ratings

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AppScriptTM Enterprise – The Leading Discovery and Distribution Engine for Mobile Health Technologies

mHealth delivered from your care team to your pocket in 20 seconds or less

IMS Health Confidential

12

A Complete All-In-One Solution for Providers

DISCOVERY DISTRIBUTION

Score the

Product

Offerings

2.

Match the

Therapy to

Patient Need

3.

Enable

Access &

Delivery

4.

Measure

Outcomes &

Adjudicate

Payments

5.

Curate the

Digital Health

Ecosystem

1.

6. Real-time mHealth

Formulary Optimization

PATENTS PENDING

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Total iOS and Android apps

apps claiming to be health apps

genuine

health apps

Largest Curated and Tagged mHealth Database

2.5M apps

123k apps

+63k apps in database

Source: AppScript Database

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Apps, Devices and Content Scored To Provide Directional Healthcare-Specific Value

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AppScript Score Applied and Annotated

Rating Category Score Definition

Professional 3.1 Ratings by healthcare professionals (IMS partner –driven)

User 2.6 Compilation of consumer app store data and engagement metrics (IMS proprietary)

Functional 3.3 Assessment of the product functionality, usability and connectivity (use of handset and other connecting devices)

Endorsement 2.9 Endorsement by trusted healthcare ecosystem stakeholders

Developer 2.9

App developer evaluation. A measure of their stability, experience and adherence to guidelines and regulations, T&Cs, etc. App update frequency

Clinical 2.9 Relevant evidence of clinical efficacy and /or safety

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Organized in a Streamlined Experience for Clinicians to Intelligently Prescribe mHealth

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Using AppScript, Clinicians Can Track Utilization and Complete the Feedback Loop With Patients

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AppScript Can Match mHealth Content to Meet Patient-Specific or Population-Specific Needs

Patient profiles

created from EMR and

AppScript registration

data

Elderly

Diabetic

USA

A1C Measure

Glucometer

English

Care Team

Ready for Batch Rx

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AppScript Enables Powerful Tools to Measure Prescribing Activity and Patient Feedback

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App Prescribing Has Grown Dramatically in Just a Few Months

6X increase in app prescribing volume

43% increase in weekly app prescription volume

10/27/2014 11/27/2014 12/27/2014 1/27/2015

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App Prescribing is Becoming Part of a Clinicians Routine When Engaging With Patients

3.1 2.6

3.5 3.3 3.5

0

1

2

3

4

0 1 2 3 4 5

3.1 Average AppScript Prescriptions Per Prescriber Per Day

Prescriber Rank (Total Volume of Apps Prescribed)

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Clinicians are Prescribing mHealth Tools to Engage Patients and Address Specific Symptoms

0

10

20

30

40

50

60

70 iOS

Google

10 Devices commonly prescribed with an app

24 PDFs, Presentations or Videos commonly prescribed with an app

Popular Apps

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App Prescribing Via AppScript Ensures User Retention

54% of patients still using app prescribed one month after downloading(1)

20% industry average app retention one month after downloading(2)

Source: (1) AppScript Database Report- 4/8/2015

(2) Localytics App Retention Report Jun 2014

54

20

0

10

20

30

40

50

60

70

80

90

100

Wk 1 Wk 2 Wk 3 Wk 4

AppScript-prescribed Apps

Healthcare Industry Average

(In P

erc

enta

ges)

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mHealth Prescribing Creates Value for All Stakeholders

Payers • Fewer ED + hospital admissions

• Enhanced quality measures (e.g., STAR

ratings)

Text

HCPs • Continuous interaction

with patients

• Improved patient

outcomes

EMR • Happier provider clients

and potential for

revenue share

mHealth

Provider • Better outcomes and

quality measures

• Fewer readmissions

• Enhanced patient

satisfaction

Pharma / Dev Mfr • Improved app and

device distribution

model

• Improved medication

adherence

• Better interactions with

HCPs and patients

Pharma /

Device

Payers

HCPs Provider

EMR

Patients

Patients • Improved health and wellness related outcomes

• Improved provider satisfaction

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AppScript Consumer – Coming Soon

Visit us at appscript.net