Matthew Collier
PROFIT POOLS, DEFINED. Capital allocation solely on the basis of smart money or potential market segment size is sub-optimal. Instead, profit pool analysis presents a wiser and more comprehensive view. Profit pool analysis adds depth of understanding by revealing the location and size of profit concentration the most critical driver of future success within an industry. 1 2 Freestyle: Diving into Profit in the New Era of Digital Health
Traditional and non-traditional stakeholders are investing heavily. Accenture s research suggests that digital health funding will hit $6.5B by 2017, and that corporate America made $3B in healthcare-related corporate venture capital investments in 2015. $6.5B DIGITAL HEALTH FUNDING $3.0B HEALTHCARE CORPORATE VENTURE INVESTMENT Accenture defines Profit Pools as the total profits earned across all wedges of customer experiences However, companies are struggling to properly assess the market opportunity and act on it. Complicating factors like digital technologies, legacy mindsets, and ancient approaches are creating disgruntled ripples in the boardroom. Continued failures in digital health will occur, with fits and starts before true disruption happens. In fact, more than half (51 percent) of digital health start-ups are at constant risk of failure. 2 Leading executives acknowledge that the tides are turning, and that a broader shift from products to as-a-service is under way. 3 Diving into Profit in the New Era of Digital Health
FINDING VALUE THROUGH NEW STROKES According to five years of Accenture Strategy analysis, a new value chain is emerging, revealing a contemporary, four lane formula for leaders to succeed in the future of health (see Figure 1). The value chain shows that digital health companies are orienting around four data-driven competencies that include: FIGURE 1 The New-Era Value Chain SENSE AGGREGATE ANALYZE SERVE SENSE Sensors and connected devices that acquire diverse data sets. AGGREGATE Near-continuous collection and curation of data to enable insight. ANALYZE Retrospective and prescriptive insight that allows for informed action. SERVE Protocol-driven action that realizes known outcomes. In today s environment, value is concentrated in Sense and Aggregate, developed markets which comprise approximately 70 percent of the digital health profit pool. In the future, Sense and Aggregate companies will struggle to realize sustainable growth in profits as the profit pools migrate towards more well-rounded service offerings. Further, as their capabilities become table stakes (and data acquisition costs bottom out), these companies are likely to struggle to compete with newer, nimbler competitors more experienced in the Analyze and Serve segments. 4 Diving into Profit in the New Era of Digital Health
The Serve lane of the value chain is quickly developing, however the profit pool remains small today. Nonetheless, as new entrants enter and as offerings mature, service companies will aim to dive into a larger percentage of the profit pool. By 2020, Accenture predicts that profit pool value will dramatically shift toward service-oriented and experience-led companies. Serve and Analyze will grow 10x and 3x more than the rest of the value chain, respectively, as these businesses mature. Those looking for the deep end of profits will intensely focus their Board directives to directly invest in initiatives that prioritize service and experiences styles. FIGURE 2 Analysis shows a shift to service (and experience) CURRENT VALUE POOLS 2016 FUTURE VALUE POOLS 2020 20 20 SENSE ANALYZE 15 15 AGGREGATE SERVE 10 5 % Operating Margins SENSE AGGREGATE ANALYZE SERVE 10 5 % Operating Margins 100 75 50 25 0 100 75 50 25 0 % Share of Industry Revenue % Share of Industry Revenue 5 Diving into Profit in the New Era of Digital Health
ADVANCING FROM EPISODIC POINT SOLUTIONS TO HOLISTIC, CROSS-VALUE CHAIN OFFERINGS Winning the future of healthcare will be about more than just getting a good jump off the starting block. Companies must orchestrate the consumer journey, pairing services and experiences. Consolidated cross-value chain offerings are poised to lap the competition. Perhaps the most recognizable example of value migration and the quest for pools of value is Fitbit. The digital-first wearables company began as a seller of pedometer-like devices. Over time, the organization added new features, such as heart rate monitoring, to enable more advanced insights and more valuable recommendations. Seeking to bolster its position along the value chain, Fitbit developed a mobile app interface to affect user behavior through more engaging and timely insight. Completing the transition from a product focus to service focus, Fitbit now offers corporate wellness programs that improved outcomes including less sick time, lower costs and increased productivity. Are these moves enough? Despite aggressive moves in late 2016 to weather the shift from product focus to service focus, Fitbit continues to face headwinds as customers retool their platforms to accommodate self-insured. 6 Diving into Profit in the New Era of Digital Health
