Problems: Primary Health Care-Sadaafit Health Finance - Groupbima

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PROBLEMS

Primary Health Health Finance-


Care- SadaaFit GroupBima

Non Transparency Provider No Personalization of


Negligent Physical Awareness Outcome Costing Disparity 
(Cost, Service, etc.) Inconvenience / Coverage
Lifestyle (Internal to Person) Measurement
  Confusion

No Real-time data Financial


Health Records Coverage Disparity
collection Limitations No one Stop Solution Claim Servicing

Confidential Document
9/5/21
SOLUTION

Brining All, Patient, Provider And


Payer, On Same Platform Confidential Document
9/5/21
Primary Health Care
BUSINESS MODEL
• Doc./ Digital Doc Consultation Fee
• Revenue Sharing Providers - Pharmacy,
Diagnostic, etc. Sale of IoT Devices

• Health Monitoring Subscription


• Diseases Management Fee for customers of
Insurers/Etc – IHI mapping on per person
basis
• Clinical Data Monetising

Health Finance-Insurance,
Loans,Mutal Insurance
• Insurance Commission/ Loans Fee/ Mutal Insurance
Fee
• Digitally driven Claims Management Fee from
Insured,Revenue cycle managers for healthcare
units- hospitals, etc

8 Revenue lines Steady Stream • Proprietary tool to Underwrite Excluded Health


Confidential Document Life
9/5/21
MARKETPLACE : Healthcare/ Finance -Suppliers

Doctors/ Nurse/ Technician. Pharmacy Diagnostics

Insurance Company/ Loan Gymnasiums


co Confidential Document
9/5/21
HEALTHCARE HEALTHCARE
PATIENT FINANCING OPTIONS
CHANNELS

Finance MEDICAL Expense


HEALTH INSURANCE

PHARMACY-
8.5lacs

HEALTH
EMI’S/ MI

D
CE
AN
DIAGNOSTICS-
1lcs+ HEALTH LOANS

FIN
HOSPITALS- Spend USD 150
53K Billion /per year
Hospital - Patient Healthcare Financing
Consumer/
Patient Walk in/ Calls/
FINANCING OPTIONS
our
or come to AT Finance /TPA DESK
plaform

HEALTH HEALTH EMI’S HEALTH LOANS


INSURANCE

Medicine Diagnostic Hospital


Financing s IPD Cover
NEW CONSUMER EXISTING CONSUMER NEW CONSUMER OPD Financing
EXISTING CONSUMER (Group Size- min 25Nos) EXISTING CONSUMER Cover in OPD
Hospital Cover in
Pharmacy Hospital
Labs

HOSPITALS- HEALTH FINANCING CHANNEL


Small Hospitals & Nursing Homes are largely Unstructured &
Unorganized leading to huge operational inefficiencies and
bad patient experience
Poor
No readily infrastructure
available &
finance manageme
facilities nt due to
for Sole
patients proprietor
doctors

Manual More
data than 30%
storages & of
duplication revenue
of activity leakage

Copyright@2021, Lifebox Technologies Pvt Ltd


Target Market and Private Hospital
landscape(India)

Sweet Spot
43,265 private
13885
hospitals 32,000+small
hospital catering to
No of
private 701
70% of population
hospitals 7
453
506
0
7

1574
10
7

Bed
<10 11-30 31-50 51-100 101-500 500+
size
(Registered Pvt hospitals with Insurance)

$ opportunity driven by huge tech adoption, changing lifestyle and


increasing Insurance penetration

24B FICCI-HEAL EY report 2019 |National Health Profile 2018| PWC-FICCI 2019 report| India Health – Informa Market 2019| IRDA
The Complex – Hospital Admission
Process
40 Of the Time spent in admissions
%

30
%
80M
15 15
% %

Arrangin Insurance Paper Work Bed & OT


Number of hospital g Verificati & Multiple confirmati
admissions each Finance on Party on
year coordinati
on

FICCI-HEAL EY report 2019 |National Health Profile 2018| PWC-FICCI 2019 report| India Health – Informa Market 2019| IRDA|Internal Surveys

