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PwC
NBCU Digital Health Voice of the Advertiserand Competitive Landscape
October 10, 2006
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Digital HealthOctober 10, 2006
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Voice of the Advertiser
Needs and Challenges are Opportunities for NBCU
Shifting $ from Direct Response to Direct Relationship New value proposition = health-promoter or disease manager Reaching consumer with much greater, variety of health content Operating in regulated environment (FDA, Privacy, Distribution etc.)
Industry Industry Needs/Challenges
Pharmaceutical
Medical Devices
Consumer ProductGoods
Media Agencies
Technological/Mobile storage and access Creating new B-to-C relationships with consumers Engaging physicians as well as consumers Leveraging empowerment of consumer in health choices
Direct relationships with consumers creates need for content
Educating the consumer regarding health benefits of products Finding innovative channels in government, non-profit programs Competing with pharmaceuticals companies
Seeking more detailed information on consumers (profiles) Moving unique visitors to repeat visitors on health
management/services Communicating need for an integrated multi-platform plan
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Digital HealthOctober 10, 2006
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Voice of the Advertiser
A Diagnosis from Advertisers in Building a Health Portal
Key Themes
360 marketing approach
Deep and multi-faceted healthcontent
Creative Contextual Placement
Segment Consumers
Health/Social Networks, Mobileand Other Emerging Features
We want to engage the consumer in their relevant environments the
ability to offer a continuous message through the integration of variousplatforms could serve as a key differentiator.
NBCU has the potential of coming together as one entity and providing a
one-stop-shop to meet marketing needs.
I want to see a site that covers a specific disease beyond just the high-
level descriptionit should include alternative treatments and procedures,medications, support groups, etc. There is no one site out there that isdoing this right now.
One of our biggest challenges is shifting the image of our product from
purely hygienic to more health benefiting. One of our more successfulmulti-platform campaigns leveraged contextual placement to informconsumers of these health benefits.
There is such a huge fragmentation of media that it is difficult to determinehow to reach the target consumer.
There are very few websites that can effectively segment customers both
demographically and behaviorally.
A potential differentiator would be if NBCU can look towards social
networking tools, like blogs and forums, to engage the consumer.
We are looking towards other channels, like VOD, mobile advertising,
podcasts, TIVO, broadband video, etc. to connect with our customers.
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Digital HealthOctober 10, 2006
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Voice of the Advertiser NBCU Property Feedback
NBCU Property Strengths Areas of Improvement
General
Strong brand and quality
Highly credible source of general newinformation
Need to provide a cohesive offering
Need to improve appeal
iVillage
Highly desirable demographic
Focused plans
iVillage has a very proactive sales teamIhear issues directly from them instead of
finding out on my ownthey come preparedwith a potential solution.
Need deeper health content
Lack a community building environment
Pricey compared to other sites with higher traffic
Strength in demographic is not utilized effectively
Lack of flexibility and creativity
Need to better balance the level of importance placed onthe consumer versus the advertiser while maintaining
journalistic integrity could be less girly pink and focus on providing life-
stage content
I dont choose to advertise my other products oniVillage because it lacks a male audience.
Healthology &
Healthcentersonline
Targeted content
Developed channel with regard to service andcontent
Not as responsive
Not as creative
Not as flexible
The Patient Channel
Provides mechanism to reach out directly topatient
Demonstrate flexibility in content
Lack of measurable results (e.g., provide metrics on thenumber of patients that view The Patient Channel andactually use specific medication)
Need to improve reach; Only 1500 hospitals in network
Does not engage healthcare professional (i.e., motivatephysician to direct patient to the channel)
ROI has been difficult to gage
Newborn Offers capability to connect message at the
very beginning of the infant life stage No mechanism to obtain direct feedback from mothers
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Digital HealthOctober 10, 2006
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Future Trends
One-stop consumer destination
Integration of health functionsand data online
Developing competency toserve the providers / businessmarket
Enhancing content and tools through acquisitions/partnerships.
Having tools that empower consumer choices about the quality and price.
Having content, tools, communities/social networks in one place.
Conducting health activities online (e.g., e-prescriptions, vitals monitoring,online doctors visit, etc.)
Collecting and integrating medical data to be displayed, shared and accessby multiple providers.
Developing competencies to offer technologies or services to providers orbusiness customers.
Developing online solutions designed to improve efficiencies and reduceoperational costs.
Extending B2B competencies to enhance B2C offerings.
Mobile devices and IPTV foraccess to health content,services
Using mobile access to stored content including health content, storedmedical images, insurance information, etc.
Mobile carriers having content and tools for wellness/fitness management.
Using IPTV/Digital Cable for storage of content, video conferencing.
