Cegedim Sa · EURONEXT:ALCGM

Cegedim Sa — Investor Day (December 2018)

150 slides from Cegedim Sa's investor day presentation, Dec 11, 2018

Slide 1: 9th Investor Summit
fe w cegedim December 11, 2018 Oth Investor Summit N
Slide 2: Introduction
Introduction Laurent Labrune CEO, Cegedim Healthcare in Digital Transformation Jan Eryk Umiastowski Chief Investment Officer Head of Investor relation In practical terms, how is Cegedim revolutionizing the healthcare industry?
Slide 3: Introduction
Introduction Laurent Labrune CEO Cegedim Group
Slide 4: Healthcare in Digital Transformation
Healthcare in Digital Transformation Jan Eryk Umiastowski Chief Investment Officer Head of Investor Relation
Slide 5: Digitization does not equal digital transformation
 Historically, digital transformation was used to define the fact of turning paper into digital information: digitization.  Digitization does not equal digital transformation  Digitization is needed in order to optimize in a digital transformation © Cegedim 2018 5
Slide 6: Digital transformation is much more than disruption or technology
Digital transformation is much more than disruption or technology © Cegedim 2018 6
Slide 8: Rethinking business model and processes
Rethinking business model and processes…. To become more efficient or effective © Cegedim 2018 8
Slide 10: Use technology to transform that service
But use technology to transform that service into something… Significantly better, new © Cegedim 2018 10
Slide 11: Interdependency and interconnectedness of everything
Essential aspect of digital transformation: Interdependency and interconnectedness of everything © Cegedim 2018 11
Slide 12: The true transformation is a journey not a destination
The true transformation is a journey not a destination © Cegedim 2018 12
Slide 13: Digital transformation involves many different technologies
Cloud Big Data Digital transformation involve many different technologies IoT AI © Cegedim 2018 13
Slide 14: Digital customer interface
Digital Automation customer Interface 4 leavers supported by technologies Mobility Social © Cegedim 2018 14
Slide 16: Digital can have a significant positive impact
Digital can have Stronger connectivity a significant positive impact Greater efficiency and automation through four levelers Better decision making More advanced innovation © Cegedim 2018 16
Slide 17: Japan's Society 5.0
Japan’s Prime Minister, Shinzo Abe published in 2017 this commercial created by the Japanese government about the new advanced “Society 5.0” © Cegedim 2018 17
Slide 19: Worldwide spending on digital transformation technologies
Worldwide spending on digital transformation technologies (hardware, software, and services) $1.3 trillion >$2.1 trillion in 2018 in 2021 Source: IDC: IDC Forecasts Worldwide Spending on Digital Transformation Technologies to Reach $1.3 Trillion in 2018 Dec. 15, 2017 https://www.idc.com/getdoc.jsp?c
Slide 20: Digital transformation and the key role of data and information
Digital transformation and the key role of data and information © Cegedim 2018 20
Slide 21: Information management is essential to digital transformation
 Information management is essential to digital transformation  4 information chaos challenges  1. How do we optimize business processes?  2. How do we get any business insight out of all the information we collect?  3. How do we use information to better engage customers, employees and partner
Slide 22: Businesses need digital transformation to survive
Businesses in every industry need to apply a digital transformation not only to stay competitive, but to survive © Cegedim 2018 22
Slide 23: Digital Transformation: A major opportunity for healthcare
Digital Transformation A major opportunity for healthcare © Cegedim 2018 23
Slide 24: Healthcare industry experiencing rapid change
The healthcare industry is experiencing rapid change resulting from evolving consumer and employer demands and regulatory requirements, as well as the rapid evolution in technologies © Cegedim 2018 24
Slide 25: Healthcare industry experiencing rapid change
The healthcare industry is experiencing rapid change resulting from evolving consumer and employer demands and regulatory requirements, as well as the rapid evolution in technologies © Cegedim 2018 25
Slide 26: Challenge of making healthcare better across the globe
Challenge of making healthcare better across the globe Quality of healthcare Access to healthcare Improve Controlling cost as populations age and grow Public expenditure on healthcare is under pressure While © Cegedim 2018 26
Slide 27: The aging population
