Simon is an funding director with Cathay Innovation, a world enterprise capital agency investing throughout North America, Europe, Asia and Africa. He focuses on software program, fintech, digital well being and client investments.
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The hunt to offer extra inexpensive and accessible healthcare, magnified by the COVID-19 pandemic, has spurred an explosion of innovation, which in flip has attracted large quantities of capital. To place this into perspective, contemplate this: In 2019, digital well being noticed $7.7 billion in VC funding, and that quantity rose to $14.6 billion in 2020. Nonetheless, the primary half of 2021 alone noticed $14.7 billion in VC funding.
Its marriage with fintech is the catalyst for the transformation of the healthcare trade. Just like the unbundling of monetary providers and the way fintech is scaling vertical SaaS, the pandemic-fueled disaggregation of healthcare has created new gamers which might be taking a web page out of the fintech revolution e book — all beginning with funds.
A rising variety of startups at the moment are leveraging the fintech playbook to resolve a key a part of the healthcare downside — the shifting dynamics between sufferers, payers and suppliers, and the way funds and associated digital well being information (EHRs) stream between them. Not solely is the onus of funds and information stream transferring from payers to sufferers, however suppliers at the moment are going through a monumental shift to new billing and engagement fashions, requiring new applied sciences and platforms to assist with the change.
By means of the lens of fintech, listed here are three key areas to look at in healthcare.
Gamifying client wellness to stave off power diseases
One of many largest developments impacting the inhabitants in the present day is the regular rise of power diseases. It’s estimated that just about half the U.S. inhabitants can have a power sickness by 2025. Individuals are getting sicker for longer intervals of time, which results in a relentless spending streak. Sufferers not adhering to medical steerage is a significant component and is accountable for $100 billion of healthcare spending and over 100,000 deaths yearly. With round a fifth of sufferers by no means filling their prescriptions, it has turn out to be a precedence to coach and incentivize sufferers to finish care and keep away from readmissions or ER visits.
The convergence of well being and fintech shall be an vital catalyst to handle a few of the most urgent points going through healthcare in the present day.
To curb the rise of power diseases and the related recurring prices, many startups are utilizing behavioral economics and gamification to incentivize sufferers and construct wholesome habits. For instance, corporations like Paceline within the U.S., Sweatcoin in Europe and Betterfly in Latin America gamify wellness by combining health and monetary rewards.
Then again, startups like Sempre Well being and Wellth are tackling medical non-adherence with behavioral economics. For instance, Wellth financially rewards actions like on-time prescription consumption or common A1c assessments for diabetic sufferers.
Fintech for affordability and decreasing friction
Taking a look at payers, there’s a serious shift stemming from the rise of high-deductible healthcare plans (HDHP) — enrollment has risen 43% within the final 5 years — emphasizing a rise in premiums and affected person monetary accountability. Out-of-pocket bills threaten the monetary stability for a lot of, with 40% of Individuals unable to pay an sudden invoice of $400.