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Global Telehealth Market (2014-2022)
December, 2017
Sample pages
Chapter 1: Executive Summary
3
1.1 Market Scope and Segmentation
Glo
bal
Te
leh
ealt
h M
arke
t
Segments Sub-segments
By Technology
By Application
Remote Patient Monitoring (RPM)
mHealth
Video Telemedicine
Teledermatology Teleradiology Telecardiology
TelepathologyOthers – Teleaudiology
Teleopthalmology
North America
Europe
Asia Pacific (APAC)
Latin America (LATAM)
Middle East and Africa (MEA)
By Region
4
1.2 Key Questions Answered in This Study
Tele
he
alth
Mar
ket
What is the market scope and segmentation of the globalTelehealth market?
What is the market revenue of the global Telehealthmarket?
What are the drivers and challenges of the globalTelehealth market?
What are the market trends that are instrumental in thegrowth of the Telehealth market?
What are the contributions of different technologies to therevenue of the Telehealth market?
What are the contributions of different application areas tothe revenue of the Telehealth market?
What are the drivers of the sub-segments of the globalTelehealth market?
What is the regional scope of the global Telehealth market?
What are the drivers for the regional segmentations of theglobal Telehealth market?
What are some of the major companies and market sharesof the global Telehealth market?
Which are some of the start-ups in the Telehealth market?
This market faces challenges too which pose as major obstacles to success. Significant challenges include -• High installation charges• Lack of reimbursement policies• Problems in practice regulations and licensing and• Technology spread
The significant trends observed in the Telehealth market scenario, which further helps in driving themarket are –• EHR Integration• Patient Data Collection and Data Analytics to Increase• Increased Reimbursement and Payment Opportunities• International Arrangements• Clinical Apps and• Common Software Platform
Prevalence of chronic diseases requires continuity in treatment and many patients are unable to make regular visits to hospitals because of their poor health conditions. So incidence of chronic diseases, serves as a major driver for the Telehealth market. Other key drivers are as follows -emergence of mobile health hubs, advancement of technology and expected growth in wearable technology.
Telehealth is the combined usage of medical devices and communication technologies to diagnose, evaluate and monitor diseases and symptoms. The global Telehealth market is estimated to be worth USD XX.XX bn in 2022 from USD XX.XX bn in 2016, growing at a CAGR of XX.XX%.
5
1.3 Executive Summary - I
Ove
rvie
w
Trends
XXXX
XX
2014 2017 2022
USD BN
Chapter 2: Market Overview
Telehealth is the result of a gradual shift ofhealthcare to digital health solutions and systems.But what needs to be understood is that telehealthis not a single solution and instead is a platformthrough which many solutions can be accessed. It isa horizontal platform that is involved in allhealthcare delivery modalities.
2017 Consumer Telehealth Index survey: Compared to 17 million in 2015, 50 million
consumers would want to switch providers to one that offers telehealth in 2017, in the U.S.
7
Global Market Overview
Global Historical Market Revenue (USD bn) Global Forecasted Market Revenue (USD bn)
CAGR (2014-2017): XX.XX%
2022 – XX.XX2017 – XX.XX
2022 – XX.XX2017 – XX.XX
2022 – XX.XX 2017 – XX.XX
Geography Wise Market Revenue (USD bn)
No
rth
Am
eri
ca
Euro
pe
Asi
a P
acif
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Lati
n A
me
rica
MEA
Telehealth services imply the combination of using medical devices together with communication technology. It connects the patients with their respective doctors through wireless mediums to evaluate, analyze and monitor health conditions of patients without physically visiting the doctor. There is an increasing demand for a change in Healthcare processes to efficiently handle the prevalence of chronic diseases, ailments of the aging population and rising expenses. Telehealth provides an attractive solution to these challenges, increasing the quality of care while reducing overall healthcare costs. The global Telehealth market is estimated to be worth USD XX.XX billion in 2022 from USD XX.XX billion in 2016, growing at a CAGR of XX.XX%.
