Digital Health - Telehealth (Human-Human) sector across EMEA

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Sector Report
Digital Health - Telehealth (Human-Human) Sector

Updated: May 2020

Executive Summary

Detailed research overview on the telehealth primary services sector
 
Impact of Covid-19


We are in the process of analyzing the impact of Covid on the telehealth and digital sector and we should have updates for every country’s growth forecasts for 2020 and 2021 by end of May. There has been a strong short-term impact. Many players have offered their services for free to state payors with the aim of rapidly growing marketshare. At the same time, the medical profession has moved fast to adopt telehealth, so this should be a huge opportunity. 
 
A serious recession may further accelerate the move to telehealth and other lower cost digital forms of healthcare. 
 
EXECUTIVE SUMMARY
The European teleprimary care market is a new and exciting market where success depends on any number of variables. However, few telehealth providers are actually making a profit and markets remain small despite huge proceeds from funding rounds.

And yet - there are opportunities here and we predict a telehealth boom over the next three years.
Sweden and Switzerland are home to telehealth’s largest and most stable markets as providers can exploit nationwide reimbursement. Germany and France will soon leap onto that stage after separate regulatory changes. The UK, Spain, Poland and Ukraine also present opportunity.
 
So what, who and where will succeed? It largely depends on universal reimbursement, the attitudes of medical professionals and how primary care is organised in a particular market. But in this market, not much is certain.
Definitions
Telehealth, often referred to as digital health, covers a wide spectrum of healthcare provision by means of telecommunications technology. This report focuses on teleprimary care, where health providers deliver traditional primary care through telecommunications: whether that be chat, telephone call or video call.
Yet this definition is sometimes too simplistic as the major telehealth companies start to offer services outside of traditional primary care. For example, some telehealth companies provide remote mental health care or allow patients with chronic conditions access to specialist doctors.
There is a market beyond traditional primary care, but the market might be moving too fast: teleprimary care is not yet a fully developed market across Europe and the Middle East.
Impact
Teleprimary care can enable huge cost-savings for health care providers and insurers because doctors can treat higher volumes, patients are better signposted and there is less treatment wastage. This can lead to huge efficiency savings for physicians which translate into cost-savings for insurers and healthcare providers.
“Out of 100 patients 50% can be treated directly on the phone,” says Medgate’s Andy Fischer. “The rest have to be referred so we lose effectiveness on those. We’re using AI to decide which patients will profit most from telehealth. We’ve found that around 80% of patients can be treated telemedically if you use AI - without AI you only substitute 50% so you increase effectiveness by around 40%.”
Some providers are trialling various customer-facing AI diagnostic tools, which could improve efficiency, but only once patients can perform home-based lab and diagnostic tests. The AI can keep patients out of A&E, by signposting them towards adequate treatment and can help to diagnose, within minutes, rare conditions that might be missed by multiple doctors over extended periods of time.

Tele-primary care could ultimately mean that public payors can focus more on chronic disease management programmes and have face-to-face consultations with the seriously ill. It is not difficult to see the attraction of all this for payors. Insurers can manage patient pathways whilst also developing a relationship with patients who will increasingly see the insurer badged service as the first friendly point of call. 

Business and payment models

The problem for many telehealth providers is finding the business model, it is not an easy product to monetise. We have divided the market between payors: public, insurance, private healthcare provider, occupational health, value-added service and B2C out-of-pocket.
Below is a sample extract. See the report for full details on each business and payment model, including country specific market data.
Government: public payor and statutory insurers
This funding model is where telehealth has so far been successful and where we expect the market to grow significantly in the future. Here, we are looking at where governments who fund universal health care, or statutory insurers, have a reimbursement system pays for-profit companies for telehealth services. We do not include governmental 'innovation funds' that are sometimes set aside for health tech. We estimate that the 2018 public payor market is worth €58m and predict it will grow to €133m in 2019, getting to at least €345m by 2020. We have assumed that most European countries will introduce telehealth reimbursement by 2020 and telehealth penetration will increase significantly where this reimbursement is nationwide and sufficient. We see this market growing fastest in France, Germany and the UK.
Sweden and Switzerland have already reached 4% and 7% penetration respectively because of a public payor reimbursement scheme. We see telehealth booming when countries across Europe implement reimbursement and believe this is one of the most profitable models.
Modes of delivery
Telehealth can be delivered three ways: through text-based chat, phone call or video call. Which of these a provider offers is generally strategic: depending on the patient’s access to technology; how much it prioritises efficiency and cost-saving; and whether it believes in face-to-face consultations.  
Proponents of text-based chat argue that it is much more time efficient than video or telephone consultations. For example, one doctor could potentially treat between eight and 10 patients in an hour over text-based chat.
See the full report for further details on modes of delivery.

