In-vehicle Health

and Wellness
THE NEW ESSENTIAL

Proprietary and Confidential, Copyright © 2020, Netscribes, Inc. All Rights Reserved
The content of this document is confidential and meant for the review of the recipient.
Disclaimer: The names or logos of other companies and products mentioned herein are
the trademarks of their respective owners
Table of Contents
 Introduction

 Market Dynamics

 Ecosystem

 Consumer Dynamics

 Key Considerations

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Introduction:
Global Health and Wellness Overview
Introduction: The Rise of Global Wellness Economy
Transformation in lifestyle and rising stress levels had given rise to interest in wellness even before the pandemic
struck. Notably, COVID-19 has accelerated focus on wellness, especially for household or in-vehicle wellness

Global Wellness Market* Size 2015-2025 (USD, Bn) An Interconnected Health and Wellness Industry (2018)
8 COVID-19 35% Post COVID-19
Outbreak Growth
7 Applications
Smart Wearables
30% USD 575 Bn
6.12 Preventive
6 Boom USD 134 Bn Health
5.47 25%
Wellness Real
Household
5 4.56 Estate USD 1,083 Bn Wellness
4.22 20% Beauty and
4 3.72 USD 49 Bn Anti-aging
15% Workplace
3 USD 639 Bn Wellness
In-vehicle
Wellness
10% Wellness
Tourism
2

5%
USD 86 Bn
1 Digital Health
Wearables
0 0%
USD 9,500 Bn
2015 2017 2019 2020E 2025F USD 62 Bn Healthcare
Market Revenue Growth Rate Wellness
*The wellness market includes wellness real estate, workplace wellness, wellness tourism, Wellness Sector Device
Smartphone
thermal/mineral wellness, traditional complementary medicine and spas. It excludes medical
treatment, medical devices, and medicines. Healthcare Sector

Source: Global Wellness Institute (GWI), Policy Advice Survey, Netscribes Analysis

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Introduction:
In-vehicle Health and Wellness
A Business Case for In-vehicle Health and Wellness
There’s a renewed sense of urgency toward health and wellness in the wake of COVID-19. However, the need for
such functions have fundamental merit and can be considered as a stepping stone to autonomous driving

Average Time Spent in Car per Day, 2019 (Minutes)

Global Average 39 25 Mn 40% 7%

people killed worldwide of all US trucking accidents of all US drivers involved in
annually in road accidents – caused by operator fatigue – fatal crashes were distracted
World Health Organization National Highway Traffic – NHTSA
Safety Administration

The UK 38

The US 46 15% 5% 30%

0 10
of all US injury crashes of all US car accidents are total car driver time spent on
involve distraction – NHTSA caused by drowsiness – AAA distracting activities while
Second Strategic Highway driving – European Research
20 30 40 50 Research Program Naturalistic Support Office
Driving Study

Source: Innovation Institute Germany, Tata Elxis Whitepaper, Netscribes Analysis

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In-vehicle Health and Wellness Becomes the New Essential
Although the automotive industry has been slow in H&W adoption, OEMs have realized such functions could
deliver the much-needed product differentiation in an intensely-competitive market

In-vehicle H&W Functions Data Generated

Heart Rate Monitoring Driver Drowsiness Monitoring Visual Attention Emotion Measurement
Alcohol Detection System Body Temperature Monitoring • Gaze Concentration • Face Recognition
• Pupillometry • Voice Modulation
Blood Pressure Monitoring Eyesight Monitoring
• Gaze Direction • Skin Conductance
Glucose-level Monitoring Fatigue Monitoring
Driver Attention Level Stress Monitoring

External Surrounding Respiration Monitoring Biometrics Environment

Pollen/allergen Level Muscle Relaxation System • Heart Rate • Weather
Monitoring Air Quality Monitoring • Retina • Traffic
• Road Geometry
Dust/pollution Level Posture/comfort Detection
Ease of Egress
Rage Detection System

Driving Behavior Medical Data

• Lane Change • Heart Rate
Wellbeing Oriented
• Speed • Blood Pressure
Health Oriented • Braking • Glucose Levels
• Respiration
• Body Temperature

Source: Innovation Institute Germany, Tata Elxis Whitepaper, Altimetrik Whitepaper, Netscribes Analysis