CAGR (2017-2022): XX.XX%
2017E 2018 2019 2020 2021 2022
2022 – XX.XX2017 - XX.XX
2022 – XX.XX2017- XX.XX
2014 2015 2016
Key Highlights
8
2.3 Global Market - Drivers & Challenges
Healthcare spending is on the rise and one of the primary reasons for this is the
prevalence of chronic diseases. People suffering from severe illnesses have to
maintain continuity in care and visit hospitals frequently for routine check-ups.
The incidence of multiple chronic ailments is only growing. With the use of
telemedicine, healthcare costs can be lowered considerably, as it provides
continuous care and monitoring to patients without having to pay visits to the
hospitals/clinics, identifies early symptoms, responds promptly to
exacerbations in their illnesses and offers a diagnosis. The prevalence of chronic
diseases drives this market upwards.
The rapidly aging population is leading to a significant increase in the need for
care and welfare. Through remote consultation, diagnosis and treatment
facilities provided by telehealth, the elderly get the feeling of reassurance and
safety just by sitting at home.
Improvement of healthcare infrastructure can attract more funding and
investment which help in the growth of new technologies like Telehealth
services. The emergence of mobile health hubs would reduce the cost of
telehealth while increasing the overall value proportions.
DRIVERS CHALLENGES
Reimbursement from telehealth is not adequate in the fee-for-service system and is
limited to certain institutions, non-metropolitan areas, and some current procedural
terminology (CPT) codes. Much of these restrictions arise from the fear of
exploitation of the health care system by the providers or overutilization and it drives
up the healthcare costs. There is not much evidence about managed care
organizations using telemedicine to control costs. So, reimbursement is cited as a
barrier to telemedicine.
Nowadays, there are multistate telemedicine systems and multistate practices.
Licensing is becoming a significant barrier as most major healthcare providers are
moving into a national system. Several state medical boards require a consultation in-
person, before initiating the telemedicine services. Practice regulations may be an
even bigger issue. The American Medical Association had proposed a resolution to
the same effect, and a federal legislation has also been proposed. Telemedicine also
encounters obstacles with traditional regulatory bodies like the Food and Drug
Administration(FDA), the FCC and even with Section 1834(m) of the Social Security
Act, which limits the use of telemedicine to specific providers.
A lot of technology companies are entering the Telehealth market because it is
financially lucrative, even though they lack the relevant expertise. New technologies
are developed but implementation and service are lacking.
9
2.4 Global Market Trends
EHR IntegrationThe use of different types of EHRs by healthcare providersto integrate electronic records with Telemedicine isbecoming the practice. With an increase in provider-to-provider telemedicine consultations, the need for patients'EHRs to be available seamlessly to all involved clinicians -whether between provider organizations or within a singlehealthcare organization - would also increase.
Patient Data Collection and Data Analytics to IncreaseDuring telemedicine sessions, telemedicine services are used tocollect the patient information automatically. Data analyticstools are utilized to analyze patient information. These toolshelp in gaining more insight from the call in terms of thedisease, medicines used, patient conditions, and symptoms,which in turn help in better diagnosis and enhanced sessionquality for future calls
Increased Reimbursement and PaymentOpportunitiesMany healthcare plans have started includingtelemedicine. The coming years will see morecoverage plans for the healthcareorganizations managed by Medicaid. Apartfrom the traditional fee-for-servicereimbursement, healthcare professionals arebecoming more open to using newer paymentmodels.
International ArrangementsThere will be a rise in the number of hospitals andhealthcare providers, in the coming years, who willconnect with international medical institutions, thusglobally spreading their healthcare expertise. Theseoverseas tie-ups will provide greater access to morepatients and help bolster international brands aswell as generate additional income.
Clinical AppsHealthcare professionals require telemedicinesessions which would give a seamless experience forboth the healthcare provider and the patient. Appsare developed, keeping consistency with the standardnorms and procedures and have the flexibility toadjust to the way in which information is displayedand used by the physician.
Common Software PlatformHealthcare organizations increasingly require anenterprise-wide telemedicine platform that supportsmultiple healthcare sessions. The advantages of having acommon platform are as follows: a single user interface,single vendor, training material and applications which cancalculate and provide statistical information, irrespectiveof the medical condition.
