Gemalto in the Electronic Healthcareat the heart of your healthcare system

Robert IsnardVP Government Programs

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Financials 2008

Innovation: 9 R&D sites worldwide 1,300 engineers 80 inventions first filed in 2008 Over 5000 patents

Global footprint: 17 production sites 30 personalization facilities 75 sales & marketing offices

Experienced team: 11,000 employees 90 nationalities 40 countries

€ 1.68 billion revenue€ 344 million net cash

Revenue by business segment

Gemalto in key figures

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Billions of people use our solutions each day

Illustrative and not an exhaustive list of Gemalto solutions

Over-the-air (OTA) Managed Services

Online Authentication Software & Services

Software Applications andNFC Solution & Services

Chip & Contactless Payment Cards

Mobile Subscription Management & Services

Two-factor Strong Authentication Personal Devices & Applications

Personalization Services Secure Software & Data Management

Secure e-Documents and Issuance Software

End-to-end Solutions for Government Applications

Crypto Password Generator

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World Leader in Digital Security

Markets in strong development

Unique technology portfolio

Blue chip customers Leading Provider of Secure Documents,

Identity Solutions & Services

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Drivers Operation cost reduction:

Automation of data capture (claim management, prescription…) Business process rationalization Electronic transfer for patient files Migrating from paper to electronic documents which increases reliability and accuracy

Tackling fraud: Only eligible patients have access to re-imbursement Electronic identification & authentication On-line pre-authorization and right validity checks Visual security (picture, security features)

Social benefits distribution (free transport, cash…) -> electronic « social » granted money

Providing better managed health services Coordinate heath services electronic Personal Medical File Mobility: Access to medical services in remote locations Emergency data available in the card/server Access to self-service kiosks for real-time updates

requires a secured healthcare IT infrastructure

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Typical healthcare IT infrastructure and actors

New subsystem needed to manage

e-healthcareTRUST CENTER

Independent Health Professional

Hospitals

Others - Added value

Pharmacies

Patient DataBase

Health Prof. DataBase

A c t o r s

Health Prof. Card / TokenReader

Health Insurance Card

E n

t i t

l e m

e n

t

C M S

Authentication Gateway

Authentication Gateway

H e a l t h c a r e I T n e t w o r k

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Gemalto healthcare document offer: Overview

For Health For Health Professionals Professionals and Hospitals and Hospitals

Card Acceptance– Health professional

smart card – Health professional

Token– Smart card readers– Healthcare

applications

For Health OperatorsFor Health Operators Authentication

– PKI infrastructure– Trust center– Authentication

gateway– Flow management

Integration ServicesIntegration Services Specifications definition Program management Connection of the different bricks to create the complete solution Installation and deployment Training

For Health Insurance For Health Insurance CompaniesCompanies

Card Issuance– Health insurance

smart card – Personalization

services– Card Management

System

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Why Gemalto

From subsystem provider to complete Healthcare IT deployment - the most flexible offer in the market France:

60 M personalized health insurance cards (Vitale), over 1 M health professional cards (CPS) and 60 000 dual slot readers

Germany: More than 30 M personalized health insurance cards (KVK) and 50 000 dual slot readers AOK award for 35M personalized new PKI heath insurances cards (eGK)

Finland: More than 9 M personalized health insurance cards (Kela)

Slovenia: More than 2 M health insurance cards, dual slot readers and personalization subsystem solution

Mexico: 3,7 M personalized health insurance cards (Seguro Popular), PC/SC readers

UK: 1,2 M health professional cards (NHS Connection for health) and internet Authentication Gateway subsystem solution

Puerto Rico: 1 M health insurance cards

Algeria: Complete healthcare IT definition and deployment, including cards and readers

European health card: NETC@RDS

More than 100 000 000 health insurance cards successfully deployed !

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References

GIE SV France GIP CPS France AOK Germany BKK Germany Bundesnapschaft Germany NHS UK Seguro Popular Mexico Puerto Rico Denver health hospital US Kela Finland CFT Russian social card ZZZS Slovenia NETCARDS Europe

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Customer implementationFrance

Eco-system The current system has remained the same since 1948 Healthcare spending in 2005 : 190 Billion Euros

– National health insurances : 136 Billion €– Complementary health insurances : 30 Billion €– Paid by the patient : 24 Billion €

State Budget = 320 Billion Euros 1995: first deployment of eHealthcare application “Vitale” project

Concept of the “Vitale“ project Reduce the operating cost of the French insurance systems Create an IT system to bring healthcare savings of 300 M€ per year

