mHealth: Taking the Pulse A Thought Leadership Study 2010Foreword March 2010 ‘To Our Cents and Friends inthe Communications, Technology and Health Care Industries: ‘Welcome to CSMG's milealth: Taking the Pulse, an overview ofthe opportunitics and challenges in the mobile health revolution, The US health care industry faces numerous challenges with rising costs, evolving reimbursoment and insurance models and an aging, and generally less healthy population. In simple terms, the curent structure doesnot allow for effiient raonaliation of consume, corporate, and government health eare dollars. Our study does not attempt to address these numerous problems andthe myriad of solutions that have been proposed for the industry. Our focus is on the role of technology, specifically mobile technologies, in this transformation, Mobile solutions offer unique characterises that ean reduce health fare costs and improve patent and practioner satsfution. By extending monitoring. for both preventative and post-reatment care, ineteasing acess to under-served segments, and facilitating remote testing and diggnores, mobile solutions are important components of a new health eare paradigm. However, just because the technology may be ready doesnot mean the market i ready. As we found out trough our study, there are significant challenges that must til be addressed before wide-scale adoption, including uncertain fong-erm payerreimbursement models, legal and regulatory sues, concems over ‘quality, health eae provider aezetanee of new technologies, and of eouse, gaps in EMR that serves as a {oundation of many mobile health solutions. In spite ofthese challenges, we are cautiously optimistic lout the opportunities over the long-term. Moreover, the continved evolution of our connected world ‘ill demand that health cave accelerate these developments. We vould like to thank all the participants in our study who provided valuable insights on the eurent state of mobile health, Our interviews included a wide range of industry representatives from wireless service providers, health cate software and hardware specialists, insurance providers, hospital systems and physician practices, The insights from hese varied and diverse conversations were invaluable and highly complementary to our interna research and analysis (On bchalFof CSMG, we invite you o explore our assessment ofthis exciting see Sincerely, ‘isin simmonsesmg-ploba cam Car TMu- Aaron Nutt Manager, CSMG tron nies global com ‘ire OID CSG AR Rees PietPrincipal Authors Saran Simmons, SYP & MD ‘Aaron Nutt, Manager S617 9881238 1617991103, ‘usansinmonsGesng-slobalcom aronsunssing-lobaLcom Contributing Authors CTI ‘Ted Chan, Contant ea Chan, Senior Analyst 1617996. 125 116179981106 tedchandesmg-gtoba com ‘rien chandesmg global com CSMG Senior Contacts Susan Simmons, S7P & MD Edward Nae, Few President Bob House, Vice Presiden 617 990.1255 $1617 9.1138 #44 207490 7122 ‘tsanainmons@esng globalean edaue@esmg-albal.com ‘obshowse@esmg global. emn Patrick Hayes, Vce President Rajesh toh, Vice President Roland daSilva, Vice Presiont #1617 999.1014 “1917 86 e08 | 44207 4307728 Datrickayes(2eamegibal.com rajesh johniesmgglobal.com roland dasiaesmg bacon Sean MeDeviy, Vie Preridont sean medevitiesmg global cm About TMNG ww smag.com ‘TMING Global (NASDAQ: TMING) is a leading provider of professional services to the converging communications industry. Is companies, TMING, CSMG, and Cartesian, and its base of over 500 consultants, have provided strategy, management, and technical consulting, as well as products and servioes, to more than 1,200 communications serviee providers, entertainment, media, and technology companies andl financial services fms worldwide, The company is headquartered in Overland Park, ‘Kansas, wth offices in Boston, London, New Jersey, Shanghai and Washington, D.C. About SMG wov.comp-lobal.com (CSMG, division of THING Gioba, i leading strategy consultancy that focuses on the telecom, medin, and eterisinment sectors. CSMG consultants combine a deep understanding of the global ‘communications industry with rigorous analytic techniques to assis thee clients in outmancuvering the ‘competition, The organization pres itself on vnderstanding the complex technology’ and Finacial chain that links the digital economy. CSM serves is international client base though is ofies in Boston and London. Pe Conri CSNO ARN Reed