Affordable, personalized and better consultation with your general practitioner, anytime, anywhere, through a shared services of primary care
Healthcare as it should be
Two week wait period at private care versus up to four months at
government care (75% of population) Physicians don't know the patients, and have no information about their health data, risks and conditions
Lack of information results in diagnostic errors, and often requires extra time and money for unnecessary exams
On average, a recently graduated physician takes seven years to create a patient portfolio
There are 90,000 general practitioners under 40th that could cover more than 50%
of the Brazilian population if an appropriate workload allocation method was used
In a search for a physician they know, patients turn to reimbursements, when such physician is not part of their coverage
Generally with reimbursed physicians, costs are higher and frauds are more frequent
In light of the above, payers are
introducing more and more services to their own service network and looking for best medical practices
Long Lines For
Healthcare
Doctors with no
Patients
Patients want
fidelity
Source: ANS / Internal Research
Source: CFM / Internal Research
Vitalbox allocates a General Practitioner (“Family Doctor”) for $6.00 / month (average)
Patients are able to visit their respective doctors within a week, even remotely
- An urgency fee is applicable for a same day visit Prior to the first medical appointment, patients are enrolled on a Personal Health Platform, on which all personal health data, risks, and previous medical appointments are recorded
- It allows for better diagnostics and reduces treatment costs
Join the market through Vitalbox’s sourcing platform
The physicians will have a platform to attend their patients, face to face or remotely, with up to date health records, risk assessments, and recommendations based on best medical practices
Offering a more cost effective health insurance plan to their customers by allocating an
exclusive General Practitioner, which will serve their patients following the best medical practices
Allowing performance compensations by tracking the ability of physicians to keep their patients healthy
Target monthly compensation R$16,300.00 Workload points to carry 1,806
Base compensation per point R$9.04 Avg subscribers needed 1,140 Avg consultation duration 15-20 min
Workdays/year 220
R$ 10,000.00 is the wage for a physician working for the government program "Mais Médicos".
Source: g1.globo.com
Patients
Vitalbox at Work
Source: ANS/Tabnet and IESS
Every year, 4.5 million individuals migrate from SUS to private services (approximately 3% of SUS population).
Invest to create a proprietary health services network Adjust patient flow by standardizing services and procedures on the extended network
To attend 1 million lives using Vitalbox approach, will be necessary around 1.000 physicians and will cost around R$190 million, a little less of the amount spent on consultations with the traditional method. In the other hand, if it reduces only 10% of waste, fraud and abuse, will represent R$ 80 million savings, considering the same population.
Consolidation Verticalization Innovation
Fail to reduce costs and be acquired
1 2 3
Alternatives Source: Internal research
Providers
Payers
U$1,00 = R$2.22
A considerable portion of the population uses a particular doctor to reduce waiting time.
Vitalbox 1 week waiting R$ 9.90 / month Unlimited visits R$118.85 / year 2 weeks waiting R$ 64,00 / visit 3.15 visits avg R$201,60/year Particular Opportunity 4 months waiting Free of charge Unlimited visits Low quality SUS
Preventive Care Primary Care Secondary Care Tertiary Care Quaternary Care
Primary care should be the first stop for symptoms that are new to an individual.
