Mobile Healthcare Opportunities

Overview

·         15 mHealth Players Profiled

·         37 Exclusive Forecast Tables

·         Updated mHealth Revenue Assessment

A Comprehensive Analysis of the mHealth Opportunity

This new, extrapolative report is an indispensable guide to getting in on the ground floor of this high growth sector. Juniper offers readers a meticulous breakdown of the prospective revenues and initial costs involved in forging a sustainable and lucrative mHealth market for mobile network operators, suppliers, healthcare professionals and module & device manufacturers.

Extensive Market Sizing & Forecast Data

mHealth Market Data: Only Juniper approaches the potential market of this burgeoning sector with two extensive forecast chapters, based on cardiac outpatient monitoring, chronic disease management, service revenues and smartphone shipments, as well as medical app downloads and content subscriptions. 

Scenario Based Analysis: Customers will receive unparalleled coverage of mHealth cost savings projections, founded on three comprehensive scenarios, progressing from conservative to optimistic. In addition, the future reduction of outpatient-related costs made possible by the implementation of remote patient monitoring is calculated over a five year period.

mHealth Player Strategies

Business Models & Monetisation Strategies: Juniper Research delivers a multitude of business models of major industry players, which demonstrate for readers the monetisation potential behind companies, regulatory bodies and financiers involved in mobile health.

Player Profiles: More than a dozen businesses central to mHealth are profiled and appraised by partnerships, individual strengths and strategic development opportunities, giving readers a unique advantage in the current mHealth market and an insider's knowledge of how a place in the future mHealth may be adroitly claimed.

Table of Contents

Executive Summary

mHealth Market Structure

1.1 Introduction................................. 25

1.2 Report Scope......................... 26

1.3 The Healthcare Industry......................................... 26

1.3.1 Population Growth....................... 27

Figure 1.1 Annual Population Growth by Region (%)............... 27

1.3.2 Chronic Diseases........................ 27

i. Heart Disease..................................... 27

ii. Respiratory Diseases............................. 28

iii. Diabetes...................... 28

1.3.3 Healthcare Funding........................ 28

Table 1.1: Health Spending............................................. 29

1.4 The mHealth Promise............... 30

1.4.1 Developing World............................ 30

i. Case Study: Simpill..................................................... 31

1.4.2 Developed World................... 31

1.5 mHealth Definitions....................................... 32

Figure 1.2: The Structure of the mHealth Industry.................. 32

1.5.1 Basic mHealth Services........... 33

1.5.2 SMS Information Programs.............. 34

1.5.3 Remote Patient Monitoring................. 34

1.5.4 Information Systems and Health Records.............................. 35

i. Case Study Brief: Google Health............................................. 36

1.5.5 The mHealth Smartphone App............... 36

1.5.6 Remote Diagnosis............... 37

1.5.7 Combining Technologies............ 37

Figure1.3: The Mobile App's Role in Remote Patient
Monitoring....... 37

1.6 Drivers and Inhibitors................. 38

Figure 1.4: mHealth Drivers and Inhibitors...................................... 38

1.6.1 Healthcare Drivers.................... 39

1.6.2 Technology Drivers.............................. 39

1.6.3 Inhibitors........................................ 40

1.7 Future Directions............................ 41

1.7.1 The Impact of Regulation......................... 41

i. Case Study:  Continua Health
Alliance.......................................... 41

ii. Healthcare Gaming.................................... 41

1.8 The Smartphone in Healthcare............... 42

1.8.1 Healthcare Industry Smartphone Penetration.......... 42

Figure 1.5: Smartphone use Within the Healthcare Sector Methodology........... 43

Figure1.6: Enterprise Smartphones (m) shipped to the
Healthcare Sector  Split by 8 Key Regions
2011-2016.............................. 43

Table 1.2: Enterprise Smartphones (m) shipped to the
Healthcare Sector  Split by 8 Key Regions
2011-2016....................................... 44

1.8.2 Shipment Values: Healthcare Sector Smartphone....................... 44

Figure 1.7: Cost of Wholesale Smartphone Shipments to
the Healthcare Sector ($m) Split by 8 Key Regions 2011-2016................................. 45

Table 1.3: Value of Wholesale Smartphone Shipments to
the Healthcare Sector ($m)  Split by 8
Key Regions 2011-2016.......................................  45