The aging population 26.3 Japan America’s 65 and Percentage of 22.4 Italy over is projected the population 21.2 Germany to nearly double over 65 years over the three old decades National Institute on Aging With aging population also comes less people are ‘active’ and are able to contribute to health
Slide 28: Chronic diseases account for three quarters of deaths
Chronic diseases Only 5 of these already account diseases will cost for three quarters the economy 47 of deaths across trillion USD by the globe 2030 Source: World Economic Forum – The Global Economic Burden of Non-communicable Diseases http://www3.weforum.org/docs/WEF_Harvard_HE_GlobalEconomicBurde
Slide 29: Global Digital Health market revenue
Global Digital Health market Revenue Transparency market research: Digital Health Market (Product - Health Care Information Systems and Wearable Devices; Component - Hardware, Software, and Services; End User - B2C and B2B) - Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2017 -
Slide 30: 6 areas of improvement through digital transformation
6 areas of Outcome improvement Paperless transparency data through digital decision support transformation Patient Online self-care interaction Workflow Patient self- automation service © Cegedim 2018 30
Slide 32: Expected savings due to digital transformation
Example of expected savings due to digital transformation Potential value of digitizing healthcare in Germany Digitizing healthcare-opportunities for Germany. Digital McKinsey October 2018 €34 billion Expected savings by NHS from investment in electronic health records, digital services, and data ou
Slide 33: Simplify complexity, patient engagement, security
Simplify complexity Eliminating complexity, offering clear information and automating parts of the routine tasks, freed up resources Growth patient engagement and responsibility Healthcare systems will increasingly take into account lifestyle and behavior • Live healthy and get rewarded • Live unhea
Slide 34: Why digital is now crucial for private health insurers
Why digital is now crucial for private health A digital transformation can enable insurers in Private Health Insurers (PHI) in Europe to: Europe? • Control costs • Attract new customers and retain existing ones • Influence the quality and quantity of delivered care • Transform how they interact with
Slide 35: Cegedim a partner for digital transformation of healthcare
Cegedim a partner of choice for the digital transformation of the healthcare sector © Cegedim 2018 35
Slide 41: Overview: Health Insurance, HR & e-services solutions
Overview: Health Insurance, HR & e-services solutions 41 © cegedim 2018
Slide 43: Chronology
© cegedim 2018 Chronology - 1990 Fine-tuning the updated Business Model Business Model 1999 Transformation 2015 & 7 & _ 999 PP Development ro cllly Expansion 1995: IPO of Cegedim on Euronext Paris 43
Slide 46: How is Cegedim revolutionizing the healthcare industry?
In practical terms, how is Cegedim revolutionizing the healthcare industry? © Cegedim 2018 46
Slide 47: Speakers: CHS and US Healthcare
CHS Stefan Janssens President Cegedim Healthcare Software US Healthcare Digital Transformation Kathy McClung Practice Administration at OANO Telemedicine: Legal Framework and Docavenue Eric Jarrousse, VP Strategy CHS Arnault Billy, General Manager
Slide 48: Speakers: Gers Data, Cloud, Insurance, SY
Gers Data Gilles Paubert, Global Head of Real World Data David Syr, Managing Director Gers Data Cegedim.Cloud: Digital trust builder Frederic le Guillou, Chief Information Officer Digitalization of company processes in and outside healthcare segment Philippe Simon, CEO BU Cegedim Insurance Pierre-He
Slide 50: Few KPIs
Few KPIs 178,000 66,000 46,000 providers pharmacies paramedics  Activities in 11 countries  Only supplier that has an agreement with the 4 NHS bodies in the UK  Cloud solutions across the board  28% staff is in R&D  All affiliates have certified solutions  BCB in 5 countries © Cegedim 2018 50
Slide 51: Cegedim Healthcare Software France market share
Cegedim Healthcare Software FRANCE SESAM-Vitale publisher’s market share in number of health professionals (calculated at group level) This surface represents Market survey performed one percent of market by SESAM VITALE - 2017 share 1.8% 19.4% Cegedim 1.9% Cegedim is the market 2.1% leader in numbe
Slide 52: Cegedim Healthcare Software France
Cegedim Healthcare Software FRANCE Unlike its main competitors in France, Cegedim is not specialized in only one category of health care professional software. Through its three entities CLM, SMART RX and RM INGENIEERING, CEGEDIM addresses the vast majority of healthcare professionals software. 80 0
Slide 53: Organization
