@RxAppsConfidential

Developing customizable smartphone and web applications for doctors to personalize patient engagement in

chronic care situations.

@RxAppsConfidential

The Inspiration

Mom

@RxAppsConfidential

Doctors miss things by no fault of their ownMedications do not work by themselves

The pattern – Repeated in College

@RxAppsConfidential

Treatment Follow Up is inconsistent

60% of Patients adherent at 3 months

43% Adherent at 6 months

Only 20% make recommended follow up appointments during first 3 months

~50% Overall Adherence Long Term

@RxAppsConfidential

IMAGINE A NEW CARE CONTINUUM…

@RxAppsConfidential

Doctor gives diagnosis and ‘prescription’ to set up account

@RxAppsConfidential

Profile – Set up by PatientWeb

(S)

@RxAppsConfidential

Use Walkthrough

Customize Prompt and Respond View History

@RxAppsConfidential

OR

Built in logic

Please reach out to an emergency contact:Mom: 617.555.5656Robert: 917.665.7272Emergency: 911

Normal, Healthy

Irregular, Alarming

@RxAppsConfidential

Doctor can monitor in real time and easily reach out; change questions on the fly

@RxAppsConfidential

Provider Dashboard and Registry

Patients will eventually be prioritized based on severity of condition at last check in (trending patterns also taken into account)

@RxAppsConfidential

80% of patients in weekly communication with care team had medication changed

within 60 days vs 15% in treatment as usual

Better Treatment

Treatment Adjustment and Medication Adherence for Complex Patients With Diabetes, Heart Disease, and Depression: A Randomized Controlled TrialLin, EHB, et al. (2012) Annals of Family Medicine 10:6-14.

@RxAppsConfidential

“Doctor engagement outside of care setting increases adherence by 33%”

Better self-management

@RxAppsConfidential

Over $28 B in savings for MH Alone

*

*

*

Improved QOL, Management of other Conditions

@RxAppsConfidential

Accountable Care Organizations (ACO) want Monitoring

MonitoringPredictive Analytics

Simple, Intuitive interfaces

@RxAppsConfidential @RxAppsConfidentialPrescribable Apps

HITECH/EMRsTech Reform Mobile

ACO/PPACAPayment Reform

Market factors aligned for the first time

@RxAppsConfidential

Benefits of Use Patients

Higher quality of life Providers and Concierge Care Systems

Competitive advantage Opportunity for increased revenue

Large Hospital Systems (ACOs, IDNs) Population management Shared Savings Program quality reporting

@RxAppsConfidential

Revenue: Per member per month subscription

Scenario 1 – Focus:Only past inpatient/ED history

At $10/mo: $36,000,000/yearProviders: +$12,000,000/year + SSP bonuses

Scenario 2 – Volume:All Patients Receiving Treatment

At $5/mo: $93,000,000/yearProviders: +$18,600,000/year + SSP bonuses

Calculations based on 5 large provider systems

@RxAppsConfidential

5 ‘Dream’ Customers, ~1.6 Million Users Paul Sherman, Med. Dir. at Group Health

Board President of Seattle Counseling Service, 660k covered lives Tom Sequist, CDO at Harvard Vanguard/Atrius

Researches quality improvement and under-represented demographics, 1 M covered lives

George Isham, Med. Dir. at HealthPartners Board of ICSI and NCQA, 1.4 M covered lives

Martha Wofford, VP at AETNA Head of Consumer Platform, 13 M covered lives

Alfred Fortin, SVP at HMSA mHealth Enthusiast, 600k covered lives

@RxAppsConfidential

Competition

Customizable Mental Health

Social Community

Physician Dashboard Education

?

Care Mgmt Companies

Emerging market, so not much yet. And no one focused on MH

@RxAppsConfidential

The Ask Funding: $500k for next 12 months

Q2 2012 Q3 2012 Q4 2012 Q1 2013

HIPAARedeploy

Private Provider

TrialBU Focus

Group

EnterprisePartner/

Customer

SocialCommunityDeployed

Build…

500k 500k

@RxAppsConfidential

Team

John Moore III, CEO Former genetics scientist Organizer, Boston Health 2.0

Chapter Elio Maggini, CTO

Multi-startup CTO Successful exits to Google and

Nokia; Visual VM for VZW Christopher McDonald, CFO

Back end developer Corporate financial analyst, RBS

John Moore Jr. Leading Healthcare IT analyst Idea originator and lead mkt

advisor

Chris Stakutis Patient engagement research at CA

Tech Hospital software sales executive at

Patient Keeper Anne Whitman, PhD

Founder, Cole Resource Center at McLean Hospital

Leading patient advocate Sarah Lord, PhD

Director, Center for Technology and Behavioral Health at Dartmouth Psychiatric Research Institute

