Research2guidance mHealth App Developer Economics 2014 Study

May 2014
mHealth App Developer
Economics 2014
Largest Global Study on mHealth App Publishing

2© research2guidance 2014
The „mHealth Developer Economics 2014“ is the largest
study on mHealth app publishing globally
Source: research2guidance, mHealth App Developer Economics Study 2014
Survey participants and mHealth app numbers by region
12% Share of survey respondents 350# No. of mHealth apps of survey participants
Legend
38%
North America
# 3,752
36%
Europe
# 1,327
12%
South America
# 360
12%
APAC
# 420
2%
Africa
# 21

Research2guidance is a market leading analyst
and advisory company in the mHealth app market
About research2guidance
research2guidance is a strategy advisory and market research
company. We concentrate on the mobile app eco-system. We are
convinced that mobile health solutions will make a difference to
people’s lives and that the impact on the healthcare industry will
be significant. We provide insights to make it happen and to
successfully lead your business.
Contact:
Ralf-Gordon Jahns
ralf.jahns@research2guidance.com
Fix: +49 (0)30 609 89 3366
www.research2guidance.com

This is a summary presentation of the „mHealth App
Developer Economics 2014“ report
The largest global study on mHealth app
publishing
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www.mHealthEconomics.com

“What are the
topics?”
Current status of the mHealth app publishing
Who is publishing and what can be learned from
successful mHealth app publishers
The Connected Elite
Outlook

The mHealth app market will reach USD 26bn revenue
by 2017
Revenues
(US$ Millions)
Global mHealth market revenue in USD (2013-2017)
Source: research2guidance, mHealth App Market Report 2013-2017
2,453
4,000
6,353
13,587
26,560
-
5,000
10,000
15,000
20,000
25,000
30,000
2013 2014 2015 2016 2017 Services
69%
Device
sales
21%
Paid
downloads
5%
Transactio
n
4%
Advertise
ment 1%
2017

Fitness and medical reference apps are the largest
mHealth app categories
Source: research2guidance, 808 apps form Apple App Store, Goolge Play, BlackBerry App World and Windows Phone Store (March 2014)
mHealth app category share
>100k
mHealth
Apps
Fitness, 30.9%
Medical
reference, 16.6%
Wellness, 15.5%
Nutrition, 7.4%
Medical condition
management, 6.6%
PHR, 2.6%
CME, 2.1%
Compliance, 1.6%
Diagnostics, 1.4%
Reminders and
alerts, 1.1%
Remote consultation
& monitoring, 0.6%
Others, 13.6%

“What are the
topics?”
Who is publishing and what can be learned
from successful mHealth app publishers
The Connected Elite
Outlook

7.6%
3.6%
5.4%
13.5% 14.1%
19.7%
26.7%
9.5%
0%
5%
10%
15%
20%
25%
30%
Before 2008 2008 2009 2010 2011 2012 2013 Q1 2014
Publishing year of the first mHealth app
More than 36% only recently entered
the mHealth app market
Source: research2guidance mHealth App Developer Economics survey 2014, n= 2032

50% of mHealth app publisher have released
only one or two mHealth apps
Publisher share of mHealth app portfolio size
Comment: An app that is published on multiple platforms is counted as one app.
Source: research2guidance mHealth App Developer Economics survey 2014, n=2032
1
29.9%
2
20.1%
3
9.7%
4
7.0%
5
6.6%
6
4.4%
7
1.1%
8
2.0%
9
0.6%
10
4.0%
11-20
5.0%
21-50
4.6%
51-100
5.1%
#

Chronically ill and fitness seekers are the main target
groups for mHealth app publishers
Target group share of mHealth app publishers
Chronically ill people
31%
Health and fitness
interested people
28%
Physicians
14%
Temporarily ill people
8%
Hospitals
7%
Others
12%