Organization  The creation of the Software factory proves to be a success  Increasing Nearshore/Offshore Teams and Quality  Romania  Morocco  India  Ahead of our competitors with the creation of Docavenue (100 staff) and the launch of our teleconsultation solution  CHS Organization responds t
Slide 55: CHS supports clients
Digital Transformation  CHS supports clients:  to provide better healthcare services  to be more efficient  A few examples of both © Cegedim 2018 55
Slide 57: Assisted Teleconsultation France
Assisted Teleconsultation France The patient resides in an under- dense medical area Doctor The patient is assisted by a nurse, Nurse Patient the doctor is in a remote location © Cegedim 2018 57
Slide 58: HDMP (Belgium)
HDMP (Belgium)  Prevention Health Guide, developed by the leading Doctor Organization (Domus Medica & SSMG)  Paper questionnaire processed manually by the GP in his HER  Time consuming …. Result = Poor Prevention  HDMP created a digital online version of the questionnaire  Can be completed at h
Slide 59: HDMP (Belgium)
HDMP (Belgium)  GP can follow status, and gets alert Prevention when completed. Module  Answers will be integrated in the Prevention Module of the EHR Depending on the Patient answers :  More questions can be raised  Guidelines are proposed to the GP © Cegedim 2018 59
Slide 60: Cegedim RX UK
Cegedim RX UK  Healthi Dispenser is Cegedim Rx’s next generation dispensing platform  Using Healthi Dispenser Pharmacists can:  Have a centralized dashboard that highlights the condition of the Pharmacy, so that any issues can be easily identified and addressed  Use intuitive dispensing workflow
Slide 61: SmartRX 360 Pharma Groups Strategy
SmartRX 360 Pharma Groups Strategy For the Pharma Groups:  Real-time monitoring tool to support commercial strategy proposed by Pharma groups to their members  Follow up of contracts / market  Promotion tracking tool  Margin follow up by range of product  Competitors analysis © Cegedim 2018 61
Slide 62: Vision Anywhere (UK)
Vision Anywhere (UK)  Anytime, anywhere access to patient records by desktop, iPhone, iPad, AndroidTM phones and tablets.  The NHS Highland pharmacy team now uses Vision Anywhere during remote medication reviews to :  Conduct the reviews from any location.  Have sight of medical records  Add de
Slide 63: Simply Vitale
Simply Vitale Touch pad  RMI : Twintab for Simply Vitale  2 card readers : CPS (healthcare professional) + Stylus Vitale Card Vitale card CPS Card  TwinTab 2 integrates a 4G card to allow access to the Cegedim telemedicine APIs from the patient's home Leather case © Cegedim 2018 63
Slide 64: Improved efficiency
Improved efficiency How to bring more service to our customers?  Backup time is a wasted time  The absence of recent backup in case of problems on the computer may have significant consequences (lack of medical data, missing billing elements, non-registered patients, ...) Characteristics  Daily b
Slide 65: US Healthcare Digital Transformation
US Healthcare Digital Transformation Kathy McClung Practice Administration at OANO © Cegedim 2018 65
Slide 66: Introduction: Kathy McClung
Introduction Kathy McClung  New Orleans, Louisiana  40+ years in Healthcare field  Started in 1973 as a receptionist in a Dermatology practice  Currently is Administrator for Orthopaedic Group of 5 Orthopaedic Surgeons who execute 125 surgeries/month © Cegedim 2018 66
Slide 67: Evolution of Medical Billing & Technology
Evolution of Medical Billing & Technology 1970s late 1980s recently nowadays Patients want the convenience of contacting a doctor’s office. (e.g. They text pictures of injuries and post of surgery incisions.) © Cegedim 2018 67
Slide 68: Trends
Trends  Demand for Cloud solutions reducing Total Costs of Ownership and business continuity  Interoperability enabling physicians to manage end-to-end customer care  Digital channels improving patient engagement  Usability improving system utilization  RCM robust reporting tools increasing bus
Slide 69: Reasons for Cloud Technology
Reasons for Cloud Technology  Security  Compliance  Mobility  High Availability & Redundancy  Ease of management  Hardware Agnostic  Disaster Readiness  No Server Maintenance, or Servers at all!  Minimal Intervention © Cegedim 2018 69
Slide 70: US Healthcare Landscape
US Healthcare Landscape  Regulations:  MACRA: Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM)  HIPAA: Health Insurance Portability and Accountability Act on processing of Personally Identifiable Information  Growing Costs of Healthcare Service Delivery:  High-de
Slide 72: OANO Experience