10
2.5 Telehealth – Value Chain
Manufacturers/Suppliers
Providers
End-users/Patients
Payers
Medical Services
Insurance Premium/
Taxation
Reimbursement
• Caregivers• Consulting Firms• Hospital/Health Systems• Physicians• Pharma
• Medicare Services• Medicaid Services• Unions• Pharmaceuticals
The manufacturers produce the product/service and send it to
providers or patients.
The healthcare personnel provide medical services
to the patients .
The payers receive insurance premium or
taxes from the patients and reimburse
providers.
Mercy Hospital in St. Louis created the Mercy Virtual Care Center, a USD54 million facility staffed entirely by providers who evaluate patients remotely. Aerotel Medical Systems was awarded the prestigious 2016 European Telehealth and Telecare Solutions Market Leadership Award, as a leading global vendor of
advanced remote patient monitoring solutions by Frost & Sullivan.
Key Takeaways
11
2.6.1. Market Overview - North America
Growth Drivers
North America CAGR (2014-2022): XX.XX%
Market revenue (USD bn)
Challenges
Major Trends
Top companies are expanding in this market byacquiring other companies. Some companies adoptproduct innovation and new product launches as itsprincipal business strategy to ensure its dominancein this market. Some of the key players areMcKesson Corporation, Medtronic Inc., HoneywellLife Care Solutions.
There is increasing adoption oftechnologies like Push-to-Talk (PTT), Tele-Wound Care and Pervasive Video.
Patient Protection and Affordable Care Act(PPACA)and other such reforms are boostingthe telemedicine market in the U.S.
The prevalence of chronic diseases is increasing the
need for services like Telehealth to maintain continuity
in treatment, since many patients are unable to pay
regular visits to hospitals owing to ill health.
High-speed internet facilities make the interaction a rich
experience on both ends. The increasing acceptance of
technology makes it easier to adopt new technologies
and implement them.
Advanced healthcare infrastructure provides a basis for
more investment in the healthcare industry and
technological innovations.
In the U.S., the driving factors are the implementation of
the Affordable Care Act (ACA), and increasing funding
for telehealth. The growth of telehealth in Canada is due
to rising healthcare expenditure, and growing number of
events and conferences that are generating awareness
about Telehealth services.
2014 2015 2016 2017E 2018 2019 2020 2021 2022
• Reimbursements are limited, despite someof the changes made by CMS (Centre forMedicare and Medicaid Services) regardingaccepting and reimbursing e-visits andtelemedicine consultations.
Chapter 3: Major Segment Overview – By Technology
13
3.1 Major Segment Overview - Global
Overview - By Technology
Market Share (2014, 2017 & 2022)
Re
mo
te P
atie
nt
Mo
nit
ori
ng
mH
eal
th
Vid
eo
Te
lem
ed
icin
e
Remote Patient Monitoring (RPM) makes use ofdigital technologies to collect medical and othertypes of health data from patients at onelocation, and electronically transmit thatinformation through a secured process to healthcare professionals at a different location forevaluation and diagnosis.
RPM dominated the technology segment with aXX% market share in 2014 and will continue tobe so through 2022.
mHealth (mobile health) is the use of mobilephones and other wireless technology in medicalcare to provide information to consumers aboutpreventive health care services. mHealth is alsoused for disease surveillance, treatment support,epidemic outbreak tracking and chronic diseasemanagement.
mHealth holds the second largest share with asignificant CAGR of XX.X% through 2014-2022.
Video telemedicine is the systematicblend of information technologiesand telecommunication in asynchronized manner to providehealthcare services even at a distantplace.
Video Telemedicine contributes theleast market share to telehealthwith a considerable CAGR of XX.X%.
