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mHealth and Home Monitoring - 8th Edition

  • February 2017
  • -
  • Berg Insight AB
  • -
  • 280 pages

mHealth and Home Monitoring is the eighth consecutive report from Berg Insight that gives first-hand insights into the adoption of wireless solutions for health monitoring.

This strategic research report from Berg Insight provides you with 280 pages of unique business intelligence including 5-year industry forecasts and expert commentary on which to base your business decisions.

This report will allow you to:
- Profit from 40 new executive interviews with market leading companies.
- Learn about key home health monitoring devices and services.
- Study the strategies of 124 key players in the mHealth ecosystem.
- Understand the dynamics of the health monitoring market in Europe and North America.
- Comprehend how wireless technology can become seamlessly integrated with medical devices.
- Evaluate the business opportunities in the emerging mHealth segment.
- Predict future market and technology developments.

7.1 million patients worldwide are remotely monitored
The number of remotely monitored patients grew by 44 percent to 7.1 million in 2016 as the market entered a growth phase fuelled by rising market acceptance in several key verticals. This number includes all patients enrolled in mHealth care programs in which connected medical devices are used as a part of the care regimen. Connected medical devices used for various forms of personal health tracking are not included in this figure. Berg Insight estimates that the number of remotely monitored patients will grow at a compound annual growth rate (CAGR) of 47.9 percent to reach 50.2 million by 2021.

Cellular connectivity has already replaced PSTN as the de-facto standard communication technology for most types of connected home medical monitoring devices and will account for 25.2 million connections in 2021. Using patients’ own mobile devices as health hubs is now becoming a viable alternative for remote patient monitoring. BYOD connectivity will be preferred by select patient groups and will be used for the remote monitoring of 22.9 million patients in 2021.

Berg Insight estimates that revenues for remote patient monitoring (RPM) solutions reached € 7.5 billion in 2016, including revenues from medical monitoring devices, mHealth connectivity solutions, care delivery platforms and mHealth care programs. RPM revenues are expected to grow at a CAGR of 33.8 percent between 2016 and 2021 to reach € 32.4 billion at the end of the forecast period. Connected medical devices accounted for 67.5 percent of total RPM revenues in 2016.

However, revenues for mHealth connectivity solutions, care delivery platforms and mHealth care programs are growing at a faster rate and will account for 51.3 percent of total revenues in 2021, up from just 32.5 percent in 2016. There is a strong trend towards incorporating more connectivity in medical devices and pharmaceuticals in order to enable new services and value propositions. Implantable cardiac rhythm management (CRM) has traditionally been the largest market segment, led by companies such as Medtronic, Biotronik and St Jude Medical (now Abbott) that included connectivity in CRM solutions more than a decade ago.

However, the sleep therapy segment is growing at the fastest rate and surpassed CRM in 2016. The number of remotely monitored sleep therapy patients grew by 70 percent in 2016, with market growth mainly driven by the vendor ResMed that has made connected healthcare a cornerstone of its strategy. Berg Insight predicts that three of the fastest growing market segments in the next five years will be glucose monitoring, air flow monitoring and connected pharmaceuticals. Today, the leading connected healthcare players in these segments include forward-thinking incumbents as wel as innovative new entrants such as AstraZeneca, Dexcom, Merck Group, Novartis, Propeller Health, Proteus Digital Health, Roche, Sanofi, Voluntis and WellDoc.

This report answers the following questions:
- Which medical conditions offer the best potential for wireless health monitoring solutions?
- Who are the leading providers of connected medical devices?
- What are the mHealth strategies of medical device vendors and pharmaceutical companies?
- Which are the general technology trends for home health monitoring equipment?
- What initiatives have been taken by the leading players in the telecom and IT industries?
- How can connectivity redefine the use cases of medical devices and the value propositions to patients and other stakeholders?
- What are the market shares of the top 5 integrated telehealth solution vendors?
- Why are smartphone applications so significant for the mHealth market?
- How can healthcare providers and payers benefit from mHealth solutions?

