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Hacking.Medicine
     @MIT
 HEALTH	
  EXPERIENCE	
  DESIGN	
  2012	
  
               3/25/2012	
  

     ZEN	
  CHU	
  	
  @ACCELMED	
  
    MIT	
  ENTREPRENEUR-­‐IN-­‐RESIDENCE	
  
           HackingMedicine.MIT.edu	
  
SCALE	
  MEDICINE	
  

SO	
  INCREDIBLY	
  INEFFICIENT	
  
       IDEAL	
  FOR	
  	
  
 ENGINEERS	
  &	
  DESIGNERS	
  
ACCELERATE	
  DATA	
  

  EFFICACY	
  OR	
  FAILURE	
  
    QUALITY	
  &	
  COST	
  
BETTER	
  	
  FASTER	
  	
  CHEAPER	
  
DESIGNERS	
  ARE	
  ESSENTIAL	
  

  REPEATABLE	
  PATTERNS	
  
 HACK	
  BUSINESS	
  MODELS	
  
  DEFINE	
  EXPERIMENTS	
  
     TOOLS	
  NEEDED	
  
WHERE	
  TO	
  FOCUS?	
  

INCENTIVES	
  +	
  $$$$	
  

 CHANGING	
  WITH	
  	
  
 HEALTH	
  REFORM	
  
HACKABLE	
  INTERSECTION	
  OF	
  	
  
  HIGH	
  TECH	
  &	
  MED	
  TECH	
  
FOLLOW	
  THE	
  MONEY	
  
                                                                   	
  
62%	
  of	
  $2.3	
  Trillion	
  =	
  Hospitals	
  &	
  Docs	
  2008

                                         BIGGEST REFORMS



                                                  HOSPITALS




                                                  PHYSICIAN
                                                  PRACTICES
ADOPTER	
  ≠	
  PAYOR	
  
 UNCOVER	
  THE	
  PERVERSE	
  INCENTIVES	
  
                                         	
  



                             DOCTOR	
  



                             PATIENT	
  



              HOSPITAL	
                   PAYOR	
  




PAYMENT REFORMS & NEW BUSINESS MODELS
     CAN CORRECT MISALIGNMENTS
MARKET	
  RISK	
  TRUMPS	
  ALL	
  
        Largest Risks Must
                                          Market Risk
                                            Reimbursement
        Be Addressed & De-
                                      Physician & Patient Adoption
        Risked Up Front                   Packaged Solutions
        Before Funding
Value




                             Regulatory Risk
                                Safety & Efficacy


                  Management Risk
                                             Investors & Companies
                                             Willing to Take These Risks
         Technology IP Risk

                                                         Time
TOOLS	
  	
  
       FOR	
  	
  
MAPPING	
  &	
  HACKING	
  
   HEALTHCARE	
  
 BUSINESS	
  MODELS	
  
BUSINESS	
  MODEL	
  CANVAS	
  
  CHANNELS	
  ENERGY	
  OF	
  DIVERSE	
  TEAM	
  




                                  BUSINESSMODELGENERATION.COM	
  
CARE	
  DELIVERY	
  VALUE	
  CHAIN	
  




                        Michael	
  Porter,	
  Tiesberg	
  
HMS	
  INVENTION	
  SCORING	
  
TEACH	
  ACADEMICS	
  REAL	
  PRODUCT	
  VALUE	
  
…BUT…	
  
HEALTHCARE	
  COMPLEXITY	
  
HEALTH	
  MODEL	
  CANVAS	
  
HINTS	
  FOR	
  UNBUNDLING	
  HEALTHCARE	
  BIZ	
  MODELS	
  
DISEASE	
  SUB-­‐SEGMENTS	
  



NATURAL	
  HISTORY	
  
                                                  ACCELERANTS	
                                                                                                                                      IDENTIFY	
  KEY	
  ADOPTOR:	
  
                                                  	
  	
  	
  -­‐	
  Tech	
  enablers	
  
                                                                                                                                      PaGent/DTC	
  
                                                  	
  	
  	
  -­‐	
  Clinical	
  tesGng	
                                                                                                            PaGent	
  
                                                  	
  	
  	
  -­‐	
  PaGent	
  Engagement	
     Data	
  Accelerants	
  
KEY	
  RISKS/LIABILITIES	
                        	
  	
  	
  -­‐	
  DistribuGon	
                                                                                                                   Specialist/PCP/Nurse	
  
	
  	
  	
  Regulatory	
  Pro/Cons	
                                                                                                  Specialist/Nurse	
  
	
  	
  	
  Reimbursement	
  Codes	
                                                                                                                                                                 Hospital/Department	
  
	
  	