OANO Experience  In 2017 Orthopaedic Associates merged with four other Orthopaedic groups in New Orleans.  Major reason was to avoid acquisition by a hospital entity.  The merger was Louisiana Medical Group, LLC (LMG).  Pulse was engaged with LMG and did a great job.  Orthopaedic Associates end
Slide 73: OANO and Pulse Partnership
OANO and Pulse Partnership  Cooperation started in 2013.  OANO is a Revenue Cycle Management and Technology customer.  Started using Pulse Cloud in 2018 that reduced total costs, increased user enablement and ensured business continuity.  Very user friendly…training time for new or current emplo
Slide 75: Legal framework and opportunities in remote consultation
Legal framework and opportunities in the remote consultation market in France and abroad in 2019 Eric Jarrousse Vice President CHS in charge of Strategy © Cegedim 2018 75
Slide 76: Remote consultation: legal framework and opportunities
Remote consultation: legal framework Opportunities in remote consultation © Cegedim 2018 76
Slide 78: The legal framework for remote consultation
The legal framework for remote consultation  Around a decade ago, most countries decided to allow healthcare professionals to treat their patients remotely.  In some countries, such as France and Portugal, national law defines both the legal framework and eligible procedures. In others, such as th
Slide 79: Every country is trying to limit potential risks
The legal framework for remote consultation  Verifying patient and practitioner ID, practitioner qualifications, and patient consent;  Procedures for referrals to/from the remote doctor and interaction with other doctors, for example the patient’s Every country treating physician; is trying to  P
Slide 80: The legal framework for remote consultation in France
The legal framework for remote consultation In France: remote consultations (and four other telemedicine procedures) were first authorized in 2010 but were not yet reimbursed, apart from ETAPES projects. As of September 15, 2018, “Remote consultations for all” became a part of ordinary law, provided
Slide 82: Opportunities in remote consultation
Opportunities in remote consultation  More than 3 million patients in less populated areas no longer have access to care, and 25% have stopped going to the doctor.  Shortages in the medical profession will get worse over the next decade: the workforce has shrunk by 9% since 2007, and in 12 departm
Slide 83: Opportunities in remote consultation
Opportunities in remote consultation  Of the 18 million annual emergency room visits in France, 80% are for a simple problem that could be handled by a PCP.  In an opinion requested by the Minister of Health, France’s National Authority for Health said that no clinical procedure should be outside
Slide 85: Docavenue Teleconsultation in motion
What’s our ambition What’s timeless in daily medical practice management for HCPs? What’s evolving, at last ! Docavenue Teleconsultation … in motion © Cegedim 2018 85
Slide 86: 2019 & more: Strategy & Ambition
2019& more: Strategy & Ambition Our mission / Why do we do Docavenue ? Help HCPs focusing on their Patients care How do you do Docavenue ? Making HCPs players of innovation Smoothing a flawless care pathway Improving the patient access to healthcare Building an innovative team sharing the same value
Slide 91: Technology enables true consultation
So the technology will enable you to:  Still perform a true consultation  In a regulated way, in line with the new Health convention from Sept 15th  Including video so it helps to be more reliable and create human relation  In a securised and HDs environment  Monetization  Gain time and effica
Slide 93: How data is driving digital transformation
How data is driving digital transformation David Syr Managing Director Gers Data Gilles Paubert Global Head of Real World Data © Cegedim 2018 93
Slide 94: Gers Data digital applications for HCPs
Gers Data, the French data solutions for HCP digital’s application 2 examples of digital solutions for HCP 1. Pharmacists: Smart-RX 360 for pharmacist 2. Physicians: Rare diseases detection program Cegedim Health Data: a global team for a global RWD brand “THIN” (The Health Improvement Network) An e
Slide 95: Health Data Hub already exists
If the Health Data Hub already exists ! Agnès BUZYN has launched the prefiguration mission of « Health Data Hub », a lab to harness the health data 12/06/2018 … The first mission of the « Hub » will be to ease the enlargement of the SNDS to clinical data Health Data Hub exists already The reference
Slide 96: Reimbursement data
GERS Data follows the « 3 Q » rule  The data : Reimbursement  4 millions of patients in 2018  ~7 years of history per patient  Fully irreversibly anonymized  The patient life line over the time :  Diagnostic  Prescriptions  Drugs dispensing  Hospitalization  Lab test GERS Data is also used
Slide 97: Gers Data and HCP software within Cegedim activities
Gers Data and HCP’s software are part of Cegedim activities Intermediation platform Information system for health insurance Solutions for Solutions for health insurers Companies in all sectors Cegedim Outsourcing Cegedim e-business Cegedim SRH / Payroll and Human Resources Solutions for Healthcare p
Slide 98: Leading market position and main health data provider in France
Cegedim HCP’s software leading market position and main health data provider in France © Cegedim 2018 98
Slide 99: GERS Data dedicated R&D team
GERS Data, a dedicated R&D team to produce high-quality real world data Collect EHR  Because Cegedim has a data from sites deep IT and software expertise, we are able to collect, structure and Anony- Structu- mization produce patient database, ration available immediately for the users Storage  Th
Slide 100: Actionable data from pharmacists software
Actionnable data from pharmacists software to increase the precision of the Sell Out GERS An unique view thanks to the Sell In GERS An augmented precision with the Sell Out GERS Wholesalers sales Health companies 100% Direct sales 100% 100% sales Pharmacies to pharmacies Patients 100% of pharmacies
Slide 101: Smart-RX 360 for pharmacist groups
Actionnable data for pharmacists’ activities in France: Solution Smart-RX 360 pharmacists groups © Cegedim 2018 101
Slide 102: Actionable data for physicians
An example of actionable data for physicians’ activities in France Identify diagnosed patients into THIN Help physician to make a decision for new patient management  Rare diseases Analyze medical detection history, characteristics of diagnosed ? Implement the patients algorithm in HCPs software De
Slide 103: Cegedim Health Data: a key player in Europe
Cegedim Health Data: a key player in Europe > 54 M patients (FR/UK) > 5,4 M active patients since 1994 2019 ~7 years of history per patient An immediate access to data for AI applications & action 2019 Anonymized Data reference for • Health Authorities in FR and UK • More than 600 publications The C
Slide 104: Digital transformation drives changes in data environment
Digital transformation drives changes in the international data environnent  Thanks Big Data technology, the system is able to store a bigger amount of data from several countries  The Artificial Intelligence applies on THIN transforms Real World Data into action, for HCP’s and patients.  Health
Slide 105: Share patient records with physician software in UK
Share patient records with Physician software in UK: How does it work ? 1. Consultation details are streamed from the GP practices into the Data Hub. This is an ongoing autonomous background process 2. Sharing agreements control the data that the local GPs have agreed to share 3. Service providers,
Slide 106: Vision's patient record sharing
Share patient records with Physician software in UK: influence change !  Vision’s patient record sharing is allowing community nurses in the rural village of Letham to improve care for local patients.  Access to healthcare services has improved, the utilization of the nurse-led clinic has quadrupl
Slide 107: Population-level healthcare in UK
Population-level healthcare in UK: how does it work? Daily extractions from all major GP systems Collect Compliance with Cloud-based local care policies reporting Influence Understand Change © Cegedim 2018 107
Slide 108: Outcomes Manager at NHS CCG level
Population-level healthcare in UK: influence change! Outcomes Manager in action at a NHS CCG level Outcomes Manager enabled NHS Greenwich CCG to effortlessly identify an additional 4,000 patients with long term conditions, reducing health inequalities and increasing life expectancy in the borough. “
Slide 110: Positioning of cegedim.cloud
Positioning of cegedim.cloud Datacenters France  6 datacenters with 3 in France  Infrastructure « Best of breed »  French TelCo operator (CGIT registered to the ARCEP)  122 headscount  Multiples agreements and certifications © Cegedim 2018 110
Slide 112: Key figures
Key figures 7k instances 99.99% availability 7PB+ Data 10Gbps backbone 400k SaaS users 400 private clouds 122 4 Certifications IT Staff 6 datacenters 320 1000 VPN connections databases © Cegedim 2018 112
Slide 113: cegedim.cloud: our offer
cegedim.cloud: our offer Professional Hosting Solutions Services Compute / Storage  Telco / Internet  Cloud Solution Provider Architecture Managed/Secured platforms as a service  Data and file  Outsourcing (Databases…) exchange services  SaaS Maturity Application  SMS broker Coaching manage
