There is some more editing to do on this after a couple of recent presentations for feedback, but Halle advised us to get our application in stat!

1. Developing customizable smartphone
and web applications for doctorsto
personalizepatient engagement in
chronic care situations.
Confidential @RxApps

2. The Inspiration
Mom
Confidential @RxApps

3. The pattern – Repeated in College
Doctors miss things by no fault of their own
Medications do not workby themselves
Confidential @RxApps

4. Treatment Follow Up is inconsistent
Only 20% make recommended follow
up appointments during first 3 months
60% of Patients adherent at 3 months
43% Adherent at 6 months
~50% Overall Adherence Long Term
Confidential @RxApps

5. IMAGINE A NEW CARE
CONTINUUM…
Confidential @RxApps

6. Doctor gives diagnosis
and ‘prescription’ to
set up account
Confidential @RxApps

7. Profile – Set up by Patient
Web
(S)
Confidential @RxApps

8. Use Walkthrough
Customize Prompt and Respond View History
Confidential @RxApps

9. Built in logic
OR
617.555.5656
917.665.7272
911
Irregular, Alarming
Normal, Healthy
Confidential @RxApps

10. Doctor can monitor in real
time and easily reach out;
change questions on the fly
Confidential @RxApps

11. Provider Dashboard and Registry
Patients will eventually
be prioritized based on
severity of condition at
last check in (trending
patterns also taken
into account)
Confidential @RxApps

12. Better Treatment
80% of patients in weekly communication
with care team had medication changed
within 60 days vs 15% in treatment as usual
Treatment Adjustment and Medication Adherence for Complex Patients With Diabetes, Heart Disease, and Depression:
A Randomized Controlled Trial
Lin, EHB, et al. (2012) Annals of Family Medicine 10:6-14.
Confidential @RxApps

13. Better self-management
“Doctor engagement outside of care
settingincreases adherence by 33%”
Confidential @RxApps

14. *
*
*
Over $28 B in savings for MH Alone
ImprovedQOL, Management of other Conditions
Confidential @RxApps

15. Accountable Care Organizations (ACO) want
Monitoring
Monitoring
Predictive Analytics
Simple, Intuitive interfaces
Confidential @RxApps

16. HITECH/EMRs ACO/PPACA
Tech Reform Mobile Payment Reform
Market factors aligned for the first time
Prescribable Apps Confidential @RxApps

17. Benefits of Use
 Patients
 Higher quality of life
 Providers and Concierge Care Systems
 Competitive advantage
 Opportunity for increased revenue
 Large Hospital Systems (ACOs, IDNs)
 Population management
 Shared Savings Program quality reporting
Confidential @RxApps

18. Revenue: Per member per month subscription
Scenario 1 – Focus:
Only past inpatient/ED history
At $10/mo: $36,000,000/year
Providers: +$12,000,000/year + SSP bonuses
Scenario 2 – Volume:
All Patients Receiving Treatment
At $5/mo: $93,000,000/year
Providers: +$18,600,000/year + SSP bonuses
Calculations based on 5 large provider systems
Confidential @RxApps

19. 5 ‘Dream’ Customers, ~1.6 Million Users
 Paul Sherman, Med. Dir. at Group Health
 Board President of Seattle Counseling Service, 660k covered lives
 Tom Sequist, CDO at Harvard Vanguard/Atrius
 Researches quality improvement and under-represented
demographics, 1 M covered lives
 George Isham, Med. Dir. at HealthPartners
 Board of ICSI and NCQA, 1.4 M covered lives
 Martha Wofford, VP at AETNA
 Head of Consumer Platform, 13 M covered lives
 Alfred Fortin, SVP at HMSA
 mHealth Enthusiast, 600k covered lives
Confidential @RxApps

20. Competition
Emerging market, so not much yet. And no one focused on MH
Mental Social Physician
Customizable Education
Health Community Dashboard
?
Care Mgmt
Companies
Confidential @RxApps

21. The Ask
 Funding: $500k for next 12 months
Private Enterprise Social
BU Focus Provider HIPAA Partner/ Community
Group Trial Redeploy Customer Deployed
500k 500k
Build…
Q2 2012 Q3 2012 Q4 2012 Q1 2013
Confidential @RxApps