1.9 Conclusion............. 46

mHealth – Players & Business Models

2.1 Introduction..................... 47

2.2 Recent Developments................... 47

2.2.1 Epocrates Listing on Nazdaq..................... 48

2.2.2 US FDA Consults on Medical App Regulation.............. 48

2.2.3 AT&T Selects WellDoc Mobile Health Solution for Management of
Chronic Diseases........................ 49

2.2.4 Partnership for the Heart Validates Remote Patient Monitoring............................ 49

2.2.5 Remote Patient Monitoring: CardioNet and Meddapps form Strategic
Alliance......................... 50

2.2.6 AT&T Reinforces Commitment to the Healthcare Sector.......................... 50

2.2.7 Nokia Partners with Entra Health Systems.................................... 50

2.3 mHealth Stakeholders.................................... 51

2.3.1 Chipset and Module Manufacturers.................................. 51

i. Case Study Brief: Qualcomm.................. 51

ii. Telcare.................................... 52

iii. Cambridge Temperature Concepts........................................... 52

iv. Mobile Health Information Systems............................. 52

2.3.2 Network Operators........................................ 53

2.3.3 Handset and App Developers/ Manufacturers.................................. 53

2.3.4 Case Study Brief: Nokia............................................. 53

2.3.5 Case Study Brief: Doro..................................... 54

i. MyGlucoHealth......................... 54

ii. Medixine............................. 55

2.3.6 The Smartphone App................................ 55

2.3.7 Venture Capitalists.................................... 55

Table 2.1 Digital Health Deals (Q1&Q2) 2011............................. 56

2.4 Player Profiles...................................................... 56

2.4.1 Bosch Healthcare................................... 56

i. Corporate.......................... 56

ii. Service Offering and Business Model............................... 57

Structure of Bosch Healthcare Monitoring System.......................... 57

iii. Partnerships and Adoption............................ 58

iv. Juniper's View: Bosch Healthcare Key Strengths and Strategic
Development Opportunities.......... 58

2.4.2 CardioNet....................................... 59

i. Corporate.............................. 59

ii. Service Offering and Business Model........................... 60

iii. Partnerships and Adoption......................... 60

iv. Juniper's View: CardioNet  Key
Strengths and Strategic Development Opportunities..................... 60

2.4.3 Epocrates........................................... 61

i. Corporate..................................................... 61

ii. Service Offering and Business Model............................ 61

iii. Partnerships and Adoption................... 61

iv. Juniper's View: Epocrates Key Strengths and Strategic Development
Opportunities........................ 62

2.4.4 Healthragious............................ 62

i. Corporate................................ 62

ii. Service Offering and Business Model........................ 63

iii. Partnerships and Adoption....................................... 63

iv. Juniper's View: Healthragious Key Strengths and Strategic Development
Opportunities................. 63

2.4.5 LifeWatch.......................................... 64

i. Corporate................................. 64

ii. Service Offering and Business Model.......................... 64

iii. Partnerships and Adoption................... 65

iv. Juniper's View: LifeWatch Key Strengths and Strategic Development
Opportunities....................... 65

2.4.6 MedApps............... 65

i. Corporate........................ 65

ii. Service Offering and Business Model.............................. 66

iii. Partnerships and Adoption........................... 66

iv. Juniper's View: MedApps Key Strengths and Strategic Development
Opportunities......................... 67

2.4.7 Mobisante.................. 67

i. Corporate.............. 67

ii. Service Offering and Business Model....................... 68

iii. Partnerships and Adoption................... 68

iv. Juniper's View: Mobisante  Key
Strengths and Strategic Development Opportunities...................... 69

2.4.8 Telecom Italia MDH............... 69

i. Corporate...................... 69

ii. Service Offering and Business Model...................... 70

iii. Partnerships and Adoption................. 70

iv. Juniper's View: Telecom Italia's Key Strengths and Strategic
Development Opportunities.............. 71

2.4.9 WellDoc.................... 71

i. Corporate.............................. 71

ii. Service Offering and Business Model................. 71

iii. Partnerships and Adoption..................... 72

iv. Juniper's View: WellDoc Key Strengths and Strategic Development
Opportunities......................... 72

2.5 Conclusion............................ 72

Figure 2.1: mHealth Use Case Value Matrix.................... 73

Remote Patient Monitoring for Healthcare

3.1 Introduction.............................. 75

3.2 Monitoring Use Cases............................... 75

Figure 3.1: The Remote Patient Monitoring Value Chain............... 76

3.2.1 Cardiac Outpatient Monitoring........................ 77

i. Case Study: CardioNet, Cardiac Outpatient Monitoring Service........... 77

3.2.2 Remote Patient Monitoring for Chronic Diseases................... 77

3.2.3 Case Study: ConnectedHealth................... 78

i. Company............................ 78

ii. Business Case.................... 78

iii. Pricing....................... 79

3.3 Remote Patient Monitoring Forecasts............... 79

3.3.1 Market-Sizing and Methodology....................... 79

3.4 Cardiac Outpatient Monitoring Forecasts.............................. 81

3.4.1 Methodology..................................... 81

Figure 3.2: Remote Monitoring Methodology, Cardiac
Outpatient Monitoring.................... 81