Table Of Contents

mHealth and Home Monitoring - 8th Edition
Table of Contents
Table of Contents i
List of Figures ix
Executive summary 1

1 The challenge from welfare diseases 3
1.1 Introduction 3
1.1.1 The ageing world population 4
1.1.2 Metabolic syndrome and lifestyle related diseases 5
1.2 Common chronic diseases 5
1.2.1 Cardiac arrhythmia 7
1.2.2 Ischemic diseases 7
1.2.3 Hypertension 8
1.2.4 Sleep apnea 9
1.2.5 Chronic respiratory diseases 10
1.2.6 Diabetes 13
1.2.7 Hyperlipidemia 14
1.3 Healthcare providers and reimbursement systems 14
1.3.1 Healthcare in Asia-Pacific 18
1.3.2 Healthcare in Europe 19
1.3.3 Healthcare in North America 20
1.4 Regulatory environment 22
1.4.1 Regulatory environment in Europe 23
1.4.2 Regulatory environment in the US 24
1.4.3 Regulatory environment in other major markets 27
1.4.4 International standardisation 27

2 mHealth platforms 29
2.1 Overview of the mHealth market 29
2.1.1 mHealth market segments 30
2.1.2 Connectivity options for medical devices 32
2.1.3 The mHealth technology value chain 34
2.2 mHealth connectivity solutions 37
2.2.1 Apple HealthKit 39
2.2.2 Ericsson 41
2.2.3 Google Fit 42
2.2.4 iHealth (eDevice) 43
2.2.5 KORE 45
2.2.6 MedM 46
2.2.7 Microsoft HealthVault 48
2.2.8 Orange Healthcare 50
2.2.9 PTC 52
2.2.10 Qualcomm Life 53
2.2.11 Telenor Connexion 55
2.2.12 Vodafone 56
2.3 mHealth care delivery platforms 57
2.3.1 ATandT 59
2.3.2 BePatient 60
2.3.3 Domicalis 62
2.3.4 Exco InTouch 62
2.3.5 Get Real Health 64
2.3.6 HealthyCircles (Qualcomm Life) 65
2.3.7 Medixine 66
2.3.8 OpenTeleHealth 68
2.3.9 S3 Group 70
2.3.10 Tactio Health 71
2.3.11 Verklizan 74

