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The Healthcare Revolution
The Healthcare Revolution
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Digital Health is
expected to become a
$56B
Global opportunity by 2025
+57% CAGR
(2020-2025)
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Four Macrotrends Driving
Digital Health:
1. Accelerated consumer adoption of
all-things-digital. Fueled in-part by the
pandemic, ecommerce expectations
now inform all consumer categories –
including healthcare.
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At Rightpoint, we believe Digital
Health will revolutionize healthcare
through a thoughtful approach to
data and design, benefiting not just
patients, but healthcare providers
and payors as well.
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This revolution will be difficult; myriad challenges
slow the widespread adoption of Digital Health
Payors require robust clinical Insurance coverage for Poor patient adherence has
trial data and FDA approvals many Americans is transient, made the industry question
before granting coverage. complicating the availability whether digital health tools
of consistent, trended will be consistently used by
patient data over time. patients long-term.
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What do these challenges mean
for Digital Health innovators?
The complexity of the market, combined with
regulatory requirements means that validating ROI for
Digital Health initiatives can be difficult for innovators,
device manufacturers, and pharmaceutical companies.
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Despite these challenges, Rightpoint has uncovered
three key insights that demonstrate the value of
investing in Digital Health.
1. Patients are primed. Thanks to the pandemic, people are taking a more active role in their
health than ever, relying on digital devices to do everything from managing chronic illness,
to counting steps. Additionally, digital experiences from apps and connected devices are
rapidly improving.
2. Healthcare providers are clamoring for help. Providers are looking for platforms, products,
and processes that help manage patients’ health and treatment, but need them to be safe,
efficient, easy to use, and cost effective.
3. Payors are willing to cover Digital Health tools. Payors are ready to embrace software
solutions that are clinically proven to drive positive health outcomes that reduce costs on
reactive treatment.
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I NSIGHT # 1
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Patients are primed now more than ever to leverage
digital tools to manage their health.
Since the outset of the Covid pandemic, more consumers are taking an active role in
monitoring their health; the subsequent boom in telemedicine has made reliance on digital
tools more commonplace.
54% 73%
Of users plan to continue
Leverage digital in some
or increase reliance on
way to track their health
telemedicine
How do we ensure that digital health tools are not just some passing fad? Proper product
design and patient research must be done to understand unmet needs and pain points, whether
patients are dealing with acute chronic disease, or just want to stay on top of their health.
SO UR C E : R O C K HE A LTH , CONSU MER A D OP TION OF TEL EM E DI CI N E 20 21, DE CE M BE R 20 21; ROCK HE ALT H, DI G I TAL HE ALT H C O NS UM E R
A DO P T I O N R EP O RT, 2 020; R IGH TP OINT EX P ERT INTERV IE WS DE CE M BE R 20 21.
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47%
Health condition management apps now account for 47 percent of the most
widely used digital health apps in 2020, up from 28 percent in 2015.
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Healthcare providers are extremely time-pressured.
They must balance patient needs with the operations
of providing care.
Providers welcome the ability to streamline operations and have more productive,
predictive, and efficient number of appointments and length of visits for healthy patients.
57%
Of physicians view telehealth
more favorably than they did
before the pandemic.
THE CHALLE NG E
Digital Health tools generate a lot of data, but the challenge is understanding what data are
most important or predictive. Determining which metrics providers can leverage to streamline
operations and have more productive, efficient conversations with authorizing payors will be key
for any successful Digital Health tool.
SO UR C E : M C KIN S E Y & CO, COV ID 19 P H YSICIA N SU RV EY, M AY 20 20 ; RI G HT POI N T E XPE RT I N T E RVI E WS DE CE M BE R 20 21.
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Providers and payors see potential to significantly
lower costs through widespread adoption of digital
health solutions.
Industry insiders estimate that more integration of Digital Health tools
could reduce healthcare administrative costs by 20% or more.
PR OVID E R P E RS P EC TI V ES
SO UR C E : M C K IN S E Y & COMPA NY, A D MINISTR ATIV E SIMPLI FI CAT I ON RE PORT, OCTOBE R 20 21.
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EXPERT P E RSP E CTI V E
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I NSIGHT # 3
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Payors see the value in Digital Health tools, but still
require rigorous data and FDA approval to authorize
Digital Health tools.
While payors have started to cover Digital Therapeutics (DTx) across plan types, they’re
almost 2x as likely to express interest in doing so moving forward.
PAYORS OP E NNE S S TO DTX C OV ER AG E
56%
46% 47%
44% 45% 45%
Commercial Medicare Advantage Medicare PCP Managed Medicaid Public Health Private Health
Exchange Exchange
Provides
ProvidesDTx
DTx Coverage
Coverage Interested
InterestedininProdiving
ProvidingDTx
DTxCoverage
Coverage
THE CHALLE NG E
Regulatory requirements are perceived as a hurdle by Providers and Payors. But to bring digital
health tools to market, digital health innovations need to settle in for the long haul; the regulatory
approval process is extensive, technical, and time consuming―but it is necessary.
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9 in 10
pharmacy and medical directors, surveyed in June 2020, said their managed
care organizations (MCOs) either already had a policy in place for covering DTx or
expected to have one by June 2021.
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The best Digital Health tools will take into account
the needs of these three primary groups:
1. Patients: Thoughtful UX design that takes into account real patient behaviors, pain
points, and unmet needs will ensure patient engagement long-term.
2. Healthcare providers: Understanding how providers leverage data from Digital Health
tools to make better informed care decisions is key for digital health innovators.
3. Payors: Acquiring FDA approval, clinical trial data, and a demonstration of reduced
healthcare costs will streamline payor authorization of Digital Health Tools.
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EXPERT P E RSP E CTI V E
Capabilities
• Regulated Medical Software (SaMD, SiMD)
Our practice is ISO 13485:2016-certified, our processes are IEC 62304 and ISO
14971:2019 compliant allowing us to efficiently create software and experiences to
regulatory standards for medical products.
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