Slide 114: cegedim.cloud performed its own digital transformation
Our digital transformation story cegedim.cloud performed its own digital transformation 3 years ago ! © Cegedim 2018 114
Slide 115: Five pillars as foundations
Five pillars as foundations  Customer Engagement  Give them what they dream of !  Be the catalyst that fuels their innovation  Operational Performance  Self care : divide by 10 the time to market of SaaS application  Automate everything, including Scalability / Performance / Availability / Sec
Slide 116: Digital Transformation Enabler
Digital Transformation Enabler  Helping our customers with our own experience in digital transformation  Understand and contain Cyber-Risk  Regulation Knowledge (Cloud Act…)  Cutting-edge Security By Design  Have a predictable cost model  Build business models  Leverage Cloud capabilities (Pa
Slide 117: Digital Transformation Enabler
Digital Transformation Enabler  A strong experience at the service of the thirties Cegedim Group BU’s digital transformation  cegedim.cloud services agility and scalability to enable transformative re- engineering of business processes  An experience exported beyond Cegedim Group boundaries …  t
Slide 118: Digitalizing company processes in the healthcare segment
Digitalizing company processes in the healthcare segment and beyond Philippe Simon CEO Cegedim Insurance Solutions BU Pierre-Henri Comble Head of Strategy Cegedim Insurance Solutions BU © Cegedim 2018 118
Slide 119: Ongoing trends
Ongoing trends  Our 2016 vision  What’s new in 2018? Market impacts How Cegedim Insurance Solutions is responding
Slide 120: Introduction
Introduction Just like music, film, and photography, healthcare is being disrupted by digital technologies  Paired with the rise of the internet, these new technologies allow real-time information sharing and provide users with the information they need, when they need it  The array of communicati
Slide 121: Ongoing trends
Ongoing trends… Our 2016 vision (word for word)  Rethinking the scope of supplemental health Better results throughpatient insurance policies with the concept of empowerment! “responsible” insurance policies Previously  Online third-party payments expanding unavailable to all HCPs  Market reachin
Slide 122: Ongoing trends: what's new in 2018
Ongoing trends… What’s new in 2018?  Growth in data flows continues  Corporate data (DSN social data Companies are becoming clients in their own right, alongside HCPs reporting) is following in the footsteps of invoice data  Artificial intelligence, backed by Big IS now incorporate algorithms tha
Slide 123: Market impacts
Market impacts New positioning Source : Axa, 2nd Healthcare Insurance Innovation Summit – Vienne 2017 © Cegedim 2018 123
Slide 124: Market impacts
Market impacts Better understand the policyholder and their New positioning course of care Better manage • Understand the technical risk policyholder’s course • Detect opportunities to of care recover funds from third • Anticipate their needs parties Help guide • Detect fraud the course of care • En
Slide 125: Mobile app for policyholders
How Cegedim Insurance Solutions is responding Example: digitalization of services – Mobile app for policyholders Recent payments Medication reminder HCP finder © Cegedim 2018 125
Slide 126: Self-care digitalization of services
How Cegedim Insurance Solutions is responding Adding extra Example: digitalization of services – Self-care coverage (policyholder portal) Electronic payslip (corporate intranet) © Cegedim 2018 126
Slide 127: Big data services: sorting hospital invoices
How Cegedim Insurance Solutions is responding Example: Big data services – Sorting hospital invoices by type Possible invoice types for a hospital stay How we add value: Accom-  Simplify the invoice Care only modation Care + Ch. Part. + Accom. others payment process only 42% by factoring in the 19%
Slide 128: Big data services: optician pricing database
How Cegedim Insurance Solutions is responding Example: Big data services – Optician pricing database Single vision lens prices How we add value:  Analyze pricing using the data collected from managing third-party payments to opticians  Offer insurers tools for managing the underwriting margin agai
Slide 129: Big data services: scoring policyholders
How Cegedim Insurance Solutions is responding Example: Big data services – Scoring policyholders How we add value:  Help our clients better target interactions with policyholders and the services they offer them  Create policyholder cohorts  Examples: periodic users, cardiac patients, emergency r
Slide 130: Examples of cohorts
