Personalizing your World of Healthcare Provider and Consumer Analytics “Impact on planning NCD and Preventive Care Interventions” Dr. Vikram Chhatwal 25 th August 2016

The Opportunity Medi Assist | All Rights Reserved “Healthcare programs around the world are challenged by pressures to reduce costs, improve coordination and outcomes, provide more with less and be more patient centric. Yet, at the same time, evidence is mounting that the industry is increasingly challenged by entrenched inefficiencies and suboptimal clinical outcomes.” Building analytics competency can help harness ‘big data’ to create actionable insights, set their future vision, improve outcomes and reduce time to value.

Indian Healthcare Industry Size Healthcare Spend – 2010 Per Capita Health Exp. (US$ / PP) Population Growth Source: Broker Research (US$ Billion) Source: Frost & Sullivan (Millions) Source: Broker Research Source: IDFC Securities Research CAGR: 15% CAGR: 1% CAGR: 10% Indian Healthcare Snapshot Key Points Indian healthcare sector is pegged at around US$60 billion in 2010 and estimated to growing at 15% annually Healthcare opportunity to double to $104bn in the next three years with estimate population to grow at 1% annually and factor in a 10% annual increase in healthcare spend on the back of changing demographics and rising income levels Medi Assist | All Rights Reserved

Hospital beds per 1,000 population India’s share of disease burden (high) and infrastructure (low) Physicians available per 1,000 populationNurses availability per 1,000 population Key Points India’s healthcare infrastructure (hospitals, beds, nurses, doctors, etc.) is behind the world average and that of other emerging nations Expected increase in lifestyle diseases, rising insurance penetration, rising income levels Despite significantly lagging behind the world in terms of healthcare infrastructure, India’s disease burden is higher than the world average (1)Across major cities —Chennai, Bengaluru, Hyderabad, Kolkata, Mumbai, NCR. Source: WHO Global Average: 2.9 Global Average: 1.4 Global Average: 3.0 Industry Infrastructure Snapshot Medi Assist | All Rights Reserved

Key Trends Emerging in Healthcare Snapshot Expanding to Tier II and III Cities  In view of the demand for private healthcare across Tier II and Tier III cities, hospitals are emerging across these cities ─ As an indirect benefit extended by the Indian Government, the tax burden on these hospitals has been relaxed for the first five years  There is a substantial demand for high quality and specialty healthcare services in these cities, with two advantages for operators ─ Low-cost model ─ High patient turnover Exploring New Models  Traditionally, hospitals have been considered to be capital-intensive businesses with long gestation or breakeven periods  Faced with liquidity issues, players have been exploring models such as management contracts and public-private partnerships (PPP) Targeting New Segments - Primary Care, Chronic Care and Ambulatory care  Demographics, health awareness and increasing capacity to spend are the key drivers of the preventive healthcare segment in India  There is an increasing demand for health management plans for organized groups (TNHSP) Focus on PPP The Indian Government is encouraging the participation of organised players to utilise their expertise in managing a quality set up Private sector intervention has become imperative to enhance the efficiency of systems Management Contracts These provide an additional revenue stream to hospitals and are being explored in terms of private and government healthcare establishments Source: Ernst & Young research Medi Assist | All Rights Reserved

The Opportunity: Avoidable hospital emergency department visits directly correlate with primary care physician supply Source: UnitedHealth center for Health reform & modernization and optum labs analysis, 2014

Medi Assist | All Rights Reserved Clinicians and consumers embracing “do-it-yourself” smartphone-enabled technologies

Medi Assist | All Rights Reserved Organizations with which providers electronically share data Opportunity

Medi Assist | All Rights Reserved Physicians performing more healthcare activities on a mobile device

Medi Assist | All Rights Reserved Big data is changing the paradigm : these are the new value pathways

Medi Assist | All Rights Reserved In healthcare, more than other industries, integration is a high priority

How can it work for TNHSP? Dashboard – Geographic Information Medi Assist | All Rights Reserved.

How can it work for TNHSP? Inpatient Dashboard Medi Assist | All Rights Reserved.

How can it work for TNHSP? Dashboard – Package utilization Medi Assist | All Rights Reserved.

How can it work for TNHSP? Outpatient Dashboard (Focus on NCD’s) Medi Assist | All Rights Reserved.

How can it work for TNHSP? OP Dashboard - Demographics Medi Assist | All Rights Reserved.

How can it work for TNHSP? OP Dashboard - Trends & Top Ailments Medi Assist | All Rights Reserved.

Summary recommendation Integrating Primary care and NCD Data with Inpatient Programs and significantly reduce the number of Avoidable Admissions NCD Screening and Interventions can be targeted more effectively. Medi Assist | All Rights Reserved.

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