3 Physiological monitoring solution providers 77
3.1 Medical devices and remote monitoring 77
3.1.1 Medical device revenues by market segment 77
3.1.2 Overview of the remote patient monitoring market 79
3.2 Cardiac rhythm management 80
3.2.1 Overview of the CRM device market 80
3.2.2 Use cases for CRM monitoring 81
3.2.3 Remote monitoring solution providers 84
3.2.4 Biotronik 85
3.2.5 Boston Scientific 88
3.2.6 Medtronic 89
3.2.7 LivaNova 91
3.2.8 St Jude Medical 92
3.3 Remote ECG monitoring 95
3.3.1 Overview of the remote ECG monitoring device market 95
3.3.2 Use cases for remote ECG monitoring 95
3.3.3 Remote monitoring solution providers 98
3.3.4 Aerotel Medical Systems 99
3.3.5 AliveCor 100
3.3.6 BioTelemetry 102
3.3.7 CardioComm Solutions 104
3.3.8 LifeWatch 107
3.3.9 ScottCare 107
3.3.10 TZ Medical 109
3.3.11 Zenicor 110
3.3.12 Preventice Solutions 111
3.3.13 KHS Medical (LevMed) 112
3.4 Blood pressure monitoring 112
3.4.1 Overview of the blood pressure monitoring device market 112
3.4.2 Use cases for blood pressure monitoring 113
3.4.3 Remote monitoring solution providers 114
3.4.4 Omron Healthcare 115
3.4.5 AandD Medical 117
3.4.6 Microlife 118
3.4.7 Rossmax 119
3.4.8 Sotera Wireless 119
3.5 Coagulation monitoring 120
3.5.1 Overview of the coagulation monitoring device market 120
3.5.2 Use cases for blood coagulation monitoring 121
3.5.3 Remote monitoring solution providers 122
3.5.4 Accriva Diagnostics 122
3.5.5 Alere 122
3.5.6 CoaguSense 123
3.5.7 Helena Laboratories 124
3.5.8 iLine Microsystems 124
3.5.9 Siemens Healthineers 125
3.5.10 Roche Diagnostics 125
3.6 Sleep therapy monitoring 125
3.6.1 Overview of the sleep therapy device market 126
3.6.2 Use cases for sleep therapy monitoring 127
3.6.3 Remote monitoring solution providers 129
3.6.4 Fisher and Paykel Healthcare 131
3.6.5 Philips Respironics 131
3.6.6 ResMed 134
3.6.7 SRETT 137
3.6.8 SomnoMed 139
3.6.9 Löwenstein Medical Technology (Weinmann) 140
3.6.10 Drive DeVilbiss Healthcare 142
3.7 Home sleep diagnostics 142
3.7.1 Overview of the home sleep diagnostics market 142
3.7.2 Use cases for home sleep diagnostics 144
3.7.3 Remote monitoring solution providers 144
3.7.4 Cadwell Laboratories 145
3.7.5 CareFusion (BD Medical) 145
3.7.6 Compumedics 146
3.7.7 Infoscan 147
3.7.8 Natus Medical 147
3.7.9 NovaSom 147
3.7.10 SleepMed 148
3.7.11 CleveMed 148
3.8 Blood oxygen monitoring 149
3.8.1 Overview of the blood oxygen monitoring device market 149
3.8.2 Use cases for blood oxygen monitoring 150
3.8.3 Remote monitoring solution providers 150
3.8.4 ChoiceMMed 151
3.8.5 Masimo 151
3.8.6 Nonin Medical 153
3.9 Air flow monitoring 154
3.9.1 Overview of the air flow monitoring device market 154
3.9.2 Use cases for air flow monitoring 154
3.9.3 Remote monitoring solution providers 155
3.9.4 Aerocrine (Circassia Pharmaceuticals) 156
3.9.5 AstraZeneca 156
3.9.6 Clement Clarke International 158
3.9.7 Respiri (iSonea) 159
3.9.8 Medical International Research 160
3.9.9 Ndd Medizintechnik 161
3.9.10 nSpire Health 161
3.9.11 Propeller Health 161
3.9.12 Sibelmed 164
3.9.13 Vitalograph 164
3.10 Glucose level monitoring 165
3.10.1 Overview of the glucose monitoring device market 165
3.10.2 Use cases for glucose monitoring 167
3.10.3 Remote monitoring solution providers 170
3.10.4 Abbott 172
3.10.5 Bayer Healthcare 174
3.10.6 BodyTel 175
3.10.7 Dexcom 176
3.10.8 Glooko (Diasend) 178
3.10.9 Johnson and Johnson 179
3.10.10 QuiO 180
3.10.11 Roche Diabetes Care 181
3.10.12 Telcare 183
3.10.13 Voluntis 185
3.10.14 WellDoc 187
3.11 Other 189
3.11.1 Implantable medical devices 190
3.11.2 Home hemodialysis 190
3.11.3 Telerehabilitation 191

4 Medication, AED and integrated monitoring solution providers 193
4.1 Telehealth and multiparameter monitoring solutions 193
4.1.1 Overview of the telehealth solutions market 193
4.1.2 Use cases for telehealth solutions 195
4.1.3 Telehealth solution providers 195
4.1.4 Aeon Clinical Laboratories (AuthentiDate) 197
4.1.5 Bosch Healthcare 198
4.1.6 Care Innovations 198
4.1.7 H2AD 200
4.1.8 Honeywell Life Care Solutions 202
4.1.9 Ideal Life 204
4.1.10 LindaCare 205
4.1.11 Medtronic Care Management Services (Cardiocom) 206
4.1.12 Medvivo 207
4.1.13 Optum 207
4.1.14 Philips Hospital to Home 208
4.1.15 SHL Telemedicine 211
4.1.16 Telefónica 213
4.1.17 Tunstall Healthcare Group 215
4.1.18 Vitaphone 217
4.2 Medication compliance monitoring 218
4.2.1 Overview of the medication compliance monitoring market 218
4.2.2 Use cases for medication compliance monitoring 219
4.2.3 Compliance monitoring solution providers 219
4.2.4 Compliance Meds Technologies 220
4.2.5 DayaMed 221
4.2.6 Evondos 222
4.2.7 InRange Systems 225
4.2.8 Medicpen 227
4.2.9 Merck 228
4.2.10 MedSignals 229
4.2.11 Philips Medido 230
4.2.12 Proteus Digital Health 231
4.3 Connected automated external defibrillators 232
4.3.1 Use cases for defibrillators 233
4.3.2 Overview of the connected defibrillator market 233
4.3.3 A.M.I Italia 234
4.3.4 AEDMAP 234
4.3.5 Almas Industries 235
4.3.6 Cardia International (Skanray Healthcare) 236
4.3.7 Nihon Kohden 237
4.3.8 Philips Healthcare 237
4.3.9 Physio-Control (Stryker) 238
4.3.10 Pyrescom 238
4.3.11 Schiller 239
4.3.12 Spacelabs Healthcare 239
4.3.13 Zoll 240