There are six groups of mHealth app publishers that
are behind the apps
Establ.
Health
Players
Helpers Medical
Specia-
lists
Con-
necters
App
Specia-
lists
Fitness
Specia-
lists
Brand
awareness
Revenue
Help
people
Help
people
Revenue Revenue
Goal of
apps
Downloads
(<5k/ >1m)
67%/
3.2%
25.7%/
7.8%
42.7%/
9.1%
51.4%/
5.1%
39.4%/
7.4%
39.0%/
8.9%
Revenues
(0/ >1m)
low averageaverage high allAPIs usage average
low averageaverage high
very
heavy
Tool usage high
$
57,6% 40,1%
100%
47,5% 43,7% 49,7%
Medical ex-
pert in team ✚ Ø
Typical
company
size
11-10011-1003-103-103-105,000+
53.1% /
7.7%
44.6% /
7.4%
58.6% /
6.3%
61.2% /
5.8%
60.1% /
6.4%
43.3% /
6.7%
Mainly yes Partly Mainly notGoals achieved:
Percentage
of total % 3 % 14 % 32 % 20 % 10 % 18 %
Goal
achieved

Commercially successful mHealth publishers do 6 things
differently
35%
Top revenue type
More experience
(start 2010 or ealier)
60%
mHealth API usage 1
(average)
61%
Tool usage
(average)
37%
iOS focus
(top rank platform)
76%
22%
40%
23%
56%
16%
Large app portfolio
(>20 apps)
$
#
Pay per download 31%
Service sales 35%
Millionaires: mHealth app revenues 2013 > 1m USD Low Earners: mHealth app revenues 2013 < 10,000 USD
1
2
3
4
5
6
1) Actual and planned usage of APIs that connect to personal&general health database APIs and medical and fitness device APIs

“What are the
topics?”
The Connected Elite
Outlook

There is a “Connected Elite” of mHealth app publishers
that drive interoperability between apps and sensors
No. of connected app publishers & sensor vendors by an app
0 10 20 30
Digfit iCardio
Lose It!
Endomondo
Carepass
dacadoo
Tactio Health
Runkeeper
Moves
Fitbit
myFitnessCompanion
EveryMove
MapMyFitness
MyFitnessPal
Source: research2guidance and app & vendor data (March 2014)

A new „Enabling Layer“ is connecting the new and
the old healthcare industry
Source: research2guidance
App users
App Stores
Apps
Shops
Sensors
Connected Apps Connected Sensors
Connected Elite
API
Aggregators
Enabling Layer
App
Aggregators
API Managed
Services
Health
Database
• Food
• Medicine
• Disease
Health
Insurance
Database
Universities,
Medical
Institutions
HCPsPatients PayersSmartphone users
€ €
VALIDIC

mHealth measures by Monthly Active Users
Up to 100m vital metrics are collected regularly
3
100
MAU
(In m)
1
No. of
metrics
Patient monitoring
Medical examination
Health&fitness tracking
Steps, duration, speed, heart
rate, hydration, perspiration, mood, c
alories & other nutritional
values, sleep
Blood
pressure, temperature, glucose
level, posture, medicine
adherence, mouth
hygiene, alcohol
consumption, sun exposure
Respiratory rate, lung air
volume, ECG, EEG, blood
tests, color tests, urine
tests, ultrasound imaging
Source: research2guidance
MAU: Monthly active users that track health parameters

“What are the
topics?”
The Connected Elite
Outlook

Devices with highest business potential for mHealth app by rank in 5 years
75% 14% 4%
Rank 1 Rank 2 Rank 3
Smartphones
Tablets
Watches
Glasses
Others
Feature Phone
11% 45% 12%
6% 21% 24%
4% 8% 12%
1% 2% 5%
3% 8% 27%
Comment: Figures do not sum up to 100% as not all participants provided answers for the rank 2+3
Smartphones are the primary device for mHealth apps