Examples of cohorts Periodic Cardiac users patients Note: the variables presented here correspond to frequency of use over 12 months. The most salient variables for each cohort are shown against a red background. Planned hospitali- Emergency zation room visit 130 © Cegedim 2018 130
Slide 131: Example of a policyholder's course of care
An example of a policyholder’s course of care Spotlight on the cardiac patient cohort Sample course of care for a patient in the cohort Axis – Type of care Axis – Care timeline 131 © Cegedim 2018 131
Slide 132: Process Digitization in and outside healthcare segment
Process Digitization in and outside healthcare segment Benoit Garibal General Manager © Cegedim 2018 132
Slide 133: Digital native and evolutive solution
IS A DIGITAL NATIVE & DIGITAL EVOLUTIVE SOLUTION For all For clients For For documents & suppliers invoicing purchasing © Cegedim 2018 133
Slide 134: SY by Cegedim: a digitization solution
SY BY CEGEDIM: a digitization solution FLOW Digitization of invoices, orders and payments from a single platform. GN Business Process Management through configurable and adaptable electronic signature & business e-books,. DATA Data expertise to drive business, monitor the flows, undertake gap analys
Slide 135: SY key figures
350 MILLION invoices & electronic messages SERVICES NETWORK RETAIL 30 MILLION electronic signatures HEALTHCARE 500 MILLION direct debits BANK & INSURANCE MANUFACTURING B2G PEPPOL Access Point EDI operator & 1st contributor to the since Chorus Pro portal ENERGY +30% 1991 flows in 2017 +13,4% 120 000
Slide 136: SY for healthcare: a collaborative ecosystem
SY for the healthcare industry: a collaborative ecosystem Medical diagnosis Home care Laboratories Pharmacies Pharmaceutical manufacturer Nursing homes Parapharmacies Wholesalers Animal med manufacurer clinics Hospitals © Cegedim 2018 136
Slide 137: SY FLOW: digitization of the supply chain
SY FLOW for the healthcare industry: digitization of the supplychain Pharmacy SIGNATURE ORDER FLOW INVOICE Hospital Pharmaceutical LOGISTICS CATALOGS Manufacturer Diagnosis SAFE Laboratory CONTRACT TRACABILITY Wholesaler © Cegedim 2018 137
Slide 138: Focus on the healthcare applications
Focus on the healthcare applications PHARMACISTS HOSPITALS MEDICAL ANALYSIS LABS PHARMA 22 000 PHARMACIES 1400 HOSPITALS INVOICING DIRECT SALES INVOICING INVOICING E-PROCUREMENT ORDER CROSS CANAL CATALOG 4000 DIAGNOSIS LABS CATALOG FLOW TRACABILITY CATALOG © Cegedim 2018 138
Slide 140: Outlook: Cautiously Optimistic for 2018
Outlook: Cuatiously Optimistic for 2018  In order to position itself as a major telemedicine player in France, the Group has decided to make a meaningful investment in its appointment scheduling and remote consultation platform, Docavenue.  The Group expects for 2018: © Cegedim 2018 140
Slide 141: Potential Impact of Brexit
Potential Impact of Brexit Cegedim operates in the UK in local currency, as it does in all the countries where it operates No major European health program is at work in the UK © Cegedim 2018 141
Slide 143: Follow us
Follow us IR APP WEB SITE CEGEDIM IR www.cegedim.com/finance WEBCAST SOCIAL NETWORK @cegedimgroup © Cegedim 2018 143
Slide 146: 6 areas of improvement through digital transformation
6 areas of Outcome Paperless improvement transparency data decision through digital support transformation Patient Online self-care interaction Workflow Patient self- automation service © Cegedim 2018 146
Slide 147: Digital applications: paperless data and interaction
Unified electronic heath record/exchange E-prescribing Intrahospital staff communication Paperless data Clinicians’ virtual assistants (AI) Teleconsultation Remote monitoring of chronic disease patients Online e-triage interaction © Cegedim 2018 147
Slide 148: Workflow automation, outcome transparency, decision support
Nurse mobile connectivity Barcoding medication administration RFID tracking Workflow Vital parameter tracking automation Hospital logistics robotics Process automation through robots E-referrals Performance dashboards Outcome Patient flow management transparency Clinical decision support decision Ad
Slide 149: Patient self-care and self-service tools
Chronic disease management tools • Mental health • Diabetes Patient • Respiratory diseases self-care • Cardiovascular diseases Medical chatbots Disease prevention tools Patient support network Digital diagnostic tools Virtual reality for pain management Patient self-service E-booking (electronic app
Slide 150: Jan Eryk Umiastowski
Jan Eryk Umiastowski Chief Investment Officer – Head of Investor Relations janeryk.umiastowski@cegedim.com Tel: 00 33 1 49 09 33 36 – Mob: 00 33 6 73 25 96 34 © Cegedim 2018 150

