Q4.

If you were in the shoes of American Well Management, would you pursue any of the
next generation options in 2010 or would you just focus on the core platform with core target
market?

Carrying forward from the earlier question, we can firmly establish that American Wells have
built a firm foundation in terms of customer database in linking with insurance companies.
They are negating any critical wait period in communication between patients and concerned
medical help; reducing medical cost for patients; reducing insurance expenditures for
insurance companies; this would formulate a win-win strategy for all parties; doctors,
patients, as well as employers. Doctors would get a more flexible opportunity to earn more by
working from home, or at odd hours outside clinics. Patients would be able to gain access to
specialists as required. The average expense would reduce for the patients ; the insurance
companies would spend lesser on the first time visits as well as avoid excess coverage when
early treatment could prevent complicated medical procedures which in turn would result in
higher expenses (State per hour cost comparison)

SWOT Analysis
Strengths:
1. Established names of founders with successful history in medical sciences and
operations.
2. First mover advantage.
3. Solving critical problems on the basis of real time intervention.
4. Can follow the franchise model to target insurance companies. Further, the existing
database of insurance companies could be utilized to strengthen their foundation.
Weakness:
1. They need to spread brand awareness in order to gain a wider customer base. This
would impact initial costs adversely. Also people need to be made comfortable with
the usage of online access of the system. This might prove to be a challenge.
2. Major concern for the people would be the privacy of their health records and
information. Although in compliance with HIPAA, the risk of information getting
hacked and released in public can turn out to be a disaster for both parties.
Opportunities:
1. With the onset of the digital world as well as American Well building its brand name
and becoming a trustable firm there shall be a clear rise in demand for people seeking
services in online care.
2. Potential expansion overseas as certain countries have expressed interest (e.g.
Australia, UK, and Germany). They can further capitalise on the pharmaceutical
outlets.
3. In this case delivery network via pharmacies is a gold mine. They can link real time
excess capacity with real time demand. The pharmacies can offer first line of help in
 case of unavailability of PCPs. They can also suggest alternate drugs with information
of side effects for the patient.

Threats:
1. Competition would exist from those who would approach with a similar business
model.
2. Opportunities are never lost, they are utilized by others. The future players will
explore missed opportunities to capitalise on their growth, possibly with a similar
business model already introduced by American Wells.

“Nothing is more expensive than a missed opportunity.” H. Jackson Brown, Jr. Hence, we
would definitely venture out and explore further opportunities rather than only focusing on
the core market. We can have teams to address the various segments. While some focus on
the core market, there should be others with the main focus on expanding outward into other
streams.