On going project : “Vitale2 “ On-line capability Possibility to run multi-applications - Healthcare and then pay for the debit card ePrescriptions Prepare the technology base for the central Medical Data File

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Eco-system Healthcare spent in 2005 : 220 billion € State Budget = 290 billion € 1990: first deployment of eHealthcare application: “KVK” project

Concept of the “KVK“ project Reduce the operating cost of the German insurance systems Pure Off-line mode Cost saving per year : 250 M€ Total project costs : 270 M€

On going project “eGK” On-line pre-authorization PIN for strong authentication ePrescription on board Emergency medical information

Customer implementationGermany

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Algeria e-HealthCare case study

Objectives:Fraud reduction (internal & external) , cost control (authentication & traceability) and improved services

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Algeria Healthcare card projectprovision of a turn key solution to modernize the healthcare system

Facilitate healthcare services & decrease costs in a fast-growing country

33 million population, 80% of which benefit from national healthcare CNAS wants to reduce fraud, speed-up payment settlements and reduce costs, better

visibility over the system Complete system, based on a central repository: Geographically

widespread paper system in place, spread out over the 48 Wilayas Off-line authentication of patients decentralized health application On-line authentication & signature of professionals centralized data collection

Delivery of a turnkey solution over 3 years (ending Q4 2008) Citizen Enrolment, Issuance and eGovernment Solutions (CMS, PKI, Readers, ...) 7 million eHealth cards for the families USB tokens for 20Ku HC professionals

CitizenEnrolment

eBorder Solutions

Secure Documents

eGovernment SolutionsIssuanceSolution

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Cards & readersToken for

professionals and APIs

Personnalisation system, CMS, PKI infra & patient enrolment Training

Carte CNASCarte CNAS

Carte CNAS

System components

TURN KEY SOLUTION

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Mexico Healthcare case study

How to address 12M people who are not covered with any type of Healthcare benefits or Social Security in Mexico ?

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12M people who are not covered with any type of Healthcare benefits or Social Security in Mexico. Seguro Popular: Key project implemented by Mr. Fox with backing from

all political wings. Since 2004, Seguro Popular provides subsidies for medicine and medical care to inhabitants with no healthcare benefits.

Need of a system to control & reduce fraud Policy Management of a sector where there is no Healthcare information Need of a portable, trustworthy, secure, auditable means of identification,

flexible and controlable means of ID. Also addressing those without a bank account & to ensure the correct distribution of healthcare rights to Mexicans

eHealthCare Customer implementation

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e-Diagnostic & e-Prescription

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Medication delivery

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Slovenia healthcare case study

objectives: Reduced healthcare costs and improved quality of care

The National Healthcare IT smart card based system

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Customer implementationSlovenia

Eco-system Population of 1.936 million Electronic healthcare insurance infrastructure

first deployed in 1998 to modernize paper-based system On-going project

2,1Mu Health Insurance Cards – Insurance information, cardholder details, status of health insurance, organ donor

status and primary care physician 20Ku Health Professional Cards, 5K desktop readers (dual slot) Online network of self-service terminals in healthcare facilities Healthcare service provider’s network environment Phase 2

– PKI digital signature function for electronic signing of data exchanges– Storage of patient prescriptions on the card

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Program objectives

Increase quality of medical services while simplifying procedures

Improve data security and confidentiality

Reduce administrative tasks

Improve communication between HIIS, users and private healthcare providers

Make investment cost-efficient at national level

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System Overview

HIIS National Network

HIIS database network links all parties involved:

Pharmacy

Insurance companies

Employer

Social welfare

• Self-service terminals• Online record retrieval• Eligibility verification

Hospital/Clinic

• Claim submission• Eligibility verification• Prescription delivery

• Employment verification

• Claim submission• Eligibility verification

• Claim submission• Eligibility verification

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Conclusion

Slovenia today the most advanced country in the world using IT in healthcare sector

Slovenia used smart cards to achieve the goal of every healthcare organization: Reduced healthcare costs and improved quality of care

Country’s healthcare data is now accurate and up-to-date

Digital storage of data and automation of paper-based processes has resulted in 35% cost savings for HIIS

HIC program is using PKI for web-based healthcare & insurance services

Bulgaria“Electronic Health Record” Project

implemented at the Military Medical Academy in Bulgariaby local partner KIM-2000 Ltd.

Objective: to set up an electronic health record system which is• Patient centered• Efficient• Reliable• Secure• User friendly

Gemalto delivered:• Secure Java based MultiApp 72K CC smart cards with IAS

classic applet• Terminal GCR 5500-BG - dual slot:

• for the patient's card• for the health professional's card

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Thank you for your attention