©mPay Connect, Inc. 1 Improving Health Outcomes through the use of Mobile Financial Services By mPay Connect, Inc. Presented for the mHealth Working Group May 28, 2013

©mPay Connect, Inc. 2 2 agenda 2 Agenda  Background  How can MFS be used in Health?  In what ways can MFS improve Health Outcomes?  Examples

©mPay Connect, Inc years of experience in mobile, high tech, alternative payments with 7 years of experience in mobile financial services Founder of mPay Connect Consulting Services, Former PayPal Exec Harvard BA in Economics, Wharton MBA Mobile Financial Services Publications Include:  “ Advancing the dialog on Mobile Finance and Mobile Health: Country Case Studies,” by Menekse Gencer and Jody Ranck for The mHealth Alliance, February  “Amplifying the Impact: Examining the Intersection of Mobile Health and Mobile Finance,” by Menekse Gencer for The World Economic Forum Davos Summit, February 2011  “Mobile Money: The Foundation for Food Security,” by Menekse Gencer for Innovations Magazine, MIT Press, 2/2012  “The Mobile Money Movement(TM): Catalyst to Jumpstart Emerging Markets,” by Menekse Gencer for Innovations Magazine, MIT Press, 12/2010  “Jamaican Regulatory Overview” by Camille Busette and Menekse Gencer for The Inter- American Development Bank, 10/2010  “Jamaican Gender Issues and Mobile Financial Services Report,” by M. Gencer for The Inter- American Development Bank, 11/10 Menekse Gencer Bio

©mPay Connect, Inc. 4 4 agenda 4 What is Mobile Money? Using the mobile phone as a channel to conduct payments, account management, and other financial services

©mPay Connect, Inc. 5 5 agenda 5 In what ways can MFS be used in Health? © mPay Connect HR / Administrative Level Provider / Service Level Patient Level Salary disbursements to trainers, healthcare workers, and midwives Performance-based funding for healthcare providers Conditional cash transfers to patients Expense payouts Voucher-based settlement (e.g. child immunizations) Payment for ambulatory transport Pre-paid savings accounts (Micro) Insurance premiums / claims payouts Pay for mHealth information (voice, text, or subscription) Supply chain settlement (e.g. pharmaceutical, supplies) Pay for eHealth data retrieval / decision support services Settlement for testing, labs, remote diagnostics Pay for reminders, appointments, scheduling Co-payments for healthcare services Money transfers among family members for healthcare payment mPesa - Kenya SmartMoney - Philippines Changampka - Kenya Tigo Cash - Ghana Marie Stopes, Madagascar CDC Foundation GCash – Philippines mPesa - Kenya mPesa – Kenya Smart Money - Philippines Account Registration Digicel - Haiti Marie Stopes, Philippines

©mPay Connect, Inc. 6 6 agenda 6 How does MFS improve Health Outcomes? Better Business Models New Revenue Sources Remote Payments of Services Motivate Patients Motivate Providers Higher Quality of Care Greater Access to Care Alternative funding mechanisms for Patients Alternative funding for Providers Motivate New Providers Lower Costs More time care giving, less time on administration Sharing operations Reducing manual cash management costs Reducing fraud and theft Subsidizing patient fees through new value chain participants Faster payment of vouchers, performance- based funding, supply chain settlement, and salaries Faster payment of conditional cash transfers Credit for retailers distributing health products Faster payment motivates new players to provide services New access to savings, insurance, and credit to help pay for health services Enabling ability to pay for remote services consumed through remote mobile money service © mPay Connect Automating payments processing reduces errors Mobile Money reduces time spent traveling for cash

©mPay Connect, Inc. 7 7 agenda 7 In what ways can MFS be used in Health? New Models for Subsidies in Ghana Tigo © mPay Connect MNO Customer 1. Buys Airtime Accumulates Loyalty Points Is eligible for “free life insurance” 2. Pays Premiums 4b. Pays claims Payouts (future through Tigo Cash) 4a. Pays claims Payouts (future) 3. Pays claims (today) Insurance Co. Better Business Models

©mPay Connect, Inc. 8 8 agenda 8 In what ways can MFS be used in Health? Sharing Operations through common Agent Networks For health services For financial services For health services For financial services Health services and products For financial services and products Health outcomes Financial history © mPay Connect Better Business Models

©mPay Connect, Inc. 9 9 agenda 9 In what ways can MFS be used in Health? Improving provider participation through Mobile Vouchers, Cash Transfers, and Supply Chain Settlement Higher Quality of Care

©mPay Connect, Inc. 10 agenda 10 In what ways can MFS be used in Health? Health Accounts for the uninsured Health Account (1) Pay Provider Held at Financial Institution Card Payments Companion Virtual Card generated on Mobile Phone (1) Revenue: Transaction Fee Money In Customer deposits Customer auto-deposit from other savings account Conditional cash transfers, vouchers, or other government or NGO deposits (1) Health credit Health insurance claim Subsidies of MNO or other interested party (e.g. for achieving minimum airtime usage per month) Money Out: Health Provider Payments OR Payments PlatformHSA Program Greater Access to Care

©mPay Connect, Inc. 11 agenda 11 Challenges  Sustainable business models that scale  Understanding two complex verticals at once (regulatory, key players, technical, business models)  Market-to-market nuances for implementation and timing