XX% XX% XX%
2014 2017 2022
CAGR (2014-2022): XX.X%
Remote Patient Monitoring – Global Revenue(USD bn)
2014 2017 2022
CAGR (2014-2022): XX.X%
mHealth – Global Revenue(USD bn)
2014 2017 2022
CAGR (2014-2022): XX.X%
Video Telemedicine – Global Revenue(USD bn)
XX% XX% XX%XX% XX% XX%
2022 USDXX.XX billion
14
3.2.1. Segment Overview – North America
Revenue Contribution By Technology – North America
RemotePatientMonitoring
mHealth
VideoTelemedicine
2017USDXX.XX billion
Key Highlights
RemotePatient Monitoring
mHealth
Video Telemedicine
mHealth records highest CAGR of17% followed by VideoTelemedicine with 15% during theforecast period 2017-2022.mHealth will grow at a averagerate till 2020, after which theirwill be a surge in growth due toimproved telecommunicationnetworks .RPM holds largest share of 65% in2014.
Increased use of smartphones, the growth of 3G and 4G networks and the elderly population are the primary drivers of the growth of the North America mobile health market.
Advanced healthcare IT infrastructure in the region along with high adoption of telemedicine by the healthcare providers as well as the patient community serve as primary drivers for Video Telemedicine market.
High incidence of chronic diseases, increase in elderly population, demand for home-based monitoring devices and the need to reduce the average healthcare expenditure drive this market. With the introduction of new regulations, hospitals face penalties for excessive readmissions and will have to minimize the duration for
which patients stay.. This will be the most important driver for the Remote Patient Monitoring(RPM) segment.
Major Drivers – North America
Chapter 4: Major Segment Overview – By Application
16
4.1 Major Segment Overview - Global
Overview - By Application
Market Share (2014, 2017 & 2022)
Tele
de
rmat
olo
gy
Tele
rad
iolo
gy
Tele
card
iolo
gy
Cardiac medical information istransmitted through interactiveor non-interactive audio-visualmedia to facilitate consultation,second opinion, expert opinion,medical procedure, etc.
Telecardiology will dominatethe application segment in2022 with XX% market share. Te
lep
ath
olo
gy
Biopsies can be cut, stained,scanned, magnified and sentdigitally during an operation. Apathologist can evaluate theslides remotely in real-time andprovide the surgeon withimmediate diagnosis.
Telepathology holds the leastshare throughout 2014-2022,out of the four mentionedsegments with XX.X% CAGR.
Teledermatology is used forvarious aspectsof dermatology, deliveredusing modern information andcommunications technology(ICT).
This segment held the largestshare in 2014 with the lowestgrowth rate.
Radiological images can be sentfrom one location to another.Through teleradiology,interpretation of all noninvasiveimaging studies, such as digitized x-rays, CT, MRI, ultrasound, andnuclear medicine, studies arecarried out.
Teleradiology contributes thesecond largest share with amedium CAGR OF XX.X%.
XX% XX%
2014 2017 2022
CAGR (2014-2022): XX.X%
Teledermatology –Global Revenue(USD bn)
2014 2017 2022
CAGR (2014-2022): XX.X%
Teleradiology –Global Revenue(USD bn)
XX% XX%XX% XX% XX%
2014 2017 2022
CAGR (2014-2022): XX.X%
Telecardiology –Global Revenue(USD bn)
XX%XX% XX%
2014 2017 2022
CAGR (2014-2022): 17%CAGR (2014-2022): XX.X%
Telepathology –Global Revenue(USD bn)
XX%XX%
2014 2017 2022
Others –Global Revenue(USD bn)
XX% XX% XX%
Oth
ers
Others includeteleaudiology andteleophthalmologyapplications.
This subsegment holds aconsiderable CAGR OFXX.X%.
CAGR (2014-2022): XX.X%
17
4.2.1 Segment Overview – North America
Revenue Contribution By Application – North America
23%
24%
26%
17%
10%Teledermatology
Teleradiology
Telecardiology
Telepathology
Others
2022 USDXX.XX billionTeledermatology
Teleradiology
Telecardiology
Telepathology
Others
2017 USXX.XX billion
Healthcare spending in North America is projected to grow annually at an average of 4.9 % in the period 2016-2020, which will facilitate the growth of Teledermatology in the coming years.
Advanced digital healthcare infrastructures, the rising prevalence of
some cancers, integration of teleradiology services in the workflow
of numerous medical imaging service providers, and high awareness
among the public, drive the market in this region.