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Market Dynamics
In-vehicle Health and Wellness Evolution
The concept of using vehicles as a device to collect and deliver health and wellness-related information is new and
offers new opportunities for the automotive, healthcare, and medical device industry, especially in the wake of
COVID-19
Evolution of In-vehicle Health and Wellness Functions, 2020 Collecting vital health parameters of the
driver/occupants and combining them with
Wellness Systems Adaptive Cruise Control clinical, physiological, spatial and vehicle data can
Health/medical Systems Ventilated Seats
Dual-zone expand the functionality of a vehicle beyond
Electronic Seat Adjust Climate Control mobility
E-Call Ambient
Lighting
• Sensors, algorithms and connected technology have
Massage Seats
enabled vehicles to become a medical/wellness device
Anti-bacterial Surface • A combination of health and vehicle data have opened
Air Purifier new use cases leading to the convergence of healthcare
Cabin Sterilization and automotive, and connected tech in an integrated
Alcohol Monitoring ecosystem
Blood/glucose Monitor
• The impact of COVID-19 has induced greater urgency
Heart Rate Monitor
Medical Imaging towards health and wellness functions given most
Respiration Monitor customers now attribute hygiene as a critical buying
Brain Wave criteria
Monitor
Introduction Growth Maturity Decline
• Regulatory ambiguity poses concerns due to lack of
Research phase
international standards resulting in implementation
Hyper and Ultra-Luxury Vehicle Luxury Vehicles Mainstream Vehicle Small Vehicles bottlenecks
• Data privacy is a key concern with regional laws having
specific guidelines for gathering and storing medical data
Source: Global Wellness Institute (GWI), Policy Advice Survey, Netscribes Analysis

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Key Attributes of In-vehicle Health and Wellness
The convergence of IoT, Connected Vehicle Technology, Healthcare, Miniaturization, and the outbreak of COVID-19
has given rise to new attributes and functions enhancing driver/passenger safety in urban mobility

Passive Health Driver and Occupant Quicker Medical Ingredients for

Monitoring
Vehicles can double up as medical
diagnostic centers where the
driver’s/occupant's health can be
monitored to alert an imminent heart
attack or asthma attack while in the vehicle
With the advent of biosensors, AI, and
remote diagnosis, vehicles can converge with
the healthcare system to provide a holistic
H&W service
• Biometric sensors can be integrated into
the backrest, seat belt, or seat cushion to
measure vital signs passively and store
data on cloud systems
Safety
According to NHTSA, about 94% of vehicle
crashes in the US have occurred due to
human error in 2018
Driver health monitoring and behavior
measuring sensors can play a pivotal role in
warning or alerting the occupants of
potential distractions
• Alcohol, drowsiness, and fatigue are the
most common reasons for driver
distraction. The industry is exploring
various sensors/functions to tackle such
concerns and improve safety
Response
With V2X evolving, vehicles can now
measure various health parameters and
alert emergency services in case of any
health emergency
Combining data points, such as, health
parameters and location coordinates will
enable rapid medical response and can help
in preventive measure
Autonomous Driving
Autonomous vehicles will change what
occupants do in a vehicle and rethink
transitional situations where the driver
takes back control
The Driver/occupants might have to take
vehicle control in emergency situations.
This would impose concerns over alertness
due to sudden change
• Driver monitoring systems could play a
critical role in monitoring occupants'
alertness and provide warning clues for
a sudden transition in vehicle control

Source: Center for Automotive Research, Electronicsforu, Netscribes Analysis

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COVID-19 Triggered Rapid Development of In-vehicle Health and Wellness
COVID-19 has brought a keen focus towards vehicle sterilization and broader health and wellness functions. The
automotive industry is relying on new innovations that can help decontaminate, sterilize vehicle surface or the cabin

Key Initiatives by Major Automotive Companies

Hyundai is exploring the use of Ultraviolet (UV) light for Geely a Chinese automotive OEM was the first to introduce
cabin sterilization. Since direct exposure to UV is harmful for a COVID-19 centric air purification system in February 2020.
the human skin, the company is integrating a sensor that This system uses an Intelligent Air Purification (IAP)
will activate the UV light when the car is empty technology which achieves N-95 grade filtration

Jaguar Land Rover is exploring the use of UV technology for

Yanfeng is developing an antimicrobial device that projects
vehicle cabin disinfection and sterilization. The company
UV light and will be integrated to the cabin headliner. The
plans to integrate this technology with vehicle HVAC by
company is exploring an OEM solution as well as evaluating
exposing UV light within the air conditioning, resulting in
the aftermarket as a retrofit offering
the release of clean air into the cabin

