HEALTH INSURANCE INNOVATION 2018 AAM Investment Conference June 28 th , 2018 Anna Haghgooie Managing Director, Sandbox Industries
TODAY’S TOPIC: CASE STUDIES OF INNOVATIVE HEALTHCARE COMPANIES 2
• Start-ups are disrupting incumbents • Entrepreneurs Define the Future • Tapping into Innovation Through Investment 3
• Collaborative investment model with BCBS Plans • $575 million of capital from 33 BCBS entities across three funds • Portfolio of 39 companies • Sandbox is the exclusive provider of investment management services 4
CURRENT HEALTHCARE TECHNOLOGY AND SERVICES FUNDING ENVIRONMENT YOY FUNDING MOST ACTIVE TRENDS: 2017 5 Source: Startup Health Insights; Note: report based on public data on seed, venture, corporate venture, and private equity funding only
HEALTH PLAN MARKET LANDSCAPE REGULATORY TRENDS CONSUMER TRENDS – Shifting of Risk – Distribution – Risk Adjustment – Engagement – Alignment of Quality – Cost and Quality and Reimbursement Transparency HEALTH PLAN INNOVATIVE INSURANCE PRODUCTS TECHNOLOGY TRENDS CLINICAL TRENDS – Data Integration – Focused Care Management and Management – Primary Care Innovation – Analytics – Bundled Payments and – Precision Medicine and Episodes of Care Diagnostics – Care Anywhere – Cyber Security 6
CASE STUDY: 7
LUMIATA USES AI AND DATA SCIENCE TO PREDICT FUTURE STATE OF INDIVIDUAL OR POPULATION’S FUTURE HEALTH (COST, RISK, UTILIZATION) 8
LUMIATA 9
LUMIATA Applications: • Care Management - Influence health outcomes through proactive, prescriptive care • Risk Adjustment - Identify undocumented member conditions to maximize payments from ACA and Medicare • Cost Prediction - Predict spend/costs of patients and employer group plans for new and renewal business 10
CASE STUDY: 11
AXIAL USES A BIG DATA APPROACH TO NAVIGATING PAIN CARE AND THE OPIOID EPIDEMIC 12
MARKET SNAPSHOT +$300B Medical costs associated with pain care Medical costs incurred by health $72.5B plans because of non-medical use of opioids Increase in number of deaths due to +400% opioid overdoses from 2000 to 2012 with a total of 282 million opioid prescriptions written in 2012 10M Estimated number of people in the U.S. addicted to or abusing opioids. 13 SOURCE: Centers for Disease Control and Prevention
AXIAL: SUITE OF SOLUTIONS • Pharmacists and coaches • Could-based, flexible, • Fueled by data from to drive outcomes dynamic, solutions over 100 million people and 2.4 million • Engages with prescribers • Full suite of solutions to providers and patients support all stakeholders, Health Plan, Provider, and • Evidence-based • Service models are Patient guidelines needed to ensure impact from technology and • Continuous refinement tools and reassessment 14
AXIAL: SUITE OF SOLUTIONS 15
AXIAL: RESULTS 16
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