Heart and coronary heart disease account for one in four deaths in America. The aging population and increasing pediatric heart diseases have led the healthcare service providers to introduce innovative solutions for the treatment of Cardio Vascular Diseases.
Continuous R&D investments, government support through initiatives for development of advanced technologies, increasing adoption of digital imaging and the presence of key companies are the contributing factors for the growth of telepathology.
Major Drivers – North America
The sub-segments show lineargrowth trends.Telecardiology occupies thedominant share in the applicationsegment, growing at a CAGR of12% (2017-2022).Telepathology displays thehighest CAGR of 17% during 2017-2022 due to significantinvestments during this periodand continuous governmentsupport.
Key Highlights
Chapter 5: Competitive Landscape
18
19
5.1.1. Company Overview – McKesson Corporation
Company snapshot
Key numbers
Product/Services
Growth Strategy
Other major Initiatives/highlights
McKesson works with all types of healthcare organizations and helpsthem to control costs, improve efficiency and quality. The companysupplies the industry with the support, resources, and technologyneeded to create new standards and provide better healthcare.Founded: 1833Headquarters: San Francisco, California, United StatesEmployees: 68000 (2016)Revenue: USD198.5 billion (MAR’2017)Website: www.mckesson.com
•Medical Supplies•InterQual•Electronic Health Records•Paragon•iKnowMed•Revenue Cycle Management•Health Mart•OneStop Generics Purchasing•Plasma and Biologics Distribution•Pharmacy Management Software& Services
• Bristol-Myers Squibb and the US Oncology Network, a McKessonsubsidiary, entered a clinical trial agreement, helping to bringprogress to the study of cancer.
• Texas Oncology, an affiliate of The US Oncology Network, achieveddouble-digit growth rates, continuing to thrive as an independentcommunity oncology provider.
• To improve patients’ health through better medication adherence,Rex Health Mart Pharmacy implemented a new medicationsynchronization program, while also achieving a 20% store growth.
• Canada• Ireland• U.K.• New Zealand• Europe
• In 2017, the formation of Change Healthcare was a significant step for thecompany. They are creating a new healthcare information technologycompany on a different scale to serve payers, providers, and consumers.While emphasizing on core distribution, retail and physician servicesbusinesses, and complementary technology businesses, they upheld theformer Technology Solutions businesses for investment and stronger growthover the long run.
• Within their Distribution Solutions segment, McKesson remains committed tothe technology businesses that support pharmacy and specialty care, andexpects robust growth in those markets.
• Net Income : USD5.07 billion• Profit Margin (%): 2.55%• Gross Margin (%): 6%
• USD1.3 billion acquisition ofCoverMyMeds was a significant newaddition and expanded their valueproposition.
• Health Mart banner opened several newstores (in hundreds) and brought the totalnumber of independent pharmacies tomore than 4,800 in the Health Martnetwork.
Chapter 6: Telehealth Startups
20
Dhruv SuyamprakashCEO
• Dhruv Suyamprakasam and Dr. Madathupalayam Madhankumar launched iCliniq.
• The company provides on-demand consultation services through chat queries, video and call consultation. It is believed, that they have 1200 doctors on board globally with 145,000 patients across 160 countries. According to MrSuyamprakash, the key to this success has been an equal emphasis on both technology and healthcare aspects of the model. Currently, 29% of the fee is retained as a platform charge by the company, and the rest is passed on to the concerned doctor.
• The company achieved breakeven in 2015 with USA, UK and the Middle East as the major markets.
• To progress on its plans of building a fast AI driven query response system, and to take its product to more users, iCliniq is now looking to raise Series A.
Categories: Healthcare, mHealth, WellnessFounded In: 2010Founder: Dhruv SuyamprakashOperating Status: ActiveFunding Status: SeedLast Funding Type: AngelNumber of Employees: 1-10Total Funding Amount : undisclosedCB Rank (Company) : 89,040
Coimbatore, Tamil Nadu, India
Telehealth Startups – iCliniq, Babylon
Ali ParsaCEO
• Founded in 2013, London based start-up Babylon took in a total funding of USD 85 million, of which, USD 60 million was raised in just a month.