Copyright@2021, Lifebox Technologies Pvt Ltd


One Integrated Platform solution – for
Patient

Find right Hospital – for Authorize Insurance


your surgery fitting your –
Know pre-hand what's
need covered what's not!

digital
Make
Digital
Complete your

payments paper work


before reaching hospital
as per your convenience

Assisted Finance Unsecured and


Secured Loans – Facilitating credit to unserved
population too
Copyright@2021, Lifebox Technologies Pvt Ltd
The Digital Infrastructure Solution - For
Hospitals

Pre-hand patients Collect


Admission Payment
formalities Online
Welcome Sai
Hospital
Logi
n
A Cloud based Web Platform

Refer patients Get a digital


for Finance social
Presence

A Hospital loses out on nearly 30% of the patient due to lack of Credit facility for their
patient and their hospital awareness
Copyright@2021, Lifebox Technologies Pvt Ltd
Introducing- Alternative easy lending solution for Emergency
& Non Income/Low CIBIL patients WIP

400M 550M 100M


Active Life Fixed and other
Tax Savings Bonds
Insurance policies Deposits India
other Papers
holdings

30M 27K T
Mutual Funds/Shares
Gold Holdings in India
holders

Liquid Dead Asset that can be converted into EasyLoans – without worrying
about Income & CIBIL during Check-in through our partnering Banks and NBFC
RBI financial assets statics-2020|World Gold Council
Business Model- Finance/ Subscription Model

Cloud Platform
fee from hospital Finance commission Convenience Fee Patient Referral
(through
Platform)
*5% per loan ₹ 99 per patient
₹ FREE 10-15% per
patient

*Hospitals offer upfront discount/subvention of Up to 15% that is converted into 0% Loan


to the patients

Gross
Finance Leads – Patient Referral Leads –
Margin
90% 85%
s
Copyright@2021, Lifebox Technologies Pvt Ltd
Business Model- Insurance

Cloud Platform
fee from hospital Net Insurance claims assitance Fee for Patient Lead
non sourced customer
commission
Fee

₹ FREE *10% per ₹ 999 per


Insurance patient

*Hospitals offer upfront discount/subvention of Up to 15% that is converted into 0%


Loan / claims which are cashless to the patients

Gross
Insurance Leads – Patient Referral Leads – ?
Margin
90% %
s
Copyright@2021, Lifebox Technologies Pvt Ltd
Competitors in this segment – The Product & Services are highly
fragmented with a distinct white space
Large hospitals and
Small hospitals &
corporate chains
Nursing homes( 10
( 100+ Beds)
-50 beds)
Largely Manual
Administrative Limited automation
automation In house Tech
Local vendors
trioTree
Axis Bank,
On demand Surgeries HDFC Bank,
Limited to only daycare surgeries
ICICI bank&
likes-can be
Payments & Medical Largely Manual No secured lending, CIBIL, ticket Collaborated
Finance Friends/Family borrowings size constraint for
EasyLoans

Global Unicorns
in Similar Space
as EasyAspataal
Copyright@2021, Lifebox Technologies Pvt Ltd
Product Roadmap- which will be
part of the healthcare platform
Later
-2023

Next
-2022

Now -2021

Copyright@2021, Lifebox Technologies Pvt Ltd


Projected Revenues-
LoanFinance
Phase I (12 month) Phase II (13-30) Phase III (31-48
month) month
Actio
PMF and Product development month) and focus growth
Deep penetration ) Scale up
Rapid
n ,User Experience
plan 200 500 2500
#Hospitals 20K 300K 2M
#Registrati 10( Tier 2 cites) 15(South India) + Metros, 4 Tier 2 cities~700
dsitrict towns
ons #Cities
₹45L ₹4.5Cr ₹??
ARR
₹2
L ₹3
L
₹1C
r ₹12C
₹40 ₹2C ₹20C r
L ₹1.5C r r
r ₹8C
r

Finance commission Referral Convenience


(5%) Copyright@2021,commission(20%)
Lifebox Technologies Pvt Ltd fee(₹99~250)
Projected Revenues-Insurance WIP