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Digital HealthOctober 10, 2006
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Opportunities that Emerge
Consolidated online health portals offering:
Interactive, wide range and credible content
Advanced tools: comparison shopping,
personal health management
Transactions: e-prescription, online doctors
visit, insurance, etc
Customizable online health experience through
profiling and segmentation
Multi-level targeted marketing or advertising
Online access to personal electronic records Mobile access to stored medical/health
information and existing content
Private-label health portals for corporate users
and advertisers
Healthcare providers/administrators-owned
online health portals to manage:
Provider directory and physicians profile
Claims, billing, and patient records
Linking medical monitoring devices to other
portable devices and storing information online
Business to business e-commerce solutions
for physicians
Online health portal revenue opportunities can be segmented into two areas:
Business to Consumer Opportunities Business to Business Opportunities
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Digital HealthOctober 10, 2006
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Online Health Portal - Competitive Landscape
Who
Service Providers
Healthia (Vimo)
HealthGrades Prematics Place for Mom
Content Players
Established Microsoft Google *
Yahoo About Discovery NIH Mayo Clinic Merck Aetna WebMD
Relay Health
Sermo, Inc eDiets
Emerging Players: Waterfront Media Revolution LLC*
Real Age Choice Media Healthline
Future Trends
One stop shopdestination for consumer
Use of mobile devicesto access health content
Integration of healthfunctions and dataonline
Developing competencyto serve the providers /business market
Converging Player
Google*
Microsoft* Revolution Health Group* WebMD Aetna Mayo Clinic
Possible Partnerships
NBCU TV Stations GE Healthcare Sprint Rodale Press Conde Nast Harvard Medical RealAge
Cleveland Clinic Healia Choice Media Waterfront Media Aetna Relay Health Healthline
What How
Market trends indicate that the future of online health portal market will be aconvergence of service providers and content players.
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Digital HealthOctober 10, 2006
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Companies Todays Differentiation
WebMD
Revolution
The key players in the online health portal market are the ones that are convergingtheir portal to offer content and services
Online Health Portal Key Players
Microsoft Inc.
Google Inc
The biggest player in online health portal arena withstrong branded content.
Has a credible source of health content.
Paid subscription to electronic medical records.
Recently acquired Rediclinic
Lime.com online health portal with the most multi-platform offering (TV, radio, Internet, mobile,podcast).
Has extensive discussion boards, high traffic, andcredible content
Has the resources to invest and make itself aleading player in the industry within a short period
of time.
Developing and refining Google Co-op, -- avertical search capability
Benefits from the amount of traffic generated by itssearch engine branding.
Expectation of Tomorrow
Integration of business-to-consumer (B2C) andbusiness-to-business (B2B) services
Development of Spanish version of WebMD
Possible partnership with Google
Represents the next-generation health portalwith features and services
Offering products/services online and off-linethat cover the entire consumer life cycle.
Launching Windows Live Healthcare to include acombination of B2B and B2C services
A possible upgrade or restructuring of MSNHealth.
Extending reach to the healthcare sector acrossvarious platforms (i.e. hospitals, physicians,payors, Internet).
Google Scrapbook intends to integrate allaspects of healthcare and managing personalhealth online both for the B2B and B2Cmarkets.
Possible partnership with WebMD
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Digital HealthOctober 10, 2006
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Online Health Portal - Investment
Managing expectations for the long-term
Online health portal returns are long-term investmentsand will take several years to turn a profit.
WebMd Health Corp:
Annual Profit since it went public
2005 2004 2003 2002 2001
7.7M 6.4M (7.4M) (24.4M) (2,529M)
Revolution Health Group:
Steve Case has told investors that it could be up to10 years before Revolution health Group turns aprofit.
Online health portals are a long term investment, but recent momentum suggests this
will be a popular and high-profile segment for investment activities.
Investments range from $7M to $250M by individualcompanies.
New players are emerging:
Choice Media: $36.5M in late 2005
Healthia: $7.9M in 2005
Waterfront Media: $10M in past 2 years
Healthline Network: $17.5M over 5 years
Relay Health: $62.7M over 5.5 years
Revolution Health: $250 M over 2 years
Continuing rapid emergence of new players andconsolidation activity likely to occur in next 2-3 years.
Convergence between content and personal healthmanagement services.
Investment activities likely to center on specialized content,differentiating features (i.e. broadband video) and newservices.
Investment Activities Return on Investments
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Digital HealthOctober 10, 2006
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Online Health Portal - Summary
Competitive Landscape
Trends in media and technologies havehuge influence on the trends in theonline health portal
Leading players have started to position
themselves to embrace the new trends However, it will take them a while to be
able to fully integrate all their offerings
Strategic partnerships need to be madeto enable NBCU to develop an offeringthat can incorporate the future trends
NBCU
OnlineHealthPortal
Positioning
Voice of Advertiser
Advertisersare faced with their ownindustry challenges
However, common themes haveemerged that represents opportunities
for NBCU Advertisers observed a gap in the
market that NBCU can fill
Advertisers view that NBCU is wellpositioned to develop better offerings forthe online health portal market
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Appendix A Engagement Backgroundand Methodology
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Digital HealthOctober 10, 2006
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Objectives & Engagement Background
NBCU has engaged us to perform the following advisory services: assist you in
preparing, organizing and analyzing the development of NBCU's Digital Healthbusiness plan.