Source: research2guidance mHealth App Developer Economics survey 2010, 2011, 2012 and 2014, n= 2032
2010 2011 2012 2013 2014
1
2
3
4
5
Mobile operating systems with highest business potential for mHealth apps by rank in 5 years
Rank
Android and iOS remain the top ranked operating systems
for mHealth app publishers in five years time
74%
72%
42%
32%
17%
77%
75%
29%
16%
6%
83%
76%
32%
3%
5%
3%
82,1%
72,3%
35,9%
35,3%
11,1%
In
For 2015 2016 2017 2019

Source: research2guidance mHealth App Developer Economics survey 2010, 2011, 2012 and 2014, n= 2032
CHD refers to coronary heart disease
2010 2011 2012 2013 2014
1
2
3
4
5
Diabetes Diabetes Diabetes
Obesity Obesity Obesity Obesity
Hypertension Hypertension Depression Hypertension
CHD CHD Hypertension Depression
Astma Depression CHD Cancer
Business potential of different therapeutic areas for mHealth apps by rank in 5 years
Rank
Diabetes and Obesity remain the top ranked
therapeutic areas for mHealth app publishers
Diabetes
78% 80% 76% 69%
57% 45% 56% 39%
55% 40%
41%
29%
50% 39%
40%40% 25%
42%
22%
19%
In
For 2015 2016 2017 2019

2010 2011 2012 2013 2014
1
2
3
4
5
Hospitals App stores Physicians
Physicians App stores Hospitals Hospitals
Healthcare
webpages Physicians Physicians App stores
App stores
Healthcare
webpages
Healthcare
webpages Pharmacies
Pharmacies Pharmacies Pharmacies
Healthcare
webpages
Distribution channels that offer the best business opportunities for mHealth solutions in 5 years time
Rank
Physicians and hospitals are constantly seen as the primary
distribution channel for mHealth apps in the future
Hospitals
68% 56% 62% 52%
65% 55% 59% 49%
56% 52%
50%
47%
51% 44%
47%46% 39%
59%
38%
36%
6. mHealth solution
provider
7. MNOs
6. mHealth solution
provider
7. MNOs
6. mHealth solution
provider
7. MNOs
6. mHealth solution
provider
7. MNOs
In
For 2015 2016 2017 2019

Barriers Hygiene factors Drivers
1
2
3
4
Barriers, hygiene factors and drivers of the mHealth app market by rank in the next 5 years
Rank
Summary: Drivers and barriers
58%
Smartphone & tablet
penetration
User/patient demand
43%
Patient-centered care
39%
Technology innovation
32%
5%
Solution costs
Clinical requirements
8%
Regulations
9%
Clinical studies
10%
Lack of data security
Lack of standards
Difficult discoverability
Resistance from trad.
healthcare providers
34%
30%
29%
28%

Download the mHealth App Developer Economics Report
Largest study on mHealth app publishing
• Size of the opportunity
• mHealth app developer segments
• Learning from best practice
• The Connected Elite
• Drivers and barriers
• Key trends that will shape future of mHealth app
publishing
• 43 pages
• Published May 2014
• First time presented during the Europe’s mHealth Summit
2014 in Berlin
Download Full Report (Free)

We do:
mHealth Strategy Workshops
Ralf-Gordon Jahns presenting insights
on mHealth
We have:
Diabetes App Market Report
We offer tailored workshops for all healthcare players to
discuss mHealth strategies. Content of our 1- or 2-day
interactive workshop includes:
• Size of the opportunity or challenge for your
company / business / institution
• Principals of mobile business models in healthcare
industry
• Impact of mHealth apps on traditional healthcare
• Analysis of competitive landscape
• Discussion of potential roles to be played
If interested, send us an email:
mHealth@research2guidance.com
The Diabetes App Market Report 2014 is a comprehensive
analysis of the market. The 113 pages report includes:
• Analysis and categorization of more than 1,000
diabetes apps
• Performance of diabetes apps, key players, best
practices
• Detailed market forecast including
downloads, revenues, user penetration, app-related
sensor shipment and service user numbers
• Analysis of country markets, regulatory
impact, market trends and revenues from 2008 -
2018.
Read report preview
We help our clients define their mHealth strategy and
provide marketing insights. Find out more…
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