  	
  Health	
  Reform	
  Changes	
  
                                                                                                                                                                                                     Insurer	
  
                                                                                                                                      Hospital	
  
                                                                                                                                                                                                     Payor/Employer	
  
PERFORMANCE	
  &	
  EFFICACY	
  METRICS	
  
	
  	
  	
  Clin	
  Data	
  Cost/Timepoints	
  
                                                                                                                                      Payor	
  
                                                  Data	
  Accelerants	
  


VALUE	
  INFLECTION	
  MILESTONES	
  
                                                                                                Royalty	
  Stacking	
                                                                                Regulatory	
  Path	
  

                                                                                                Regulatory	
  Compliance	
  Premium	
  
SUBSTITUTES	
  &	
  COMPETITION	
                                                                                                                                                                    Reimbursement	
  Codes	
  




                                                  EXECUTION	
  DIFFERENTIATION	
                                                                         GO	
  TO	
  MARKET	
  DIFFERENTIATION	
  




                                                                                                                                                             SLIDESHARE.COM/MEDICALVENTURES	
  
OSTERWALDER	
  CANVAS	
  




           BUSINESSMODELALCHEMIST.COM	
  
MAP	
  EACH	
  PLAYER	
  
                      CURRENT	
  BEHAVIORS	
  &	
  SUBSTITUTES   	
  
                                                   TERTIARY	
  HOSPITAL 	
  
COST & COMPLEXITY




                    SPECIALISTS	
  
                    GPs	
                        COMMUNITY	
  HOSPITAL  	
  
                    NURSES	
                        OUTPATIENT	
  CLINIC	
  
                    CAREGIVERS	
                      DOCTORS	
  OFFICE 	
  
                    PATIENTS	
                     RETIREMENT	
  HOME   	
  
                                                        RETAIL	
  CLINIC	
  
                                                       PATIENT	
  HOME  	
  


                    WHERE IS THERE A CONSUMPTION VACUUM?
                      BEST WAYS TO IDENTIFY DISRUPTION!
HACKMED	
  PROCESS	
  
RIGOROUS	
  CLINICAL	
  PRODUCT	
  DESIGN	
  

1)	
  ASSEMBLE	
  DIVERSE	
  GROUP	
  OF	
  MENTORS	
  	
  
       	
     	
  ACROSS	
  HEALTHCARE	
  DISCIPLINES	
  
       	
     	
  BEWARE	
  BLIND	
  SPOTS	
  &	
  BIASES	
  
2)	
  MAP	
  DISEASE	
  CARE	
  DELIVERY	
  VALUE	
  CHAIN	
  
3)	
  MAP	
  EACH	
  PLAYER’S	
  VALUE	
  CANVAS	
  
4)	
  TEST	
  ASSUMPTIONS	
  WITH	
  INTERVIEWS	
  	
  
5)	
  IDENTIFY	
  UNMET	
  NEEDS	
  &	
  PAIN	
  LEVELS	
  
6)	
  BUSINESS	
  MODEL	
  CANVAS	
  FOR	
  EACH	
  SCENARIO	
  
7)	
  DEFINE	
  MIN	
  VIABLE	
  PRODUCT	
  
8)	
  MAP	
  VALUE/VOLUMES/IMPACT	
  VS	
  DISEASES	
  	
  
9)	
  COMPARE	
  MKT	
  SIZES	
  &	
  COMPETITION	
  
10)	
  CHOOSE	
  EXPERIMENTS	
  TO	
  TEST	
  ASSUMPTIONS	
  

...	
  ITERATE…	
  
MIT	
  EXAMPLE	
  -­‐	
  GINGER.IO	
  
MIT	
  EXAMPLE	
  -­‐	
  GINGER.IO	
  
PLEASE	
  HACK	
  HEALTHCARE!	
  

  TWITTER	
  @ACCELMED	
  

HACKINGMEDICINE.MIT.EDU	
  
     @HACKMEDMIT	
  
ADDITIONAL	
  EXAMPLES	
  
Health	
  IT	
  Landscape    	
  
                                      	
  
                 Follow	
  the	
  Money

                            Pharm	
  Benefit	
                MedTech	
  
                              Manager	
                     Companies	
  




                                   $	
  




                                                                $	
  
Employer	
        $$$	
       Insurer	
           $$$	
     Hospital	
  
    $$	
  




 PaGent	
                                                   Physician	
  
Align	
  Employers	
  &	
  Employee/PaGents
                                          	
  