Primary care providers may be doctors, nurses practitioners or physician assistants
Secondary care means to be taken care of by a physician who has more specific expertise Secondary care deals with medical conditions that can not be handled by primary care
When a patient is hospitalized and needs a higher level of specialty care
Tertiary care requires highly specialized equipment and expertise
Quaternary care is considered to be an extension of tertiary care, but even more specialized and highly rare
Because it is so specialized, not every hospital or medical center offers quaternary care
Preventive Medicine is practiced by all physicians The goal is to promote health and well-being, and to prevent diseases, disabilities, and death
Sources: ACPM / Every Patient's Advocate
Where internet healthcare startups start patients flow in
Health System
Where general population usually looks
for a doctor
Where Payers realize that system will collapse due to
high costs
Healthcare system flow as it should be
Vitalbox allows for preventive and primary care leading to reduced costs for the payer and improved and personalized care for the patient
Service Target Customer $$$ Channel Features & Benefits
1 Personal Health Platform General Population- Available today
Free Enables services 2 e 6
B2C Internet
● Personal Health Records
● Health Risk Assessments
● Personalized alerts and recommendations
2
Preventive Services Subscription & Ad Hoc Reports (Epidemiological and Risk Population information)
Health Insurance, Self Funded Health Services - Available today $ 0,07 user/month B2B Direct Sales Self Service Internet
● Analytics tool with epidemiological data of the covered population targeting actions to reduce healthcare costs
3 Primary Care Platform General Practitioners- Available today
Free Enables services 4, 5 e 7
B2C Internet
● Electronic scheduling with data on patients' complaint
● Primary care platform supported by methodologies and protocols
● Remote consultation
4 Primary Care Assistance (General Population)
SUS population (government) - Dec 2014 $ 6,00 ( avg) user/month B2C Internet
● Unlimited access to a family doctor with small monthly payments
5
Primary Care Assistance (Health Insurance / Self Funded Companies) Health Insurance Companies - Dec 2014 $ 6,00( avg) user/month B2B Direct Sales
● Allocation of portfolios to the primary care sector following the UK model
● Elimination of fraud (duplicate receipts), and cost reduction on redundant tests and misuse of the system by applying appropriate guidelines and access best practices
● Clinical outcome control and performance assessment for general practitioners
6
Market Analysis Health Insurance and
Pharmaceutical Companies -2016 $ 170.000,00 unit B2B Direct Sales
● Comparative epidemiological data between populations
● Information on prescriptions and drugs actually consumed
● Health-related habits
7 Digital Rep (Drugs Promotion)
Pharmaceutical Companies -2016 $ 10,00 GP/month B2B Direct Sales
● Alternative method to drugs promotion at a cost 90% less than today
Personal Care Human API Continuous Care Epidemiological Analytics Primary Care General Practitioner Sourcing Clinical outcome & performance mgmt Remote Care Personally Controlled Health Records
To Be Released
Framework = Secret Sauce (TornPack)
Programming Languages = Python, JavaScript, PHP, Java Key-Value Data Store = Riak, Redis
NoSQL DB = MongoDB Infrastructure = Rackspace
Personally Controlled Health Record = Secret Sauce Cloud Connector = Secret Sauce (WebSockets) Message System = RabbitMQ
Analytics = Pentaho
Rules Management = Corticon CMS = WordPress
HRA = BioSignia
Relational DB = PostgreSQL
Strong development team + winning
technologies = world class solution
In the Market
Big Data Analytics &
Drugs Promotion
By crossing various market tendencies, we saw a big transformation in Brazil's healthcare sector
with the use of new technologies, which inspired Vitalbox as a healthcare aid that can be used
quickly by Brazilians, as well as citizens worldwide.
How did we get here?
Carlos Bassi
20 years of experience designing and selling information technology solutions for life sciences, consumer products and retail industries, serving the most respected companies
Quit SAP and sold other side business to concentrate on this startup
Leads overall company vision, product development and technology strategy. Eduardo Quevedo
Seasoned executive, with large experience on complex sales process and new business development
Quit SAP and reshaped his profile to concentrate on this startup Leads Sales, Alliances and Operations
Marcos Cacalis
Business executive with 28 years of experience in Information Technology. Previously as a Consulting Director at SAP, he was responsible for Premier Customers in Brazil. He has also strong experience driving best practices and innovation for Consumer and Retail companies. Board Member
Carlos Gomes
Seasoned senior executive and entrepreneur who co-founded iLab Sistemas (linear programming planning and optimization solutions), named iLab Solutions after had been acquired by Hexagon. Carlos also worked 11 years for SAP, having played global management roles.
Current
Upside Revenue U$ 20M Operating Income U$ 16M Operating Expenses U$ 16M What for? Hiring Launch Sales Operations2018
Burn Rate
U$1.5 Million
To deliver...50K Users from Health Plan 5K Users from general population
500K Personal Health Platform Free Users Revenue U$ 1.5 M
U$75K/Month
Raising Now
Dec 2014
Dec 2015
Shareholders
Outlook
Assumptions- 1M Primary Care Assistance users from Health Plan
- 100k Primary Care Assistance users from general population - 5M Personal Health Platform free users
Core Revenue
U$ 90M
Core Revenue Primary Care Assistance
Upside Revenue
Drugs Promotion (digital Sales Representative) Market Analysis
Affordable, personalized and better consultation with your general practitioner, anytime, anywhere, through a shared services of primary care