22. Team
Founders Advisors
 John Moore III, CEO  Chris Stakutis
 Former genetics scientist  Patient engagement research at CA
Tech
 Organizer, Boston Health 2.0
Chapter  Hospital software sales executive at
Patient Keeper
 ElioMaggini, CTO
 Anne Whitman, PhD
 Multi-startup CTO
 Founder, Cole Resource Center at
 Successful exits to Google and McLean Hospital
Nokia; Visual VM for VZW
 Leading patient advocate
 Christopher McDonald, CFO
 Sarah Lord, PhD
 Back end developer
 Director, Center for Technology and
 Corporate financial analyst, RBS Behavioral Health at Dartmouth
 John Moore Jr. Psychiatric Research Institute
 Leading Healthcare IT analyst  Thor Bergerson, MD
 Idea originator and lead mkt  Owner, ADHD Boston
advisor  Director, Hallowell Center New York
Confidential @RxApps

23. Advancing treatment outcomes for
chronic illness
“This could help us immensely “Better management of
with our quality payments.” “If outcomes can be mental health population?
-CMO, Pioneer ACO improved, this is a goldmine.” Yes, we need that.”
-CEO, Carve-out payer -VP, Safety-net system
Email: john3@PrescribableApps.com
Twitter: @RxApps
Confidential @RxApps

24. BACKUPS
Confidential @RxApps

25. Better Treatment
80% of patients in weekly communication
with care team had medication changed
within 60 days vs 15% in treatment as usual
Confidential @RxApps

26. Better self-management
“Doctor engagement outside of care
settingincreases adherence by 33%”
Confidential @RxApps

27. Mobile offering adoption by large
providers
ACO/PCMH Model
Now: Time to Act
Adoption
EHR
Quality Monitoring
Preventive Engagement
MU MU Stage 2 Convenience and ACO Year 1: ACO expansion; Year 2:
Loyalty Quality reporting Quality based payment
Confidential @RxApps

28. Expansion
2017
Acquisition by:
-EMR Co.
Solutions for
other Chronic -Large Payor
Illnesses -DM Co.
Primary Care
Implementation
(~140,000
practicing)
Psychiatric
Professional
Capture
(22,690
practicing)
2012
Confidential @RxApps

29. My Path to PrescribableApps
2003
Vassar: Neuroscience
Post-undergrad: 2.5 years research at
MGH, NIBR – not for me
Post-research: MA2 and RVL Internships
1st Consulting Project: Health IT Market
Overview for major VC
2011
Confidential @RxApps

30. Mobile-web enabled
6
6
Confidential @RxApps

31. Summary
 PrescribableApps is a patient- 6
provider engagement solution
 Patients will better self-manage
and doctors will provide smarter
treatment
 Payer systems are starting to
invest in mobile offerings for
competitive advantage
(Aetna, Intermountain, Highmar
k, etc).
 Very large (>$100 Bn) emerging
market for accountable care
organizations
Confidential @RxApps

32. Vision: Platform for Connected and Continuous Care
6
“This could help us immensely “Better management of
with our quality payments.” “If outcomes can be mental health population?
-CMO, Pioneer ACO improved, this is a goldmine.” Yes, we need that.”
-CEO, Carve-out payer -VP, Safety-net system
Confidential @RxApps

33. Patient Engagement Offerings
 Social community for
sharing experiences
 Badges for continued
engagement, acknowledg
ement
 Educational
resources, interactive
V IDEO
videos S ERIES
Confidential @RxApps

34. Why this strategy will work:
 4% return users on traditional static
browsers, 40% return users with mobile web.
 Doctor engagement outside of care setting
increases adherence by ~33%
 92% of US population owns a cell phone, and
smartphone saturation is expected in 3 years
 We are developing a prescribablebehavioral
intervention, which has never been done before
Confidential @RxApps

35. What we’re looking for now:
 Funding: $500k for next 12 months
 HIPAA compliance
 Integration with first EMR system
 Use cases for customers, strategics
 Trial set up at BU, advisor can get us into rapid testing at
Dartmouth
 Advisors and Feedback
 Hospital administration connections, warm intros
 Go-to-market validation
 Algorithms/‘big data’ expertise
 Consumer advocate leader (Anne Whitman?)
Confidential @RxApps

36. Market – Mental Health Only Assume cost is
Scenario 1 – Focus: $4/pt per mo:
Only past inpatient/ED history
$21 Bn, 6 Million Patients
60% Margin
5% Reduction of costs = $166 saved per pt/year $21.6 M
5 Large Payers/Providers = 300,000 pts
At $10/mo: $36,000,000/year
Providers: $12,000,000/year + SSP bonuses
Scenario 2 – Volume:
All Patients Receiving Treatment
$113 Bn, 31 Million Patients
20% Margin
2% Reduction of costs = $72 saved per pt/year $18.6 M
5 Large Payers/Providers= 1,550,000 pts
At $5/mo: $93,000,000/year
Providers: $18,600,000/year + SSP bonuses
Confidential @RxApps