                          Pharm	
  Benefit	
                MedTech	
  
                            Manager	
                     Companies	
  




                                 $	
  




                                                              $	
  
 Employer	
     $$$	
       Insurer	
           $$$	
     Hospital	
  
     $$	
  




  PaGent	
                                                Physician	
  
Castlight	
  Health	
  
VALUE	
                                         HACK	
  
  	
  Personalized	
  tools	
  to	
  help	
      	
  Aligns	
  employees	
  with	
  
      employees	
  shop	
  for	
                     employer	
  costs	
  
      healthcare	
  based	
  on	
  cost,	
  
      quality	
  &	
  convenience	
                	
  Uses	
  employer	
  data	
  to	
  
                                                       create	
  master	
  provider	
  cost	
  
   	
  Bringing	
  cost	
  transparency	
              database	
  
       to	
  health	
  care	
  decisions	
  

   	
  Lower	
  healthcare	
  costs	
  by	
  
       15-­‐30%	
  
Supply	
  Chain	
  Management
                                	
  

                         Pharm	
  Benefit	
                MedTech	
  
                           Manager	
                     Companies	
  




                                $	
  




                                                             $	
  
Employer	
     $$$	
       Insurer	
           $$$	
     Hospital	
  
    $$	
  




 PaGent	
                                                Physician	
  
VendorMate	
  
Value	
                                           HACK	
  
  	
  Capture,	
  CredenGal,	
  Monitor    	
      	
  Free	
  soluGon	
  to	
  hospitals,	
  
  	
  Streamline	
  operaGons	
  &	
                   charged	
  to	
  vendors	
  
      know	
  who’s	
  walking	
  your	
  
      halls.	
                                       	
  Supply	
  chain	
  management	
  

   	
  Comply	
  with	
  HIPAA,	
  privacy,	
  
       security	
  
Billing	
  Management
                                  	
  

                          Pharm	
  Benefit	
                MedTech	
  
                            Manager	
                     Companies	
  




                                 $	
  




                                                              $	
  
Employer	
      $$$	
       Insurer	
           $$$	
     Hospital	
  
    $$	
  




 PaGent	
                                                 Physician	
  

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MIT Hacking Medicine Business Models

