The Global Transformation of Healthcare:

The Global Tilt and Rethinking Your Role

Medical Technology

. Mercus Evans Medical Device

Summit @ Trump Doral

December 8, 2014

Thomas M. Loarie, Executive Chairman

2 12/23/2014

eMedonlineMedication Therapy Management

3 12/23/2014

• Designed from the patient out

• Value propositions

• Proven behavior change

• Data and analytics

• Scientifically based (Parks)

• 98% Compliance

• 10 controlled clinical studies

• Managing patients taking up to 27 meds/day

1. Exponential Technology

2. The Global Tilt

3. Globalization

4. Distributed Healthcare Delivery

5. Impact on Future Medtech

6. What Does This Mean for You?

4 12/23/2014

Road Map

5 12/23/2014

6 12/23/2014

Impact of Virtual Currency

7 12/23/2014

1. Exponential Technology

2. The Global Tilt

3. Globalization

4. Distributed Healthcare Delivery

5. Impact on Future Medtech

6. What Does This Mean for You?

8 12/23/2014

Road Map

9 12/23/2014

Geopolitical Shift

10 12/23/2014

DdDemographic Shift

P. 11

12/23/2014

Buying Power Shift

12 12/23/2014

Turtles

13 12/23/2014

The Changing Commercial

Landscape

14 12/23/2014

15 12/23/2014

Industries Plagued by the Most

UNCERTAINTY

16 12/23/2014

1. Exponential Technology

2. The Global Tilt

3. Globalization

4. Distributed Healthcare Delivery

5. Impact on Future Medtech

6. What Does This Mean for You?

17 12/23/2014

Road Map

18 12/23/2014

19 12/23/2014

DistributionIntellectual Know-How

U.S. Based > Research Centers in

China

20 12/23/2014

China based > U.S. Presence

21 12/23/2014

Globalization of Delivery

22 12/23/2014

Not Limited to US Players

23 12/23/2014

China Opens Pharmacy Market

24 12/23/2014

Destination Medicine

25 12/23/2014

Destination Medicine

AKA Medical Tourism

26 12/23/2014

1. Exponential Technology

2. The Global Tilt

3. Globalization

4. Distributed Healthcare Delivery

5. Impact on Future Medtech

6. What Does This Mean for You?

27 12/23/2014

Road Map

28 12/23/2014

29 12/23/2014

Unabated Growth of Healthcare $$$

30 12/23/2014

31 12/23/2014

25 %

25 %Of Costs

32 12/23/2014

33 12/23/2014

Emerging Delivery Models

34 12/23/2014

35 12/23/2014

36 12/23/2014

37 12/23/2014

1. Exponential Technology

2. The Global Tilt

3. Globalization

4. Distributed Healthcare Delivery

5. Impact on Future Medtech

6. What Does This Mean for You?

38 12/23/2014

Road Map

39 12/23/2014

Generic Therapeutic DevicesFrugal Development & Manufacturing

40 12/23/2014

Threat to

Legacy

Margins

41 12/23/2014

D-Rev Non-profit medical product development company

42 12/23/2014

Designs and delivers products for people living on

less than $4 a day.

New Entrants

43 12/23/2014

Google’s New Moonshot: Healthcare

44 12/23/2014

eHealthPredicting Asthma Attacks

45 12/23/2014

1. Exponential Technology

2. The Global Tilt

3. Globalization

4. Distributed Healthcare Delivery

5. Impact on Future Medtech

6. What Does This Mean for You?

46 12/23/2014

Road Map

47 12/23/2014

Shape Your Identity or It Will Shape

You

48 12/23/2014

49 12/23/2014

EXPLORE

Global Experience

50 12/23/2014

“What is the Meaning of Your Life?

The World is Asking You That Question…”

- Viktor Frankl

51 12/23/2014

52 12/23/2014

“What is the Meaning of Your Life?

The World is Asking You That Question…”

- Viktor Frankl

53 12/23/2014

Clayton Christensen, Phd