Thor Bergerson, MD Owner, ADHD Boston Director, Hallowell Center New York

Founders Advisors

@RxAppsConfidential

Advancing treatment outcomes for chronic illness

Email: john3@PrescribableApps.comTwitter: @RxApps

“This could help us immensely with our quality payments.”

-CMO, Pioneer ACO

“If outcomes can be improved, this is a goldmine.”

-CEO, Carve-out payer

“Better management of mental health population? Yes, we need that.”

-VP, Safety-net system

@RxAppsConfidential

BACKUPS

@RxAppsConfidential

80% of patients in weekly communication with care team had medication changed

within 60 days vs 15% in treatment as usual

Better Treatment

@RxAppsConfidential

“Doctor engagement outside of care setting increases adherence by 33%”

Better self-management

@RxAppsConfidential

Mobile offering adoption by large providers

MU MU Stage 2 Convenience and Loyalty

ACO Year 1: Quality reporting

ACO expansion; Year 2: Quality based payment

Quality MonitoringPreventive Engagement

Messaging and acce

ss

mPHR and Appointment

Scheduling

EHR

ACO/PCMH Model

Now: Time to Act

Adop

tion

@RxAppsConfidential

Expansion

2012

2017

@RxAppsConfidential

Vassar: Neuroscience

Post-undergrad: 2.5 years research at MGH, NIBR – not for me

Post-research: MA2 and RVL Internships

1st Consulting Project: Health IT Market Overview for major VC

My Path to PrescribableApps2003

2011

@RxAppsConfidential

Mobile-web enabled

6

6

@RxAppsConfidential

Summary PrescribableApps is a patient-

provider engagement solution Patients will better self-manage

and doctors will provide smarter treatment

Payer systems are starting to invest in mobile offerings for competitive advantage (Aetna, Intermountain, Highmark, etc).

Very large (>$100 Bn) emerging market for accountable care organizations

6

@RxAppsConfidential

Vision: Platform for Connected and Continuous Care

6

“This could help us immensely with our quality payments.”

-CMO, Pioneer ACO

“If outcomes can be improved, this is a goldmine.”

-CEO, Carve-out payer

“Better management of mental health population? Yes, we need that.”

-VP, Safety-net system

@RxAppsConfidential

Patient Engagement Offerings Social community for

sharing experiences

Badges for continued engagement, acknowledgement

Educational resources, interactive videos

VIDEO SERIES

@RxAppsConfidential

Why this strategy will work:

4% return users on traditional static browsers, 40% return users with mobile web.

Doctor engagement outside of care setting increases adherence by ~33%

92% of US population owns a cell phone, and smartphone saturation is expected in 3 years

We are developing a prescribable behavioral intervention, which has never been done before

@RxAppsConfidential

What we’re looking for now: Funding: $500k for next 12 months

HIPAA compliance Integration with first EMR system Use cases for customers, strategics

Trial set up at BU, advisor can get us into rapid testing at Dartmouth

Advisors and Feedback Hospital administration connections, warm intros Go-to-market validation Algorithms/‘big data’ expertise Consumer advocate leader (Anne Whitman?)

@RxAppsConfidential

Market – Mental Health OnlyScenario 1 – Focus:

Only past inpatient/ED history$21 Bn, 6 Million Patients

5% Reduction of costs = $166 saved per pt/year5 Large Payers/Providers = 300,000 ptsAt $10/mo: $36,000,000/yearProviders: $12,000,000/year + SSP bonuses

Scenario 2 – Volume:All Patients Receiving Treatment

$113 Bn, 31 Million Patients

2% Reduction of costs = $72 saved per pt/year5 Large Payers/Providers= 1,550,000 ptsAt $5/mo: $93,000,000/yearProviders: $18,600,000/year + SSP bonuses

60% Margin$21.6 M

20% Margin$18.6 M

Assume cost is $4/pt per mo: