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Partners

Lean Launchpad: Digital Health
UCSF Entrepreneurship Center	

November 5, 2013

Abhas Gupta, MD	

Mohr Davidow Ventures	

@abhasguptamd

2013 World Champions!
DH Cohort Scorecard
Product/
Market Fit

Customer
Growth

BioMatch

3

2

1

Lift Hero

2

2

1

Making
Friends

3

3

1

Resultcare

3

3

1

Sportzpeak

2

2

1

Tidepool

3

2

1

Team

X

Revenue &
Costs

Partners &
Ops

Demo product criteria: tests demand, drives traffic,
validates problem, validates solution

Demo
Product
Partnerships and Operations

Next Week

This Week

Next Week

Who are the key partners and suppliers	

needed to make the business model work?
BIG IDEA:
Keep things in perspective
Big Corporate
Partner

You
(Tiny Startup)

Understanding each entity’s point of view

is key to your mutual success
Why Corporations Partner
Access to
Technology

Branding &
Marketing

Favorable
Economics

Novel, disruptive, and/
or consumer-facing
technologies	


Leverage partners’
brand (mostly larger
companies, but
startups too)	


Alignment of
corporate financial
interests	


!

Potential acquisition
opportunities	

!

Customer demand

!

Share in marketing
costs (usually if really
high)

!

External dev costs <
internal dev costs
Why Startups Partner
Access to Data

Funding & Resources

Payers & claims data; labs &
diagnostic data; manufacturers
& device data, etc.

Clinical trials partners,
development funds, intellectual
capital, research capacity, etc.

Access to Customers

More Efficient Use of Capital

Faster sales growth, new
markets, better customer
knowledge, etc.

Broader product offering,
focused development and
execution, economies of scale

Other reasons: shared economics, marketing/brand, lower
friction/better fit with existing user behavior
Types of Partnerships
Strategic

Alliances

Joint New
Business
Development	

Efforts

Key Supplier
Relationships

Traffic

Partners

Coopetition
Strategic Alliances
Round out the “Whole
Product”

Access Mainstream
Customers

MVP
Generic
Expected

Additional functionality, shared
U/X or data (EMRs), installation,
tech support, peripherals, etc.

Leverage existing channels,
expand into new regions/
globally
BIG IDEA:
Partnership Timing

New Market

Existing Markets

Hold off...

Partner!

It’s often suboptimal to partner early in new markets because
innovators and early adopters are already enthusiastic!
Joint New BD Efforts
Co-Marketing

At-Risk Organizations

Co-Marketing

Self-Insured Employers

These hypothetical examples illustrate
potential joint efforts; expect to see more of
the former in coming years
Coopetition
Industry Groups

Market Expansion

Pharma Disease
Awareness Campaigns

Competing companies can still have mutual interests…

so who’s starting the Digital Health industry group?
Key Supplier Relationships
Direct Suppliers

Outsourcing

Suppliers of data,
enabling devices, etc.

Clinical trials partners,
telemedicine providers,
HIPAA compliance,
service APIs, etc.
Traffic Partners
Exchanging

Contacts/Referrals

Content Partners

http://…
Patient email lists,
embedded links to
partner sites, etc.

Patient advocacy groups,
related products, related
online communities
BIG IDEA:
Find the “Right” Partner
Bestows Unfair
Advantages

Good Synergy /
Potential Acquirer

Supports Your
Independence

Unique Data Access	


Same Customers	


!

!

Unique Distribution
Channel	


Synergistic -ORHighly Disruptive
Products	


Avoid “Most Favored
Nation” clauses	


!

Unique Product
Partnership

!

Few Exclusivity
Demands	


!

!

Growth Market

Sales (pre-purchase)
agreements > equity
investments
Key Partnership Risks
Impedance Mismatch

Customer Relationship

Weak startup leverage,
misaligned corporate
incentives, different timelines

Who owns the customer?
Acquisition & retention
attribution

Development Challenges

Stakeholder Issues

Active vs. passive partners?
Leading dev on some aspects
but not others, etc.