• Babylon’s ambition is to offer quality healthcare services to anyone anywhere with access to smartphone. Only British residents can avail Babylon’s paid services (Ireland residents have an option too).
• Babylon’s AI-powered clinical diagnosis capabilities would be scaled by using the recent funding. Babylon’s smartphone app helps to consult with a doctor anytime, describe symptoms and deliver an accurate diagnosis. All this while, machine-learning works behind the scenes, analysing millions of combinations of symptoms without delay.
Categories: Health Care, mHealth, Artificial Intelligence, HospitalFounded In: 2013Founder: Ali ParsaOperating Status: ActiveFunding Status: Early Stage VentureLast Funding Type: Series BNumber of Employees: 101-250Total Funding Amount : 85,000,000CB Rank (Company) : 1,531
London, England, United Kingdom
65
Chapter 8: Appendix
Appendix
Table 4: North America - Segment by Technology (2014 – 2022) value in USD bn
23
2014 2015 2016 2017 2018 2019 2020 2021 2022
Remote Patient Monitoring
XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX
mHealth XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX
VideoTelemedicine
XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX
North America XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX
List of Tables
Appendix
Table 5: North America - Segment by Application (2014 – 2022) value in USD bn
24
2014 2015 2016 2017 2018 2019 2020 2021 2022
Teledermatology XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX
Teleradiology XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX
Telecardiology XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX
Telepathology XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX
Others XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX
North America XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX XX.XX
List of Tables
Appendix
25
Assumptions
• In this study, telehealth and telemedicine are used in the same context.
• All revenues stated in this report are expressed in terms of US billiondollars.
• A number of demographic factors such as prevalence of chronicdiseases, population growth, rise in geriatric population, etc. havebeen taken into consideration.
• No significant new competition has been considered while forecastingthe market.
• No unexpected changes in the external factors have been consideredthat could change the global scenario of the market in the future.
• No major technological development has been taken intoconsideration that may replace the telehealth procedures in thecoming years.
• The inflation rate has not been taken into consideration whileforecasting the revenue.
Appendix
26
Research Methodology
The study begins with identifying the right research question(s). The question depends on what we are going to achieve by conducting the research or what we wantto convey to the prospective customers through this research. Next we identify the logical steps to arrive at the answers to the question(s). These logical steps formour research objectives. The research objectives provide us a guideline regarding what information we need to conduct analysis. We strongly believe that clearobjectives will lead to clear results about the given market
The next stage of the research is conducted utilizing the secondary sources of information, process called desk/secondary research. Netscribes Inc. has a considerablevolume of information in both quantitative and qualitative forms, across all major industries and its sectors. Also, we conduct in-depth study of the market,understanding its key stakeholders, drivers, trends, challenges and opportunities globally covering major regions such as North America, Latin America, Europe, AsiaPacific, and Middle East & Africa. The key sources consumed for these research include (but not limited to) the following: Financial reports published by the key market players Government and other official sources including the National Statistics National and International trade associations Paid databases Other reliable sources
Primary research complements the secondary research as it helps us to gain insights from the industries directly by communicating with the senior executives, keyopinion leaders and independent consultants who are experts in their industries or specific industry sectors. Such interviews are conducted across the value chain ofthe market in question. A survey questionnaire is usually prepared for conducting any primary interview or survey. The questionnaire is developed with utmost care tofulfil the key research objectives and also to validate the assumptions about the market. This supplements the information otherwise unaddressed via secondaryresearch. The primary data collection is done by expert interviewers who have specific industry knowledge. Linguists are hired to conduct interviews in therespondent’s native language. Only paid interviews are conducted to incentivize the respondents and ensure that there is no shift of focus. Some of the primaryresearch methods applied at Netscribes include the following: In-depth Interviews Executive Interviews Expert Panels
The qualitative and quantitative findings from the above stages are brought together by specialists to perform a rigorous analysis. The regional market trends, drivers,and opportunities obtained during the analysis is compared with regional economic indicators, sector growth rates, population index, etc. to ensure the dataconsistency. After ensuring the consistency, these historical and present indicators help us to understand how the market will perform in future. Our proprietaryforecasting model factors in all these indicators to predict the future market accurately.
Appendix
27
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