Market size
We have estimated each market size by looking at the number of primary care consultations that take place each year in a country and how much we would expect each telehealth consultation to be reimbursed at. This ranges from anywhere between €2 to €45 depending on what type of consultation is being purchased, who the payor is, and what country it operates in.

The future of the market / growth prospects

Telehealth has already disrupted the traditional primary care sector and this could be an opportunity to consolidate a very fractured primary care market. We think this will take time and depends if companies can find the business model that cracks challenging adoption rates and adequate funding.  
See the full report for further details on the future of the market and growth prospects.
Sample report pages and data
 
What we offer
 
-       Instant overview of the EMEA telehealth primary services market and players This report gives you visibility of this important, fast-growing market across 16 countries with market data on 15 as well as detailed profiles of the Top 50 players.
 
-       Ever green!  Updated throughout your subscription As part of our HBI intelligence platform this report is updated throughout the period of your subscription. You will also receive additional news stories and interviews on telehealth primary services throughout the period.
 
-       Insights on business models The report is based on in-depth interviews with many operators. The report also looks at how telehealth primary services players can best build customer loyalty.
 
-       Identify national opportunities We assess opportunities at national level based on the regulatory environment and proposed reforms.
 
-       Size markets This report enables you to swiftly see market sizes and market shares
 
-       Save time and money This report will save you weeks researching these opaque markets and enable you to swiftly identify investment opportunities, new partners and markets.
 

Table of Contents

Table of Contents
EMEA overview
 
Datasets  
Size of EMEA market 2018
Marketshare of major EMEA players 2018
Comparison of market sizes 2018
Comparison of market growth rates 2016-2020
 
Introduction
 
Definitions
 
Impact
 
Business and payment models
 
                                    - Government: public payor and statutory insurers
                                    - B2B
  1. Private medical insurance
  2. Private healthcare providers
  3. Occupational healthcare
  4. Add-on service
                                    - B2C – out-of-pocket
 
Modes of delivery
 
Market size
 
The future of the market / growth prospects
                                   
Belgium
 
Data sets
For-profit /private market size and growth rates 2016-2020
 
Market description and trends.
 
Czech Republic
 
Data sets
For-profit /private market size and growth rates 2016-2020
 
Market description and trends.
 
Denmark
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
France
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Germany
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Greece
 
Data sets
For-profit /private market size and growth rates 2016-2020
 
Market description and trends.
 
Italy
 
Market description and trends.
 
Poland
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Romania
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Russia
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Spain
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Sweden
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Switzerland
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
Ukraine
 
Data sets
For-profit /private market size and growth rates 2016-2020
 
Market description and trends.
 
United Arab Emirates
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 
United Kingdom
 
Data sets
For-profit /private market size and growth rates 2016-2020
Marketshare of major players 2018
 
Market description and trends.
 

Digital Health - Telehealth (Human-Human) News & Interviews

Our indepth stories dig deep and cover profit multiples, revenue, EBITDA and CEO thinking.

news stories on Digital Health - Telehealth (Human-Human).

Database of 0 Digital Health - Telehealth (Human-Human) service providers

HBI has built a unique database of the Top 4,000 operators globally in health care services. As part of this, we have identified the top 0 Digital Health - Telehealth (Human-Human) operators in Europe and will soon add the major players in Emerging Markets.

Profiles include revenue/sales data as well as EBITDA and other profit margins where known. They also cover private equity ownership with dates and mergers and acquisitions.

Mergers & Acquisition (M&A) Intelligence

Our deal pipeline shows how likely all private equity and some privately companies are to sell based on algorithms and journalistic know-how.

HBI 2020 – the only CEO-level conference to cover healthcare services globally

HBI 2020 – the only CEO-level conference to cover healthcare services globally
 
In 2019 this event brought together 700 delegates from over 40 countries. Over 60% are CEO level and they included 150 specialist investors in health care services.
 
HBI 2020 includes many sessions on telehealth and digital health. There will be a session on the impact of rating and booking sites and second opinion providers, with a facilitated discussion with the CEOs of major rating sites. There is also a session on digital health and telemonitoring, which will focus on the progress of this area of the sector with a panel of payors, operators and policymakers. There is also a session which looks at three case digital health case studies in detail, from three operating groups.
 
Digital and telehealth will be discussed in many other sessions as it is clearly an important topic in the private healthcare industry.
 
Other sessions look at trends in the investment and merger and acquisition.
 
Contact us in the UK on 0207 183 3779 for more information.