Phase I (12 month) Phase II (13-30) Phase III (31-48


month) month
Actio
PMF and Product development month) and focus growth
Deep penetration ) Scale up
Rapid
n ,User Experience
plan 200 500 2500
#Hospitals 20K 300K 2M
#Registrati 10( Tier 2 cites) 15(South India) + Metros, 4 Tier 2 cities~700
dsitrict towns
ons #Cities
₹45L ₹4.5Cr ₹40Cr
ARR
₹2
L ₹3
L
₹1C
r ₹12C
₹40 ₹2C ₹20C r
L ₹1.5C r r
r ₹8C
r

Finance commission Referral Convenience


(5%) Copyright@2021,commission(20%)
Lifebox Technologies Pvt Ltd fee(₹99~250)
How are we achieving
this?
Direct Sales Insurance and TPA, Building brand
Force Labs tie up and
Awareness

Leverage Synergies
GP/CP/OPD Digital
of associations
network Marketing

Copyright@2021, Lifebox Technologies Pvt Ltd


HEALTHCARE Financing CHANNELS

DIAGNOSTICS
MEDICAL STORES HOSPITALS & GOVERNMENT ESI?

Health • TPA desk at Hospitals to cater


Insurance health insurance
• TPA desk to provide Health
Health Health
EMI/subscription model to • Cover through Insurers (tie ups)
Health • Cover through Insurers (tie ups) EMI’s Insurance
Insurance patients.
• Can form group for Medical • TPA desk to provide health • Can form group for Medical
Health store and cover their patients/ Health Health store and cover their patients/
financing options through loan EMI’s consumers in same( minimum
EMI’s consumers in same( minimum Loans
program ticket size 50 people)
ticket size 50 people)

HEALTH FINANCING (ANY OPTION AS PER CONVENIENCE) + ONLINE DOCTOR CONSULTATION+


CASHLESS HEALTH FINANCING + OPD COVER
Consumer
Medicine Financing/ Diagnostics
/ Patient
OPD Cover (same Financing/ OPD
Walk in
Pharmacy) Cover

Doc
Fin tor co
anc n
ing sulta
/O ti
PD on

Hos er
n

Cov
ultatio
Cov

pita
er

lisa
r cons

ti
on
Fin
Docto
HEALTH HEALTH EMI’S

anc
INSURANCE

in
Online

g/ I
PD
NEW CONSUMER EXISTING CONSUMER
EXISTING CONSUMER (Group Size- min 25Nos)

MEDICAL STORE / PHARMACY HEALTH FINANCING CHANNEL


Consumer/ Hospitilisation Medicine Financing/
Patient Financing/ OPD & OPD Cover
Walk in IPD Cover (same
hospital)

Doc ncing /
Fina
n
ultatio

tor
con OPD C
r cons

sult
atio ver
Docto
HEALTH HEALTH EMI’S

n
o
INSURANCE

Online

NEW CONSUMER EXISTING CONSUMER


EXISTING CONSUMER (Group Size- min 25Nos)

DIAGNOSTICS HEALTH FINANCING CHANNEL


REVENUE/ BUSINESS MODEL

Sr No Revenue Model Business/ Example- Tie ups


Revenue (%)

1. Health Insurance 10- 12% 11 Insurer Tie ups

2. Health EMI’s/ 5% Kenko, Uplift


Subscription Mutual

3. Health Loans 5% Ujjivan Finance,


Bajaj Finserv, Small
finance banks
4. Digital Medical Platforms ? 1mg, Practo
(Data)

6. Doctor Consultation/ CDS Minimal Processing Doc-online,


fee Medibuddy, 1 mg

7. Health Isnurance Claim Free as of now In house


service
What we are trying to achieve
2019~2025

•Our platform is designed to integrate with providers of care and ensure they are inter-connected for better
outcomes and coordinated care.
•We provide curated healthcare solutions depending upon an individual’s medical history, current health
status and other equally important parameters like stress, environment, occupational risks, etc.
•We use clinical, administrative, medical claims data along with other relevant data, to identify members
unique gaps in care related to several key chronic conditions, as well as preventive care.
With our health informatics and data analytics, we evolve our programme to best suit the client’s specific
needs.
•This allows us to help reduce overall medical costs and to impact the health and productivity of the
individual in a positive way
•We follow US based HIPPA (Health Insurance Portability and Accountability Act) guidelines on data privacy,
which is a widely accepted standard in multiple geographies.

Confidential Document
9/5/21
TECHNOLOGY

CC

One of the most popular tech Powerful and world class Health Recommendations using
stacks available in market Google Infrastructure - Google ‘Collaborative Filtering’ and
(Spring boot + ReactJS + VM / AppEngine ‘Deep Learning’ using peer
Mongo + Redis) data, past data, HRA and real
time monitoring.

FullHD Skype like face to face Use of Virtual reality to treat Use of wearables like tricorder
Skype like video / text chat with mental disorders, and to make biosensor and IOT to capture
Doctor them forget clinical pain during
Confidential Document
life events and identify
9/5/21 treatments. cardiovascular diseases.
ox 3
5

Slides

Proprietary POS Tracking


Customer
Technology System Electronic Health
Unified Health
(B2B)
Policy Account
Platforms Helps Real time
Record Auto –push
Helps Store &
lead Generation
Manage
from POS
Policies of all Health
Reports from
Groupfit has been working on developing Labs
cutting
edge technology platforms to address the
two key challenges of (1)Cost effective
customer Corporate Digital
Insurance Commerce Integrated Mobile
Acquisition and (2) Unmatched user Online POS
Aggregator
experience . It has developed proprietary Platform Platform Platform

platforms that are first of its kind and help


Helps Businesses to Helps online
Group fit achieve fast traction in record find best Combo sales &
Helps any Health
packs for Care POS onboard
time. Services
Health users for GroupFit
Ventures- Sadda Fit

www.yourdomain.c
Read Under om
y development 3
Expected to be ready in 2 4
months
MARKETPLACE : Healthcare Market India
Personal Healthcare
Healthcare in General Diagnostics
3%
Preventive
Healthcare is Currently, India is
currently 3% of home to 90 $ 372 BN $ 32 MN
overall retail Million Health Healthcare market in Telemedicine market
$ 4 BN $ 32 BN
consumption in India
Conscious India is expected to in India is expected The diagnostics
but is growing 50% By 2022, the
faster than the latter
Individuals (HCI’s) reach US$ 372 billion to rise at a CAGR of industry in India is
by 2022 , while currently valued at $ 4
diagnostics market
20 per cent during
medical devices bn. The share of is expected to
FY16-20, reaching to
market is expected to organized sector is grow at a CAGR
cross US$ 11 billion US$32 million by almost 25% in this of 20.4% to reach
by 2022 2020 segment (15% in labs $ 32 bn from $ 5
$ 130 MN 18 %
and 10% in radiology).
bn in 2012

The number is
18% CAGR is the Home Healthcare
expected to rise to
expected growth of $ 13 BN
130 MillionHealth the preventive
Conscious The primary care
healthcare industry industry is currently
Individuals (HCI’s)
valued at $ 13 bn.
in India by 2022
The share of
$ 6.21 BN 20-50 % organized sector is
practically
The home healthcare Home healthcare negligible in this
market is estimated enables the case.
to reach US$ 4.46 customers to save
$ 100 BN $ 4 TR billion by the end of upto 20-50 per cent
2018 and US$ 6.21 of the cost
USD 100 Billion is Consumption in billion by 2020.
the estimated size of India is set to triple
the preventive to $4 trillion by
healthcare segment
2025
by 2022, growing
from USD 55 Bn in
2018.
9/5/21 Confidential Document Source:
Where is the Interjection of Payer(Insurance ,
Loan, Mutual Insurance etc)- Healthcare

•Payer-provider relationships have traditionally been defined by one metric: reimbursement.


This will continue to be the focus, especially as public health systems move away from pure
fee-for-service payment and into packages, case rates,

•For private insurers, this will lay the groundwork for establishing reasonable, customary rates.
They can then use their performance in benchmarking as an alternative to discounts as they try
to attract customers.

•However, there may be new modes of collaboration, and we expect an increase in incentives
to adopt telehealth and other "new front doors" to healthcare, such as retail clinics and virtual
hospitals.

•Overall, this could be a win-win proposition for both insurers and providers, as it will let them
tap into a growing base of virtual users. Regional second-opinion networks could play a
valuable role in helping to manage patients with chronic conditions across borders.

Confidential Document
9/5/21
COMPETITORS- Asia

Health Care Health Care + Health Insurance


Insurance

Confidential Document
9/5/21
TIMELINE: PHASE 2 – JUN
‘22
PHASE 1 – DEC • Voice base Consultation
PHASE 3 – DEC PHASE 4 – DEC
‘19 • Phone Based ‘23 ‘23
Healthcare

Consultation
• Healthcare • Home Remedies - No • Video Based • Provider Network - Such
Conceptualisation Presepection - Basic, Consultation as Pharmacy, Diagnostic,
Advanced Part of Subsc • In-Clinic Consultation etc.
• Second Opinion - Chat • Advanced Paid • Implementing IOT
Based/Voice/ Subscription Devices
• Paid Subscription • Health Risk
Management for
Insurers/Customer/Paye
r
Finance-, Loan, Mutual Insurance,

PHASE 1 –
PHASE 2 – JUN PHASE 3 – DEC PHASE 4 – DEC
DELIVERED Dec
‘22 ‘22 ‘23
19
• Buying • Buying • Risk Profiling - Group • 360-degree Claim Settlement
o Retail - Online o SME - Online Dynamics Services (Regulation?)
Buying Platform Buying Platform • Product Customisation o Blockchain Solution
o Personalization (Context and Usabe for Claims
• o Online Real Time Management
Technology Backed Based Insurance) o Intelligent Claim
Assisted Distribution – Portability o Offer Customized
Adjudication using
Insurance

Line Products AI & ML


• Claims Settlement • Advanced Claims o Offer Flexible o Cashless
Assistance Settlement - TPA & Coverage Hospitalisation from
o Offer Mobile
Insurance Co. o Cashless Pre & Post
(Integration) Personalized Plan Claim
o Cashless Diagnostics
• VAB - Beyond Insurance & Pharmacy for
OPD
o Cashless OPD /
Daycare / Dental
Confidential Document o Claim Cost
PO POS AO Management -
M P Gatekeeper
Where is the Interjection of Payer(Insurance
Co, Loan etc)- Healthcare

•Payer-provider relationships have traditionally been defined by one metric: reimbursement.


This will continue to be the focus, especially as public health systems move away from pure
fee-for-service payment and into packages, case rates,

•For private insurers, this will lay the groundwork for establishing reasonable, customary rates.
They can then use their performance in benchmarking as an alternative to discounts as they try
to attract customers.

•However, there may be new modes of collaboration, and we expect an increase in incentives
to adopt telehealth/ CDS and other "new front doors" to healthcare, such as retail clinics and
virtual hospitals.

•Overall, this could be a win-win proposition for both Payer (insurers) and providers, as it will
let them tap into a growing base of virtual users. Regional second-opinion networks could play
a valuable role in helping to manage patients with chronic conditions across borders.

Confidential Document
9/5/21
COMPETITORS- Asia

Health Care Health Care + Health Insurance


Insurance

Confidential Document
9/5/21
STRATEGIC PARTNERSHIPS

Health Insurance
Healthcare

Corporate Attorney IP Attorney Security and Audit

Pier Counsel (https://piercounsel.com/) SUJATA CHAUDHRI IP Xiarch Solutions (


Confidential Document
9/5/21 ATTORNEYS (https://sc-ip.in/#) https://www.xiarch.com/)
CO-FOUNDERS, Key CXOs

Pradeep Aich

Sandipan Chattopadhyaya

https://in.linkedin.com › csandipan

Confidential Document
9/5/21
CONTACT INFORMATION
Groupfit Insurance Brokers Pvt Ltd
GroupFit Ventures Pvt Ltd.
GroupFit Technology Pvt Ltd
GroupFit Healthcare Pvt Ltd

Pradeep Aich, Delhi NCR, Bangalore


Phone No. +91- 98677 18507
https://www.facebook.com/GroupBima/
pradeepaich@groupbima.com
https://twitter.com/GrpBima

https://www.instagram.com/group_bima/

https://www.linkedin.com/company/groupbima/
Confidential Document
9/5/21

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