During the Games for health 2012 conference CbusineZ held a presentation on how to finance a serious game. Summarised as: stop creating games, start creating treatments

1. How to finance a serious game
in health care
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2. Index
- Healthcare challenges
- The healthcare landscape
- The ideal ‘financing method’: part of the treatment
- Financing the serious game startup
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3. The cost of healthcare have risen sharply
Rise cost of hospitalcare in Cost increase in AWBZ
Netherlands last 5 year (elderly care) in 10 year
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4. The cost of healthcare have risen sharply
Rise cost of hospitalcare in Cost increase in AWBZ
Netherlands last 5 year (elderly care) in 10 year
30 %
to 20 mrd €
3
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5. The cost of healthcare have risen sharply
Rise cost of hospitalcare in Cost increase in AWBZ
Netherlands last 5 year (elderly care) in 10 year
30 % 66 %
to 20 mrd € to 21 mrd €
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6. Life expectancy life expectancy will lead to an
The increase in has risen
And will increase the coming years
increase in the number of elderly people
+3
Baby in
2010: 65+ in 2010:
In
83jr 2,5 mln
1970:
72 year
LINH, RIVM, 4
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7. Life expectancy life expectancy will lead to an
The increase in has risen
And will increase the coming years
increase in the number of elderly people
In 2020
there are
+3 3,3 mln 65+
Baby in
2010: 65+ in 2010:
In
83jr 2,5 mln
1970:
72 year
LINH, RIVM, 4
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8. We live longer.... But not always healthy...
LINH, RIVM, 5
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9. We live longer.... But not always healthy...
LINH, RIVM, 5
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10. We live longer.... But not always healthy...
27% smokes
LINH, RIVM, 5
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11. We live longer.... But not always healthy...
40% over weight
27% smokes
15% obesity
LINH, RIVM, 5
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12. We live longer.... But not always healthy...
40% over weight 50% doesn’t exercise
27% smokes
15% obesity enough
LINH, RIVM, 5
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13. Unhealthy lifestyle is not always healthy...
We live longer.... But an important reason for
chronicle illness
40% over weight 50% doesn’t exercise
27% smokes
15% obesity enough
LINH, RIVM, 5
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14. Because of higher life expectancy & unhealthy
lifestyle the number of chronically ill will rise
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15. Because of higher life expectancy & unhealthy
lifestyle the number of chronically ill will rise
Depression COPD Diabetes heartcondition
6
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16. Because of higher life expectancy & unhealthy
lifestyle the number of chronically ill will rise
463.000
Depression COPD Diabetes heartcondition
6
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17. Because of higher life expectancy & unhealthy
lifestyle the number of chronically ill will rise
569.000
463.000
Depression COPD Diabetes heartcondition
6
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18. Because of higher life expectancy & unhealthy
lifestyle the number of chronically ill will rise
1.1 mln
569.000
463.000
Depression COPD Diabetes heartcondition
6
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19. Because of higher life expectancy & unhealthy
lifestyle the number of chronically ill will rise
1.2 mln
1.1 mln
569.000
463.000
Depression COPD Diabetes heartcondition
6
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20. Because of higher life expectancy & unhealthy
Can you imagine what this means for care delivery?
lifestyle the number of chronically ill will rise
1.2 mln
1.1 mln
569.000
463.000
Depression COPD Diabetes heartcondition
6
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21. Patiënt empowerment could be a huge contribution
but still faces hurdles in implementation
Patiënt empowerment shows
valuable contribution
Health 2.0 Patiënt empowerment is not part
of the regular treatment process
Shared Decision
Making Serious
gaming
Our current methods are too
Several studies showed: cognitive based
- better outcomes
- less cost
- less professional involvement
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22. Index
- Healthcare challenges
- The healthcare landscape
- The ideal ‘financing method’: part of the treatment and the consequenses
for development
- Financing the serious game startup
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23. The financing option is determined by the goal of
the serious game
Cost of organisation by the
organisation using it for the
Marketing tool
enhancement of their proposition
Enhancement of Improve treatment to above
treatment ‘state of the art levels’
Goal of the
serious game
Training of
professionals Embed in formal training
Consumer Customer centric approach
“Entertrainment” “app store tactics”
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24. What health insurers are not purchasing seperately
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25. What health insurers are not purchasing seperately
Chirurgical scalpel
Part of material used in a
tariff
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26. What health insurers are not purchasing seperately
Chirurgical scalpel MRI Scanner
Part of material used in a
MRI scanner is
tariff
purchased by hospital…
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27. What health insurers are not purchasing seperately
Chirurgical scalpel MRI Scanner Serious games
Part of material used in a
MRI scanner is
tariff
purchased by hospital…
10
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28. New treatments are purchased when the effects
are better then the golden standard
effect
Golden standard Treatment based
(state of the art) on serious gaming
In most Western countries medical professionals have the
obligation to use the “golden standard”
Supplier has the obligation to ‘prove’ that the new treatment
has better effects then the current Golden standard
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29. New treatments are purchased when the effects
are better then the golden standard
effect
Golden standard Treatment based
(state of the art) on serious gaming
In most Western countries medical professionals have the
obligation to use the “golden standard”
Supplier has the obligation to ‘prove’ that the new treatment
has better effects then the current Golden standard
11
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30. A new diabetes treament would have to prove it has
a better effect then the Golden standard
Before it would be used and
reimbursed…
Design
Imagine: A new
diabetes treatment Laboratory test tot test result
conform specification
Field test to confirm
effectiveness (stage 1)
Double blind test to confirm
higher effectiveness then Golden
standard
Marketing to care professionals
Arranging reimbursement
12
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31. A new diabetes treament would have to prove it has
a better effect then the Golden standard
Before it would be used and
reimbursed…
Design
Imagine: A new
diabetes treatment Laboratory test tot test result
conform specification
Field test to confirm
effectiveness (stage 1)
Double blind test to confirm
higher effectiveness then Golden
standard
Marketing to care professionals
Arranging reimbursement
13
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32. Serio s game
A new diabetesutreament would have to prove it has
a better effect then the Golden standard
Before it would be used and
reimbursed…
Design
Imagine: A new
diabetes treatment Laboratory test tot test result
conform specification
Field test to confirm
effectiveness (stage 1)
Double blind test to confirm
higher effectiveness then Golden
standard
Marketing to care professionals
Arranging reimbursement
13
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33. Design and create for effect
Develop a treatment!
Don’t design a Organisation
serious game Mix of developers, medical professionals ,
process experts and expert on healthcare
cost
Development process
Visualise new game
Visualise new treatment process
Test payment options
Develop game
Develop process
Develop implementation
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34. In the eHealth market we use JV to create criticall
mass on forehand
Create a joint venture to
assemble critical mass Psy Health direct
JV with health insurer and mental health
institute for delivering depression and
“Joint fear treatment
venture”
Elab GGZ
A club” of mental health institutes
together with a eHealth development
dev organisation
HP HP HP
Care2U
A combination of GP’s (market),
Assemble a group of potential
software designers and health insurer
clients to co-create, use the
(payer)
eHealth tool and share benefits
Creating critical mass before the
start
15
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35. In progress:
set up of a new Venture Fund esspecially for
serious gaming
Investors
Knowlegde &
Coaching
Und
er co
Serious gaming nstru
c tion
Healthcare
Venturing
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