Faurecia is investing in a fogging system that would spray

GHSP has developed a UV light-based technology called
disinfectant within the cabin and the surface of the vehicle.
Grenlite which was first showcased at the 2020 Consumer
The company is evaluating a portable fogging system that
Electronics Show. This technology detects when a surface or
could be a retrofit. Further, the company is exploring the use
area is being used and automatically begins treatment with
of antimicrobial materials to maintain clean and hygienic
UV light to sterilize the area
vehicle surfaces

Source: JustAuto, News Articles, Company Press Release Note: The developments/initiatives are as of October 2020

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Ecosystem
In-vehicle Health and Wellness: Ecosystem
In pursuit of in-vehicle health and wellness, the automotive industry will have to collaborate with multiple partners
in the area of healthcare, wearables manufacturers, telecom services, and insurance, among others

Use Cases*

Hospitals
Medical Wearables Regulators
Driver Health Scoring

Telemedicine Pharmacy

Insurance Providers
Driver Health Monitoring
Cloud Providers Mobile Devices

Wellness Electronic
Centers Medical
OEMs
Records
E-Call Services

Healthcare Industry Tier-1 Medical

Telecom Call Center
Suppliers Sensors
Support Functions

Automotive Industry Medical Imaging

Electronics

Source: Netscribes Analysis *Use cases are indicative and not exhaustive

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In-vehicle Health and Wellness: Value Chain

Auto H&W Start-ups Automotive Industry End-User Healthcare Industry

System Integrators OEMs MaaS mHealth Wearables

Personal Mobility

Medical Sensors Dealerships Hospitals EMR Services

Health Information Technology Insurance Providers Telecom Industry

Source: Global Wellness Institute (GWI), Policy Advice Survey, Netscribes Analysis *Companies mentioned are indicative but not exhaustive

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Consumer Dynamics
Post COVID-19: Mode of Commute and Purchase Criteria
Since the COVID-19 outbreak, there is a significant shift from public to private modes of transportation, along with
a renewed consciousness about health and wellness

Change in Preference for Mode of Transportation (Global) Post COVID-19

Key Purchase Considerations Preferred Features
Car Sharing
Healthy Configurations Air Conditioning System with
Germ Filter
Vehicle Safety
Taxi

Vehicle Quality
Interior - Antibacterial Materials
Bus/Metro
Vehicle Price

Health Monitoring of Members

Brand Reputation
Two-wheeler/Micro Mobility in the Car

Connected Features
Private Cars Autonomous Parking
Ownership Cost

0% 20% 40% 60% 80%

Design
Post-COVID Pre-COVID App-based Wellness Features
Environmental Impact

Source: Ipsos Survey (March 2020, N=430), Netscribes Analysis

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Health and Wellness has become a Key Criteria for Vehicle Purchase…
Avoiding public transport and control over hygiene are among the main reasons for purchasing cars among
potential customers in 2020. Experts believe, in the post-pandemic scenario, hygiene and wellness will continue to
be key considerations encouraging vehicle purchases
Distribution of Consumers Considering Key Reasons to Purchase a Car, 2020 Income Distribution of Potential
a Car Purchase, 2020 Buyers, 2020
65%

59% of potential buyers are Concerns about safety in

55% willing to pay a premium for public transport or ride- 77% 10% 12%
hailing services
In-vehicle H&W functions 5%
45% 8%
Personal vehicle reduces the
38% 68%
chances of infection 22%
35%
28% 10%
25% Greater control of hygiene in
20% own vehicle 75%
14%
15%
14% 19%
Personal vehicle for family
travel requirements 58%
5% Less than $20,000 $20,000–$39,999
$40,000–$59,999 $60,000–$79,999
Strongly not Not Considering Strongly 0% 50% 100% $80,000–$99,999 $100,000–$119,999
-5%
considering considering considering
$120,000–$139,999 $140,000 or more

Source: Capgemini Research Institute Survey (April 2020, N=3,900), Netscribes Analysis

