The Journal of mHealth Vol 1 Issue 6 (Dec 2014) | Page 31

Conference News and matching services to existing reimbursement mechanisms. Data presented during the session also highlighted a number of niche markets within the clinical solution segment that are likely to offer significant potential for future growth, these included: vital sign monitoring technologies, in vitro diagnostic devices/ solutions, and imaging. Speaking in the same session Jody Holtzman of AARP reinforced this need to consider which areas of the market are most likely to be able to pay for digital services. Holtzman presented AARP research that identifies how solutions that target certain aspects of the consumer digital health market have a much greater potential for success. For example, an emergency detection system may primarily target the elderly, but it will have a significant secondary market for younger family members or care providers who are looking for peace of mind. This obviously increases the market potential for adoption and ultimately revenue generation. Some of these growth sectors identified by Holtzman include: medication management, social engagement, physical fitness, ageing with vitality, care navigation, diet and nutrition, behavioural and emotional health, and emergency detection. Reimbursement Reimbursement will ultimately be a factor that ‘makes or breaks’ many patient facing mobile and digital health initiatives, particularly in the US market. In general there seemed to be optimism amongst delegates at the conference, following the recent announcements that CMS may look to begin reimbursing physicians who deliver home based chronic care management, remote patient monitoring of chronic conditions and other services provided via telehealth. It seems that the prospect of receiving significant financial compensation for deploying telehealth and remote monitoring solutions could encourage many physicians to rethink the use of these technologies. In his keynote speech Dr. Harry Leider the Chief Medical Officer and Group VP for Walgreens’ proposed that, in his opinion, solution developers need to look to payers as a key part of their market strategy, rather than simply targeting the consumer sector. In fact he went so far as to suggest that some of the predictions for growth in the consumer digital health market, particularly relating to wearable technologies were vastly overambitious, and unlikely to yield the expected returns. This sentiment of caution towards the so-called ‘consumer boom’ in digital health solutions, was echoed at other sessions during the event. Leider reinforced his remarks by suggesting that developers need to consider adopting strategic business models that can provide both conveniences in the market place as well as demonstrating genuine cost reductions for payers. He continued by saying that any tangible cost reductions need to be delivered within a 12 to 18 month window as people in the US tend to change care plans each year, resulting in a 20-25 per cent turnover rate. Therefore, health plans are unlikely to invest in solutions, like a health and Continued on page 30 The Journal of mHealth 29