Figure 3.3: Number of Monitored Individuals, Cardiac Outpatient Monitoring (m)  Split by 8 Key Regions 2011-2016........................... 82

Table 3.1: Number of Monitored Individuals Cardiac Outpatient Monitoring (m)  Split by 8 Key Regions 2011-2016.......................... 82

3.4.2 Revenue Forecasts, Cardiac Outpatient Monitoring................. 83

Figure 3.4: Revenues from Cardiac Outpatient Monitoring ($m)  Split by 8 Key Regions 2011-2016.................... 83

Table 3.2: Revenues from Cardiac Outpatient Monitoring ($m)  Split by 8
Key Regions 2011-2016................... 83

3.5 Remote Patient Monitoring, Chronic Disease Management.................... 84

3.5.1 Forecast Methodology................................ 84

Figure 3.5 Remote Monitoring Methodology Chronic
Disease Management....................................... 84

Figure 3.6: Number of Monitored Individuals, Chronic Disease Management (m)  Split by 8 Key Regions 2011-2016..................................... 85

Table 3.3: Number of Monitored Individuals Chronic Disease Management (m)  Split by 8 Key Regions 2011-2016..................... 85

3.5.2 Revenues Forecasts, Chronic Disease Management.......................... 85

Figure 3.7: Revenues from Remote Patient Monitoring,
Chronic Disease Management   ($m) Split
by 8 Key Regions 2011-2016........................... 86

Table 3.4: Revenues from Remote Patient Monitoring,
Chronic Diseases ($m)  Split by 8 Key
Regions 2011-2016   86

3.6 Remote Health Monitoring Forecasts All Use Cases................ 87

Figure 3.8: Number of Monitored Individuals (m) Split
by 8 Key Regions 2011-2016..................... 87

Table 3.5: Number of Monitored Individuals (m) Split by
8 Key Regions 2011-2016.................... 87

3.6.1 Service Revenues from Remote Health Monitoring all Use Cases.......................... 88

Figure 3.9: Service Revenues from Health Monitoring
($m) Split by 8 Key Regions 2011-2016................... 88

Table 3.6: Revenues from Remote Patient Monitoring ($m)
Split by 8 Key Regions 2011-2016......................... 89

3.7 Health Cost Savings Attributable to Remote Patient Monitoring......... 89

3.7.1 Cost Savings Methodology....................... 90

Table 3.7: Cost to the Health Service of a Hospital
Stay ($)  Split by 8 Key Regions
2011-2016...................... 91

Table 3.8: Cost to the Health Service of a Single
Outpatient Visit ($)  Split by 8 Key
Regions 2011-2016................  91

Figure 3.10: Cost savings methodology.................................... 92

Table 3.9: Monitoring Cost per Individual ($) Split by
8 Key Regions 2011-2016.......................... 92

3.7.2 Scenario-based Cost Savings Forecasts....................... 93

i. Scenario 1 (Conservative)....................................... 93

Figure 3.11: Savings Attributable to mHealth Monitoring
(Scenario 1, Conservative) ($m) Split by 8 Key Regions 2011-2016.......................... 93

Table 3.10: Savings Attributable to mHealth Monitoring
(Scenario 1, Conservative) ($m) Split by 8 Key Regions 2011-2016................................94

ii. Scenario 2 (Base Scenario).......................................... 94

Figure 3.12: Savings Attributable to mHealth Monitoring
(Base Scenario) ($m)  Split by 8 Key
Regions 2011-2016...................... 94

Table 3.11: Savings Attributable to mHealth Monitoring
(Base Scenario) ($m)  Split by 8 Key
Regions 2011-2016.................................. 95

iii. Scenario 3 (Optimistic)........................ 95

Figure 3.13: Savings attributable to mHealth Monitoring
(Scenario 3, Optimistic) ($m)  Split by 8
Key Regions 2011-2016............................. 95

Table 3.12: Savings Attributable to mHealth Monitoring
(Scenario 3, Optimistic) ($m)  Split by 8
Key Regions 2011-2016............................ 96

3.8 Conclusion...................... 96

Mobile Health and the Smartphone App

4.1 Introduction............................ 97

4.2 Definitions and Current Status...................... 97

4.2.1 mHealth Apps - Popularity and Adoption.......................... 98

4.2.2 FDA Approval of Medical Apps........................ 99

4.2.3 Market Development.......................................... 99

4.3 Mobile Applications Forecasts....................... 100

4.3.1 Forecast Methodology.......................... 100

Figure 4.1: Methodology. Healthcare and Medical Smartphone App Dowloads.............................. 100