5 Market analysis and forecasts 241
5.1 Market forecasts 241
5.1.1 Cardiac rhythm management 244
5.1.2 Sleep therapy 245
5.1.3 Telehealth and multiparameter monitoring 246
5.1.4 ECG monitoring 248
5.1.5 Glucose level monitoring 249
5.1.6 Medication compliance monitoring 251
5.1.7 Other medical devices 252
5.2 Revenue forecasts 253
5.2.1 Medical monitoring devices 254
5.2.2 mHealth connectivity solutions 255
5.2.3 Care delivery platforms 256
5.2.4 mHealth care programs 257
5.3 Industry trends and analysis 258
5.3.1 Connectivity strong trend when new players enter the market 258
5.3.2 Major pharmaceutical companies prepare large-scale rollouts 261
5.3.3 Consumerisation of medical-grade mHealth devices and apps 262
5.3.4 BYOD is becoming a popular and viable option 264
5.3.5 Digitalisation of PSTN networks in the works 265
5.3.6 Modularization of the value chain as the market matures 266
5.3.7 Automated external defibrillators are getting connected 267
5.3.8 The data war has started 268
5.4 Market drivers and barriers 269
5.4.1 An ageing population is raising medical costs 270
5.4.2 Obesity epidemic and Increasing welfare disease prevalence 270
5.4.3 Increased focus on disease prevention 271
5.4.4 Substitutes to medical monitoring 272
5.4.5 A slowly changing industry 273
5.4.6 Alignment of financial incentives 273
5.5 Potential market catalysts 274
5.5.1 Increased monitoring during clinical trials 274
5.5.2 Incentives from insurance companies and payers 275
5.5.3 National health systems support remote monitoring 275
5.5.4 New clinical evidence on cost effectiveness 276
5.5.5 Non-prescribed monitoring and healthcare consumerism 276
Glossary 279

