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Managing Personal Health InformationManaging Personal Health Information

Current Tools & ProductsCurrent Tools & Products

John MooreChilmark Research

John@ChilmarkResearch.com

July 29, 2008

2

Today, Three Dominant PHI Modalities

Value

Connectivity

Web-Based PHI Solutions Will Dominate

3

PHR Market has Moved to B2B Model

•High Barriers to Entry in Provider Market•Employer & Health Plan Markets Similar•Consumer Plays are Often Legacy

4

Stand-Alone, Consumer PHI Apps: Manage Health

Content

Attributes Rating NotesData Source NA Self-entry, Cumbersome, Current/Trusted?

Control High Owned & managed by consumer

Interoperability Medium Standards adoption increasing (CCR dominant)

Portability Medium Highly variable across vendors

Tools Modest Highly variable across vendors

Personalization Low Generic, simplistic solutions dominate

Adoption Low Self-entry key detriment, Highly motivated only

5

Employer & Health Plan Sponsored Platforms: Manage Risks, Lower Costs

Attributes Rating NotesData Source(s) NA Claims, PBM & HRA, Partial View

Control Low Sponsor controlled

Interoperability Medium Potential there, more talk than action

Portability Low Tethered to employer or insurer

Tools Good Significant activity, behavioral change

Personalization High Leverage HRA & claims data

Adoption Medium Trust, Incentives often required

Claims D

ata

Content

HRATools

6

Provider Sponsored Platforms: Consumer Retention

Attributes Rating NotesData Source(s) NA EMR, Gold Standard, Myopic

Control Low Portal to host EMR

Interoperability Low Disparate systems, competitive pressures

Portability Low Tethered to EMR

Tools Medium Communication for engagement/retention

Personalization Low-Med. Most do poor job, some exceptions

Adoption Variable Perceived value?

Content

Clinical D

ata

7

Utility Service Model for PHI: Create an Ecosystem

Attributes Potential NotesData Source(s) NA Virtually any pertinent data source

Control High Strong consumer control of data

Interoperability High Adoption of Open Systems and standards

Portability Medium Still under development

Tools Very Good Multiple tools/widgets, communications???

Personalization High Farther down the road

Adoption High Perceived value?

Data

Sourc

es

Secure Repository

App

licat

ions

8

Conclusion

• Visibility & Interest in PHI Platforms is Accelerating– Significant increase in press mentions/articles

– Vendors reporting strong double digit growth

• Consumer Expectations May be Higher than Reality– Solution capabilities vary greatly

– Most solutions still require too much consumer input

• Data Liquidity is Paramount– Incentives to create, compile, access and share data

• Internet-based PHI Platforms Evolving Rapidly– Too early for prescriptive definitions and requirements

– Defer to frameworks and guiding policies