Different underlying objectives
(personal vs. mutual success),
churn in stakeholders

Other risks: IP issues (China, etc.), difficulty unwinding
partner relationships
For Next Week
We Need,

They Need,

The Cost...
We
Need
Partner A
Partner B
…

They
Need

The
Cost

Partner
Relationships and
Dollar Flows

Partners’

Pros & Cons
(from their POV)
Pros

Cons
Partners

Lean Launchpad: Digital Health
UCSF Entrepreneurship Center	

November 5, 2013

Abhas Gupta, MD	

Mohr Davidow Ventures	

@abhasguptamd


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UCSF Life Sciences: Week 6 Digital health: Partners

  • 1. Partners Lean Launchpad: Digital Health UCSF Entrepreneurship Center November 5, 2013 Abhas Gupta, MD Mohr Davidow Ventures @abhasguptamd

  • 3. DH Cohort Scorecard Product/ Market Fit Customer Growth BioMatch 3 2 1 Lift Hero 2 2 1 Making Friends 3 3 1 Resultcare 3 3 1 Sportzpeak 2 2 1 Tidepool 3 2 1 Team X Revenue & Costs Partners & Ops Demo product criteria: tests demand, drives traffic, validates problem, validates solution Demo Product
  • 4. Partnerships and Operations Next Week This Week Next Week Who are the key partners and suppliers needed to make the business model work?
  • 5. BIG IDEA: Keep things in perspective Big Corporate Partner You (Tiny Startup) Understanding each entity’s point of view
 is key to your mutual success
  • 6. Why Corporations Partner Access to Technology Branding & Marketing Favorable Economics Novel, disruptive, and/ or consumer-facing technologies Leverage partners’ brand (mostly larger companies, but startups too) Alignment of corporate financial interests ! Potential acquisition opportunities ! Customer demand ! Share in marketing costs (usually if really high) ! External dev costs < internal dev costs
  • 7. Why Startups Partner Access to Data Funding & Resources Payers & claims data; labs & diagnostic data; manufacturers & device data, etc. Clinical trials partners, development funds, intellectual capital, research capacity, etc. Access to Customers More Efficient Use of Capital Faster sales growth, new markets, better customer knowledge, etc. Broader product offering, focused development and execution, economies of scale Other reasons: shared economics, marketing/brand, lower friction/better fit with existing user behavior
  • 8. Types of Partnerships Strategic
 Alliances Joint New Business Development Efforts Key Supplier Relationships Traffic
 Partners Coopetition
  • 9. Strategic Alliances Round out the “Whole Product” Access Mainstream Customers MVP Generic Expected Additional functionality, shared U/X or data (EMRs), installation, tech support, peripherals, etc. Leverage existing channels, expand into new regions/ globally
  • 10. BIG IDEA: Partnership Timing New Market Existing Markets Hold off... Partner! It’s often suboptimal to partner early in new markets because innovators and early adopters are already enthusiastic!
  • 11. Joint New BD Efforts Co-Marketing
 At-Risk Organizations Co-Marketing
 Self-Insured Employers These hypothetical examples illustrate potential joint efforts; expect to see more of the former in coming years
  • 12. Coopetition Industry Groups Market Expansion Pharma Disease Awareness Campaigns Competing companies can still have mutual interests…
 so who’s starting the Digital Health industry group?
  • 13. Key Supplier Relationships Direct Suppliers Outsourcing Suppliers of data, enabling devices, etc. Clinical trials partners, telemedicine providers, HIPAA compliance, service APIs, etc.
  • 14. Traffic Partners Exchanging
 Contacts/Referrals Content Partners http://… Patient email lists, embedded links to partner sites, etc. Patient advocacy groups, related products, related online communities
  • 15. BIG IDEA: Find the “Right” Partner Bestows Unfair Advantages Good Synergy / Potential Acquirer Supports Your Independence Unique Data Access Same Customers ! ! Unique Distribution Channel Synergistic -ORHighly Disruptive Products Avoid “Most Favored Nation” clauses ! Unique Product Partnership ! Few Exclusivity Demands ! ! Growth Market Sales (pre-purchase) agreements > equity investments
  • 16. Key Partnership Risks Impedance Mismatch Customer Relationship Weak startup leverage, misaligned corporate incentives, different timelines Who owns the customer? Acquisition & retention attribution Development Challenges Stakeholder Issues Active vs. passive partners? Leading dev on some aspects but not others, etc. Different underlying objectives (personal vs. mutual success), churn in stakeholders Other risks: IP issues (China, etc.), difficulty unwinding partner relationships
  • 17. For Next Week We Need,
 They Need,
 The Cost... We Need Partner A Partner B … They Need The Cost Partner Relationships and Dollar Flows Partners’
 Pros & Cons (from their POV) Pros Cons
  • 18. Partners Lean Launchpad: Digital Health UCSF Entrepreneurship Center November 5, 2013 Abhas Gupta, MD Mohr Davidow Ventures @abhasguptamd