List of Figures
Figure 1.1: Population by age group (EU, North America and Japan 2015-2030) 4
Figure 1.2: Direct and indirect costs of chronic welfare diseases in the US and EU 6
Figure 1.3: Number of people suffering from chronic welfare diseases (EU/US 2008) 9
Figure 1.4: Percentage of population diagnosed with chronic welfare diseases 11
Figure 1.5: Total and per capita healthcare spending by country (2013) 15
Figure 1.6: Healthcare expenditure per capita by country (World 2014) 17
Figure 1.7: Share of population covered by private health insurance by country 18
Figure 1.8: Healthcare spending by type of service and product (US 2013) 21
Figure 2.1: mHealth market segments 31
Figure 2.2: Connected medical devices and the provision of care 33
Figure 2.3: Overview of the mHealth technology value chain 34
Figure 2.4: Main focus areas of mHealth connectivity solution providers 38
Figure 2.5: Apps that can be connected to Google Fit 42
Figure 2.6: HealthGO+ and HealthGO Mini by eDevice 44
Figure 2.7: MedM mobile applications 47
Figure 2.8: Examples of HealthVault-certified devices 49
Figure 2.9: Examples of mHealth software products and platforms 58
Figure 2.10: BP eHealth Platform patient dashboard 61
Figure 2.11: Medixine Suite 67
Figure 2.12: The core modules of the TactioRPM mobile app 73
Figure 3.1: Medical device market revenues by segment (World 2015-2021) 78
Figure 3.2: Connected medical devices by segment (World 2016) 79
Figure 3.3: Implantable cardiac rhythm management vendor market shares (2015) 81
Figure 3.4: Examples of implantable CRM devices 82
Figure 3.5: Examples of remote monitoring devices 83
Figure 3.6: Market shares for remote monitoring of CRM implants (2016) 85
Figure 3.7: CardioMessenger devices 87
Figure 3.8: Latitude NXT Wave wireless communicator 88
Figure 3.9: The Merlin.net interface and Merlin@Home transmitter 93
Figure 3.10: The Infinity DBS System 94
Figure 3.11: MCT sensor and monitor from CardioNet 96
Figure 3.12: Implantable loop recorder from Medtronic 97
Figure 3.13: AliveCor Mobile ECG third generation 101
Figure 3.14: AliveCor's AliveECG app 102
Figure 3.15: HeartCheck devices from CardioComm Solutions 105
Figure 3.16: Blood pressure monitor from Omron Healthcare 114
Figure 3.17: Sleep therapy vendor market shares (2015) 126
Figure 3.18: ResMed S9 CPAP device with FX Series masks 128
Figure 3.19: Connected sleep therapy solutions by vendor (2016) 130
Figure 3.20: DreamMapper mobile application 132
Figure 3.21: ResMed myAir 135
Figure 3.22: SRETT T4P and TeleOx 137
Figure 3.23: SomnoDent Fusion 139
Figure 3.24: The prisma25S sleep therapy device from Löwenstein Medical Technology 141
Figure 3.25: Examples of home sleep diagnostics companies and products 143
Figure 3.26: iSpO2 and MightySat device and application 152
Figure 3.27: Turbu+ inhaler sensor and app 157
Figure 3.28: iSonea's device and asthma management app 159
Figure 3.29: Propeller Health's asthma management app and inhaler sensor 162
Figure 3.30: Blood glucose meter vendor market shares (2015) 166
Figure 3.31: CGM and insulin delivery system vendor market shares (2015) 167
Figure 3.32: Medication usage by diabetes patients (US 2011) 168
Figure 3.33: Glucose meters from LifeScan and Roche 169
Figure 3.34: Dexcom G4 CGM system 169
Figure 3.35: Asante Pearl insulin pump 170
Figure 3.36: Examples of connected blood glucose meters 171
Figure 3.37: Examples of connected CGM and insulin pump systems 172
Figure 3.38: FreeStyle Libre Flash glucose meter 174
Figure 3.39: Dexcom G5 app and transmitter 177
Figure 3.40: Roche Accu-Chek Connect app 182
Figure 3.41: WellDoc BlueStar 188
Figure 4.1: Overview of the telehealth and multiparameter monitoring landscape 194
Figure 4.2: Installed base of telehealth hubs by region (2016) 195
Figure 4.3: Telehealth hub vendor market shares (2016) 196
Figure 4.4: The Health Harmony solution 199
Figure 4.5: The Twitoo telehealth hub 201
Figure 4.6: The Honeywell Genesis DM telehealth monitor with peripherals 203
Figure 4.7: eCareCompanion and eCareCoordinator 209
Figure 4.8: Compliance monitoring solution form factors 220
Figure 4.9: The CleverCap dispenser 221
Figure 4.10: The DayaMed MedPod 222
Figure 4.11: The Evondos E300 Automatic Medicine Dispenser 224
Figure 4.12: The EMMA medication management system 226
Figure 4.13: The Easypod injector and the Easypod connect transmitter 229
Figure 4.14: The Philips Medido medication dispenser 230
Figure 4.15: AEDMAP CONNECT - a connected cabinet for AEDs 235
Figure 4.16: The DOC defibrillator from Almas Industries 236
Figure 5.1: Connected home medical monitoring devices (World 2015-2021) 242
Figure 5.2: Connected home medical monitoring devices by region (World 2015-2021) 243
Figure 5.3: Connected cardiac rhythm management devices (World 2015-2021) 244
Figure 5.4: Connected sleep therapy devices (World 2015-2021) 246
Figure 5.5: Telehealth hubs (World 2015-2021) 247
Figure 5.6: Connected ECG monitoring devices (World 2015-2021) 249
Figure 5.7: Connected glucose monitoring devices (World 2015-2021) 250
Figure 5.8: Connected medication monitoring solutions (World 2015-2021) 252
Figure 5.9: Other connected medical devices (World 2015-2021) 253
Figure 5.10: Remote patient monitoring revenues (World 2015-2021) 254
Figure 5.11: Connected medical device revenues (World 2015-2021) 255
Figure 5.12: mHealth connectivity solution revenues (World 2015-2021) 256
Figure 5.13: Care delivery platform revenues (World 2015-2021) 257
Figure 5.14: Monitoring service revenues (World 2015-2021) 258
Figure 5.15: New players enter the connected care market 259
Figure 5.16: Examples of landmark events for healthcare consumerisation 263

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