Will the bubble of Internet medical investment be shattered? Malay Gandhi doesn't think so.

What will happen in the next year? We are not sure now, but in the past 2014, we all know that Internet medical investment has experienced explosive growth. According to a recent annual report by Rock Health, the famous Internet medical incubator in the United States, the total investment in Internet medical care exceeded $4 billion last year, and it is predicted that this number will continue to grow in 2015.

Malay Gandhi, general manager of Rock Health and working with his startups for a long time, said: "Internet medical care is not a bubble. A lot of people, including patients, doctors, and payers, are dissatisfied with the current medical situation. In the past 20 years, advanced technology has not fully penetrated into the medical industry. Now it is time. We have seen a series of Internet medical companies providing customers with truly valuable services and many potential companies. I am participating in it."

It is difficult to pay attention to the “popularity” of Internet medical care, especially since the capital market’s investment in a single quarter last year exceeded $10 billion, which is the first time since the Internet era. However, Gandhi pointed out that even under the Internet wave, the investment in a quarter exceeded $30 billion, and the entire market seems to be developing very rapidly, but the entire capital market is still relatively conservative.

As Gandhi said, it is precisely because of the inherent dissatisfaction with the medical industry that it has promoted the growth of Internet medical investment. In 2014, 258 Internet medical companies received more than $2 million in investments. According to Rock Health's report, the six largest categories of Internet medical care investment last year (accounting for 44% of total Internet medical investment) were: big data analysis ($393 million), consumer participation ($323 million), digital medical devices. ($312 million), telemedicine ($285 million), personalized medicine ($268 million), health management ($225 million).

What will happen to the growth trend in 2015?

Here are five areas that Malay Gandhi believes Internet healthcare investments are most likely to grow rapidly:

1, telemedicine

Telemedicine was one of the fastest growing areas of Internet medical care last year, with a total investment of US$300 million, a year-on-year increase of 315%. The two core issues for the continued growth of telemedicine are access and reimbursement. A report from the American Association of Telemedicine (ATA) shows that 22 states in North America have received a comprehensive A-level rating for medical quality licensing standards. Gandhi said: "We have found a positive trend."

More positive signals include the development certification process conducted by the American Telemedicine Association (ATA) for suppliers who provide counseling services to patients, and the CMS confirmed that it will be able to reimburse seven new telemedicine services from this year onwards. Of course, there are still some challenges in terms of access that may hinder the growth of telemedicine investment. For example, although more than 40 relevant bills are being discussed in Congress, there is still no corresponding national standard for telemedicine. Gandhi said: "Although we can't expect to be able to legislate in the short term, at least we have this trend."

The increase in reimbursement is relatively slow, but commercial insurance companies' acceptance and adoption of telemedicine providers is only a matter of time. Gandhi also said that the network may shrink and align to specific telemedicine providers, but will certainly cover telemedicine. And what happens when consumers are more willing to use his favorite telemedicine services than the telemedicine services that the insurance company recommends for him. This will be something we are interested in.

2. Payer Management & Hospital Management

Extremely high operating pressures and extremely low operating margins will continue to drive the growth of payer management investments in 2015. Because of the minimum loan interest rate limit and billions of bills that are always inefficient, the reduction in management costs is critical for all payers. “Look at the companies we have now, most of the payers need to cut management costs by about 15%-50% to ensure substantial profitability under the minimum loan interest rate limit,” Gandhi said. “Now this is facing A lot of pressure, because the payer can no longer pass the management costs on to the consumer."

Hospital management investments will also grow for similar reasons. Because many medical service providers are willing to use short-term management income for long-term fund investment. But Gandhi said he doesn't think there will be a high growth in electronic health records (EHRs).

“I don’t think investment in electronic health records (EHRs) will increase, but I think investment in clinical workflows and many areas related to electronic health records (EHRs) will increase significantly,” he said.

While ongoing data from electronic health records (EHRs) will drive growth in investment in big data analytics, Gandhi believes that the market for electronic health records (EHRs) is already mature. In other words, many alternatives to electronic health records (EHRs) will appear. According to a survey by Rand Think Tank, 61% of doctors believe that electronic health records (EHRs) improve the quality of medical services, but 43% still believe that electronic health records (EHRs) reduce their work efficiency, only 35% think of electronics Health records (EHRs) increase their job satisfaction.

Gandhi said: "I think we will continue to see continued growth in investment around electronic health records (EHRs). Even with a lot of dissatisfaction with electronic health records (EHRs), I am still not sure if investors will invest in alternatives. In particular, if they continue to invest in finding solutions to the problems of current electronic health records (EHRs), then don't expect investment in this area to increase, but of course, investments around electronic health records (EHRs) will continue. Increased."

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