The primary objectives of this engagement include understanding and determining:
The market and critical success factors for NBCU's Digital Health initiative The products and services that may be offered through this initiative The current developments and future industry trends The value proposition of the initiative from the advertisers' perspectives Potential strategic internal and external partnerships to launch the initiative in the marketplace The changes within NBCU properties to consider to support this initiative
Scope:
Interviewing potential health related advertisers and/or agencies for an independent understanding
of their needs. Utilizing PwCs Healthcare and Pharmaceuticals industry Subject Matter Experts, research and
thought leadership to understand the opportunities and expectations for such an initiative. Performing a top-line analysis of the market place, including mature and emerging players of
healthcare content and technology providers, for potential partners, alliances and other trends.
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Digital HealthOctober 10, 2006
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Our Methodology
Methodology: Analyzed competitive landscape
Conducted voice of the advertiser
Competitive Landscape:
PwC reviewed over forty companies and
provided a deep dive analysis of thatcame from: NBCUs list of competitors PwC marketplace review and research PwC Pharmaceutical and Healthcare PwC Money Tree - listing of emerging
venture capital backed companies
Covering the following industries: Media and Entertainment Healthcare Technologies
Voice of the Advertiser Research:
PwC interviewed NBCUs current
advertisers from iVillage.com Healthology.com Healthcentersonline.com The New Born Channel The Patient Channel
That came from the following industries:
Pharmaceuticals Consumer Goods Products Medical Devices Media Agencies
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Digital HealthOctober 10, 2006
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Interview Questions
On Marketing and Industry Trends: What are some of the key issues and challenges currently facing your industry? What are some of the key trends in the marketing of products/services that you are seeing in the marketplace?
On the Marketing Partners Background: What are your overall marketing goals? Can you tell us how advertising particularly online advertising plays a role in attaining these goals? How do you define return-on-investment from your marketing efforts? Could you describe a few of what you would consider the more innovative campaigns have you implemented using
digital platforms?
On the Current Market Players: Could you discuss the variety of websites on which you currently advertise and market? (e.g., media outlets, womens
issues, health-related)? Which website(s) stand out as delivering the highest return-on-investment for your advertising dollar? What are the
perceived benefits of advertising on these website(s)? Are there needs you have as an advertiser that are not being fulfilled by any of the health-related websites?
On NBCUs Value Proposition: As an advertiser, what qualities do you like about doing business with the NBCU health-related websites? What are their weaknesses as an marketing partner? What could they do better? What would you like to see from the NBCU online health websites that would differentiate them from other websites?
Note:
Feedback resulting from these questions is captured in the Voice of the Advertiser analysis
PwC interviewed 15 advertisers in regards to the following questions:
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Appendix C Mergers and Acquisitions
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Digital HealthOctober 10, 2006
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Acquired Company Year Description
MyDNA Media
1800Schedule
Simo Software
Wondir, Inc
Extend Benefits LLC
ConnectYourCare, Inc.
Interfit Health
11/2005
11/200511/2005Fall 05Fall 05Fall 05Fall 05
Fall 05
Health news and information
Helps consumers find doctors and schedule appointments with providers
Software that aids consumers in managing their healthcare costs by comparingcosts and finding discrepancies.
Community-based search info about health needs and issues
Benefit solutions for corporations, focused on consumer directed pans
Consumer directed healthcare platform Rediclinics or retail-based convenient healthcare centers
Medsite.com, Inc
Summex Corp.
eMedicine.com, Inc.
Medscape Physicians Online Inc
7/2006
4/2006
1/2006
1/2004
B2B e-commerce, info, and communication products/services to physicians.
Health management services for employers.
Online publisher of medical reference info for physicians and professionals
Comprehensive info to healthcare professional.
Online medical network allows patients to manage their health accounts
Aerodiet.com LLC-Calorie 9/2006 Website offering weight loss tools and nutritional information
Azyxxi Software 8/2005 Software provider for patient information and tracking data for hospitals
RelayHealth Corp
D&K Healthcare Resources
IntelliClaim, Inc
6/2006
7/2005
2/2005
Facilitates online medical consultations and related services
Wholesale distributor of branded & generic drugs and pharmacy services
Claim processing tools for healthcare payors
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Established Players and their M&A Activities
Established companies are extending their capabilities through merger and acquisitionsin order to position themselves to become integrated players
RevolutionHealth Group
WebMDHealthCorp.
About.com
Microsoft
McKessonCorp.
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Appendix D Your PwC Digital HealthEngagement Team
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Digital HealthOctober 10, 2006
Your PwC Digital Health Engagement Team
Michael Kelley, Engagement Partner+1 646 471 [email protected]
Sharly Rungkat, NY Manager+1 646 471 8029
Jeffrey Coseo, NY Associate+1 646 471 7177
Peter Winkler, NY Director+1 646 471 [email protected]
Glorivee Ramirez, NY Senior Associate+1 646 471 0540
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]