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…. Though Consumers are Apprehensive about Trusting Tech Companies
While consumers are skeptical about trusting non-medical stakeholders with their health records and information,
the younger generation is more open to the idea, indicating that the digital healthcare ecosystem will open up
gradually
Trust the Security of Medical Data, Consumer Trust by Stakeholders, 2020 Trust Level by Age Group, 2020
2020
60%
Government 33%
Consumer
12% trust drops
19% 50%
Automotive Companies 35% notably for 43%
non-medical
stakeholders 40%
Tech Companies 40%
23% 32%
Medical Labs 80% 30%
26%

Pharmacy 82%
20%
20%
46%
Healthcare Providers 83%
10%

Hospitals 84%
Very confident Somewhat confident 0%
0% 50% 100% Baby Gen X Millennials Gen Z
Not very confident Not at all confident
boomers

Source: Accenture 2020 Digital Health Consumer Survey (August 2020, N=7,804), Netscribes Analysis

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Key Considerations
Convergence of Automotive and Healthcare: A Win-win Alliance
Automotive and healthcare companies are expected to work closely to provide goods and services for in-vehicle
health and wellness. This will open up new opportunities for both industries, resulting in in collaborative value
creation
Collaboration With the explosion of connected technologies, consumers expect basic
health diagnosis and monitoring to be available anywhere and
Wider
everywhere. This trend of healthcare services outside hospitals has
Product
Differentiation Addressable fueled the concept of providing healthcare functions inside vehicles
Market
• From the perspective of the automotive industry, given the nascent stage of in-
vehicle health, the time and effort to build partnerships, engage with customers,
and structure business models to include healthcare elements in the car will be the
Premiumization Connected ultimate determinants of winners and losers
Ecosystem • Recognizing this, automakers have begun building partnerships to capitalize on
their strengths and create a diverse ecosystem for healthcare solutions in
collaboration with medical device companies

Connected
Automotive Healthcare

Higher Consumer
“
“Ford’s approach to health and wellness in the vehicle is not about trying to take
on the role of a healthcare provider. We’re a car company and our goal is to work
Ecosystem Acceptance closely with healthcare tech companies to develop intelligent ways for Ford
vehicles to not just offer safety but also take care of its passengers in terms of
health and wellness. Health and wellness provides a tremendous opportunity for
Data Brand Ford to provide peace of mind and a personal benefit to drivers and passengers
Monetization Building while they are in our vehicles.”
- Director of Research at Ford
Value Addition
Source: Netscribes Analysis

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Possible Route to Market
Although the automotive industry has been slow in H&W implementation in the past, automotive companies have,
in the aftermath of COVID-19, realized H&W is the new pot of gold. Companies would need to evaluate the most
effective route to market
Most likely embedded functions will take longer to be implemented and
In-vehicle health and wellness features would be the most ideal route to the market. Meanwhile, brought-in
that are stock fit during manufacturing and beamed-in functions will be more easily realized because they work
by OEMs is the most ideal approach.
For instance, Ford’s pollen sensors or
through readily available mobile and wearable technologies
MG’s air purification technology
Embedded • OEMs are expected to use health and wellness functions as key product
Functions differentiators, given the rising concerns over health and hygiene post COVID-19
• Ford is developing sensors that will be integrated into vehicle seats and measure
driver/passenger heart rate
Peripheral integration of health and
wellness features through devices that • BMW is working with the Munich Technical University to detect driver perspiration,
drivers and passengers can carry with oxygen saturation, and heart rate monitoring
Route to them into vehicles, such as
smartphones and smart watches
Market Brought-in
Functions

Cloud-enabled or broadcast solutions

where health and wellness features will
be enabled via a secure virtual
information platform into vehicles from
secured private/public cloud. GM’s
super cruise is a good example of such
Beamed-in function
Functions
Source: Forbes, IPS News, Netscribes Analysis
“
“In the first wave, HWW’s penetration among car companies will manifest in the
form of ‘purify’ and ‘measure and monitor’ in-vehicle features. ‘Purify’ will largely
be a response to COVID-19 and rising pollution in cities, with products that
monitor external ambient air quality and regulate in-vehicle air quality. ‘Measure
and monitor’ features will support drivers/ passengers through early detection of
ailments, and assistance in emergencies.”
- Sarwant Singh, Managing Partner at Frost & Sullivan

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Proprietary and Confidential, Copyright © 2020, Netscribes, Inc. All Rights Reserved
The content of this document is confidential and meant for the review of the recipient.
Disclaimer: The names or logos of other companies and products mentioned herein are the trademarks of their respective owners

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