  • 1. Hacking.Medicine @MIT HEALTH  EXPERIENCE  DESIGN  2012   3/25/2012   ZEN  CHU    @ACCELMED   MIT  ENTREPRENEUR-­‐IN-­‐RESIDENCE   HackingMedicine.MIT.edu  
  • 2. SCALE  MEDICINE   SO  INCREDIBLY  INEFFICIENT   IDEAL  FOR     ENGINEERS  &  DESIGNERS  
  • 3. ACCELERATE  DATA   EFFICACY  OR  FAILURE   QUALITY  &  COST   BETTER    FASTER    CHEAPER  
  • 4. DESIGNERS  ARE  ESSENTIAL   REPEATABLE  PATTERNS   HACK  BUSINESS  MODELS   DEFINE  EXPERIMENTS   TOOLS  NEEDED  
  • 5. WHERE  TO  FOCUS?   INCENTIVES  +  $$$$   CHANGING  WITH     HEALTH  REFORM  
  • 6. HACKABLE  INTERSECTION  OF     HIGH  TECH  &  MED  TECH  
  • 7. FOLLOW  THE  MONEY     62%  of  $2.3  Trillion  =  Hospitals  &  Docs  2008 BIGGEST REFORMS HOSPITALS PHYSICIAN PRACTICES
  • 8. ADOPTER  ≠  PAYOR   UNCOVER  THE  PERVERSE  INCENTIVES     DOCTOR   PATIENT   HOSPITAL   PAYOR   PAYMENT REFORMS & NEW BUSINESS MODELS CAN CORRECT MISALIGNMENTS
  • 9. MARKET  RISK  TRUMPS  ALL   Largest Risks Must Market Risk Reimbursement Be Addressed & De- Physician & Patient Adoption Risked Up Front Packaged Solutions Before Funding Value Regulatory Risk Safety & Efficacy Management Risk Investors & Companies Willing to Take These Risks Technology IP Risk Time
  • 10. TOOLS     FOR     MAPPING  &  HACKING   HEALTHCARE   BUSINESS  MODELS  
  • 11. BUSINESS  MODEL  CANVAS   CHANNELS  ENERGY  OF  DIVERSE  TEAM   BUSINESSMODELGENERATION.COM  
  • 12. CARE  DELIVERY  VALUE  CHAIN   Michael  Porter,  Tiesberg  
  • 13. HMS  INVENTION  SCORING   TEACH  ACADEMICS  REAL  PRODUCT  VALUE  
  • 15. HEALTH  MODEL  CANVAS   HINTS  FOR  UNBUNDLING  HEALTHCARE  BIZ  MODELS   DISEASE  SUB-­‐SEGMENTS   NATURAL  HISTORY   ACCELERANTS   IDENTIFY  KEY  ADOPTOR:        -­‐  Tech  enablers   PaGent/DTC        -­‐  Clinical  tesGng   PaGent        -­‐  PaGent  Engagement   Data  Accelerants   KEY  RISKS/LIABILITIES        -­‐  DistribuGon   Specialist/PCP/Nurse        Regulatory  Pro/Cons   Specialist/Nurse        Reimbursement  Codes   Hospital/Department        Health  Reform  Changes   Insurer   Hospital   Payor/Employer   PERFORMANCE  &  EFFICACY  METRICS        Clin  Data  Cost/Timepoints   Payor   Data  Accelerants   VALUE  INFLECTION  MILESTONES   Royalty  Stacking   Regulatory  Path   Regulatory  Compliance  Premium   SUBSTITUTES  &  COMPETITION   Reimbursement  Codes   EXECUTION  DIFFERENTIATION   GO  TO  MARKET  DIFFERENTIATION   SLIDESHARE.COM/MEDICALVENTURES  
  • 16. OSTERWALDER  CANVAS   BUSINESSMODELALCHEMIST.COM  
  • 17. MAP  EACH  PLAYER   CURRENT  BEHAVIORS  &  SUBSTITUTES   TERTIARY  HOSPITAL   COST & COMPLEXITY SPECIALISTS   GPs   COMMUNITY  HOSPITAL   NURSES   OUTPATIENT  CLINIC   CAREGIVERS   DOCTORS  OFFICE   PATIENTS   RETIREMENT  HOME   RETAIL  CLINIC   PATIENT  HOME   WHERE IS THERE A CONSUMPTION VACUUM? BEST WAYS TO IDENTIFY DISRUPTION!
  • 18. HACKMED  PROCESS   RIGOROUS  CLINICAL  PRODUCT  DESIGN   1)  ASSEMBLE  DIVERSE  GROUP  OF  MENTORS        ACROSS  HEALTHCARE  DISCIPLINES      BEWARE  BLIND  SPOTS  &  BIASES   2)  MAP  DISEASE  CARE  DELIVERY  VALUE  CHAIN   3)  MAP  EACH  PLAYER’S  VALUE  CANVAS   4)  TEST  ASSUMPTIONS  WITH  INTERVIEWS     5)  IDENTIFY  UNMET  NEEDS  &  PAIN  LEVELS   6)  BUSINESS  MODEL  CANVAS  FOR  EACH  SCENARIO   7)  DEFINE  MIN  VIABLE  PRODUCT   8)  MAP  VALUE/VOLUMES/IMPACT  VS  DISEASES     9)  COMPARE  MKT  SIZES  &  COMPETITION   10)  CHOOSE  EXPERIMENTS  TO  TEST  ASSUMPTIONS   ...  ITERATE…  
  • 19. MIT  EXAMPLE  -­‐  GINGER.IO  
  • 20. MIT  EXAMPLE  -­‐  GINGER.IO  
  • 21. PLEASE  HACK  HEALTHCARE!   TWITTER  @ACCELMED   HACKINGMEDICINE.MIT.EDU   @HACKMEDMIT  
  • 23. Health  IT  Landscape     Follow  the  Money Pharm  Benefit   MedTech   Manager   Companies   $   $   Employer   $$$   Insurer   $$$   Hospital   $$   PaGent   Physician  
  • 24. Align  Employers  &  Employee/PaGents   Pharm  Benefit   MedTech   Manager   Companies   $   $   Employer   $$$   Insurer   $$$   Hospital   $$   PaGent   Physician  
  • 25. Castlight  Health   VALUE   HACK    Personalized  tools  to  help    Aligns  employees  with   employees  shop  for   employer  costs   healthcare  based  on  cost,   quality  &  convenience    Uses  employer  data  to   create  master  provider  cost    Bringing  cost  transparency   database   to  health  care  decisions    Lower  healthcare  costs  by   15-­‐30%  
  • 26. Supply  Chain  Management   Pharm  Benefit   MedTech   Manager   Companies   $   $   Employer   $$$   Insurer   $$$   Hospital   $$   PaGent   Physician  
  • 27. VendorMate   Value   HACK    Capture,  CredenGal,  Monitor    Free  soluGon  to  hospitals,    Streamline  operaGons  &   charged  to  vendors   know  who’s  walking  your   halls.    Supply  chain  management    Comply  with  HIPAA,  privacy,   security  
  • 28. Billing  Management   Pharm  Benefit   MedTech   Manager   Companies   $   $   Employer   $$$   Insurer   $$$   Hospital   $$   PaGent   Physician