Another example of an organization capturing profit pools by migrating across the value chain is Livongo, a device-turnedservice organization focused on the diabetes market. The organization entered the space by acquiring an FDA-approved glucometer that transmits information via a connected infrastructure. Livongo then added Aggregate capabilities by capturing and curating patient data through a cloud-based platform, and Analyze capabilities through algorithms and advanced analytics that mine patient data for actionable, near-real time insight. Finally, the company invested in care delivery (Serve) by building out a 24/7 monitoring center that provides personal, non-clinical coaching and advisory services to better tackle the daily journeys of those with diabetes. To round out its offering, Livongo crafted a novel business model, taking a different approach than competitors that includes monthly subscriptions and risk-based arrangements. Livongo is now a leading Digital Therapeutics service organization. Companies like Fitbit and Livongo accentuate the profit pool migration being witnessed, while also showcasing novel approaches to offer experiential services across the digital value chain. 7 Diving into Profit in the New Era of Digital Health
DIVING INTO FUTURE PROFIT POOLS Amidst competing programs, future resource investment in digital health must be focused on the following priorities: DEFINE THE DIMENSIONS Be self-aware and understand your current place along the value chain. Assess opportunities to move laterally across the digital value chain. TEST THE WATERS Prepare for value migration by rapidly piloting and prototyping new solutions in high-potential Serve segments. WIDEN YOUR REACH Build, buy or partner to create an end-to-end digital value chain offering. Become a destination camp for collaboration. 8 Diving into Profit in the New Era of Digital Health
JOIN THE CONVERSATION @AccentureStrat linkedin.com/company/accenture-strategy CONTACT THE AUTHORS Matthew Collier Global Health Strategy Lead matthew.d.collier@accenture.com CONTRIBUTORS Richard Fu Health Strategy Manager richard.n.fu@accenture.com Michael Kovach Health Strategy Consultant michael.kovach@accenture.com Omair Ahmed Health Strategy Consultant mohammed.o.ahmed@accenture.com 9 Diving into Profit in the New Era of Digital Health
NOTES 1. Accenture; Following The Money In Digital Disruption 2. Accenture; Healthcare s Digital Lifeline; https://www.accenture.com/t20161216t031203 w /us-en/_acnmedia/accenture/ Conversion-Assets/DotCom/Documents/Global/PDF/Strategy_7/ Accenture-Strategy-Health-Digital-Lifeline-POV.pdf#zoom=50 3. Source: Georgetown University McDonough School of Business: http://faculty.msb.edu/homak/homahelpsite/webhelp/ Content/FMC%20Toolkits/Profit%20Pools%20-%20Analysis%20 -%20Mapping%2016%2001-18.pdf 4. Fitbit corporate site at http://www.fitbit.com/ca/product/ corprate-solutions ABOUT ACCENTURE Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations. Combining unmatched experience and specialized skills across more than 40 industries and all business functions underpinned by the world s largest delivery network Accenture works at the intersection of business and technology to help clients improve their performance and create sustainable value for their stakeholders. With approximately 394,000 people serving clients in more than 120 countries, Accenture drives innovation to improve the way the world works and lives. Visit us at www.accenture.com ABOUT ACCENTURE STRATEGY Accenture Strategy operates at the intersection of business and technology. We bring together our capabilities in business, technology, operations and function strategy to help our clients envision and execute industry-specific strategies that support enterprise-wide transformation. Our focus on issues related to digital disruption, competitiveness, global operating models, talent and leadership helps drive both efficiencies and growth. For more information, follow @AccentureStrat or visit www.accenture.com/strategy. Copyright 2017 Accenture. All rights reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. This document makes descriptive reference to trademarks that may be owned by others. The use of such trademarks herein is not an assertion of ownership of such trademarks by Accenture and is not intended to represent or imply the existence of an association between Accenture and the lawful owners of such trademarks.