Figure 4.2: Number of Handsets (m) Downloading Lifestyle Apps Regional Forecasts  Split by 8 Key Regions 2011-2016.................................. 101

Table 4.1: Number of Handsets (m) Downloading Lifestyle Apps Regional Forecasts  Split by 8 Key Regions 2011-2016..................................... 102

Figure 4.3: Number of Handsets (m) Downloading Healthcare and Medical Apps  Regional Forecasts Split by 8 Key Regions 2011-2016.............................. 102

Table 4.2: Number of Handsets (m) Downloading Healthcare and Medical Apps  Regional Forecasts Split by 8 Key Regions 2011-2016.............. 103

4.3.2 All Healthcare Medical App Downloads............. 103

Table 4.3: Number of Healthcare and Medical Apps Downloaded per Handset  Regional Forecasts Split by 8 Key Regions 2011-2016......................... 103

Figure 4.4: All Medical App Downloads  Split by 8 Key Regions 2011-2016.............. 104

Table 4.4: All Healthcare and Medical App Downloads Split by 8 Key Regions 2011-2016......................... 104

4.3.3 Revenues from Healthcare and Medical Downloads............... 104

Table 4.5: Price of Healthcare and Medical App Download Split by 8 Key Regions 2011-2016.......................105

Figure 4.5: Revenues ($m) from Healthcare and Medical App Downloads  Split by 8 Key Regions 2011-2016....................................105

Table 4.6: Revenues ($m) from Healthcare and Medical App Downloads  Split by 8 Key Regions 2011-2016................................. 106

4.4 Content Subscription Forecasts................................. 106

Figure 4.6: Methodology for Subscription Revenue Forecasts, Healthcare and Medical................. 106

Figure 4.7: Total number of Content Subscriptions, Healthcare and Medical (m)  Split by 8 Key Regions 2011-2016............................... 107

Table 4.7: Total Number of Content subscriptions, Healthcare and Medical (m)  Split by 8 Key Regions 2011-2016.................................... 107

Figure 4.8: Revenues from Content Subscriptions Split by 8 Key Regions 2011-2016.................. 108

Table 4.8: Total Revenues from Healthcare and Medical Content Subscriptions  Split by 8 Key Regions 2011-2016...................................... 108

4.4.1 Combined Download and Content Subscriptions Forecasts..................... 109

Figure 4.9: Total Revenues from Healthcare and Medical Apps  Split by 8 Key Regions 2011-2016..................... 109

Table 4.9: Total Revenues from Healthcare and Medical Apps  Split by 8 Key Regions 2011-2016.............. 109

4.5 Tablet App Forecasts........................ 110

Figure 4.10: Tablet App Methodology................ 110

4.5.1 All Healthcare and Medical App Downloads, Tablets........................... 110

Figure 4.11: Medical App Downloads (Tablets) Split by 8 Key Regions 2011-2016....................... 111

Table 4.10: Medical App Downloads (Tablets) Split by 8 Key Regions 2011-2016..................... 111

Figure 4.12: Revenues (m) from Healthcare and Medical App Downloads (Tablets)  Split by 8 Key Regions 2011-2016............................................... 112

Table 4.11: Revenues (m) from Healthcare and Medical App Downloads & Content Subscriptions (Tablets) Split by 8 Key Regions 2011-2016................................................. 112

4.6 Conclusion............................... 113

Extra Info

Aberdare Ventures, Accel Partners, Ameba, Android, Apple, Asop Louie Partners AT&T, BainCapital Ventures, Bosch Healthcare, Cambridge Temperature Concepts, CardioNet, Chrysalis Ventures, ConnectedHealth, Continua Health Alliance, Corventis, Doro, Dossia, ecardio, Entra Health Systems, EpiSurveyor, Epocrates, Ericsson, France Telecom, Getjar, Google, Gre, Greylock Partners, Healthragious, Johnson & Johnson, Kaiser Permanente, Kore Telematics, LifeScan, LifeWatch, MedApps, mHealth Alliance, Microsoft, Microsoft HealthVault, Mixi, Mobage, Mobisante, Mohr Davidow, Morganthaler Ventures, Nokia, O², Orange, Physic Ventures, Qualcomm, Research In Motion, SIMpill, Telcare, Telecom Italia, Telefonica Group, Telenor, Tencen, Tolven, Venrock, Founders Fund, Vodafone, Voxiva, WellDoc, World Health Organisation, ZigBee