Swiss Perspectives on Challenges & Opportunities in e-health & PGHD Alexandre Grutman Founder & CEO Inno-Fuel

Tantum – Inno-Fuel: ‘Bringing 2 complementary worlds together’ Strategy & Innovation leadership Internal Innovation focus Corporate DNA & Ecosystem Innovation & Execution Excellence Traditional (fee based) business model Early stage sourcing, investing and coaching leadership External Innovation focus Start-up/Early stage investing DNA and Ecosystem (30+) Value Creation & Initiative taking Hybrid entrepreneurial business model Extensive Expertise in various industry value chains A globally organized professional services business that Develops Innovative Strategies and Implements Innovation Programs. ‘We fuel the innovation ecosystem’

(Co-creation, design thinking, business modelling, performance mgt.,…) What we do Customer & Market - Customer Needs - Market Identification - Partner identification - Value Chain Understanding - Business Case & Execution, Design & Planning Innovation Strategy & Mgt - Strategy design,planning, governance & process & performance management - Coaching & best practices (Co-creation, design thinking, business modelling, performance mgt.,…) Technology Understanding - Technology Scouting - Materials & Process Selection - Ind. Design & Proto-typing - Technological Solutions Rich Tech Environment Risk & Entrepreneur-ship Global Market Needs

Who We are

Inno-Fuel’s current digital health start-up focus On-line booking system (2012) : www.Medikal.ch (Vaud) First citizen-owned health data platform (2015): www.Healthbank.coop (Genève) Building First crowd-lending platform for health care: Official soon Other adjacent initiatives and start-ups in development (announced before year end) HCP engagement Data Privacy & Security

Focus on themes that make a real difference Help start-up companies to access the market based on health related needs by integrating them into initiatives / strategic themes of mature/leading organizations Improve healthcare professional and patient interactivity throughout the entire patient flow Data privacy protection & business models Federated initiatives helping the Swiss fragmentation Only value for most stakeholders will have a chance, but when they do, the market is yours

Focus on themes that make a real difference Empower the HCP to seize all (technological) ,financial and business model innovations to increase service quality & practice productivity Crowd lending platform HCP empowered initiatives

Switzerland has one of the best HC Systems in the world Best life expectancy ratio’s in the world Excellent HCP availability Waiting lists Proximity Choice of Providers Broad coverage of medical services & Pharma Products High level of patient satisfaction But expensive !

BUT… E-Health by Canton The 26 Cantons main organizers of Healthcare Strong private health providers + public care Lack of overall leadership highest out of pocket expenses Main financing 63+ Private Health Insurers organized by Canton: Ambulatory 100% Hospitals 45% More than 50 EHR systems to interlink Lowest digital adoption by HCP’s in Europe => lack of real competition & Strong will to keep the status quo Lack of Qualitative benchmarking measures No concrete signs yet for Outcome based financing ! No vision worked out yet w/r to economic growth Plan for Mobile & PGHD & Connected devices

BUT… Out of Pocket Ageing Population Ambulatory Costs Strong increase in Health costs per GDP Telemedicine Data Privacy Technology & Business Models

Reduced Political involvement BUT… Market Access in Pharma Retail Interconnectivity -> simplicity & Neutrality Privatized Health System comparable to US Lack of Qualitative measures Reduced Political involvement

Stakeholders & initiatives to consider The strong life science innovation ecosystem Health 2030 Swisscom Health / La Poste / Artzekasse / Ofac / Galenica,… National players are taking steps forward providing national market access They are catalyzers to concentrate and scale innovation in CH They are economically driven Only Swiss focus Europe’s digital services unified market (2018)

The future looks bright ! The coming years entrepreneurs and (small) investors can fill the many innovation gaps

Rue des Marchandises 13 - 1260 Nyon - Switzerland Thank you ! Alexandre Grutman (Inno-Fuel Founder) a.grutman@inno-fuel.com Rue des Marchandises 13 - 1260 Nyon - Switzerland T:   +41 (0) 22 361 23 44 W: www.inno-fuel.com