Cegedim — Investor Day (December 2018) on 6ix

Cegedim Sa — Investor Day (December 2018)

Slide 1: 9th Investor Summit

Slide 2: Introduction

Slide 3: Introduction

Slide 4: Healthcare in Digital Transformation

Slide 5: Digitization does not equal digital transformation

Slide 6: Digital transformation is much more than disruption or technology

Slide 7: Digital Transformation

Slide 8: Rethinking business model and processes

Slide 9: Not replicate an existing service

Slide 10: Use technology to transform that service

Slide 11: Interdependency and interconnectedness of everything

Slide 12: The true transformation is a journey not a destination

Slide 13: Digital transformation involves many different technologies

Slide 14: Digital customer interface

Slide 15: © Cegedim 2018

Slide 16: Digital can have a significant positive impact

Slide 17: Japan's Society 5.0

Slide 18: Project Society 5.0 in Japan

Slide 19: Worldwide spending on digital transformation technologies

Slide 20: Digital transformation and the key role of data and information

Slide 21: Information management is essential to digital transformation

Slide 22: Businesses need digital transformation to survive

Slide 23: Digital Transformation: A major opportunity for healthcare

Slide 24: Healthcare industry experiencing rapid change

Slide 25: Healthcare industry experiencing rapid change

Slide 26: Challenge of making healthcare better across the globe

Slide 27: The aging population

Slide 28: Chronic diseases account for three quarters of deaths

Slide 29: Global Digital Health market revenue

Slide 30: 6 areas of improvement through digital transformation

Slide 31: Digital solutions helps

Slide 32: Expected savings due to digital transformation

Slide 33: Simplify complexity, patient engagement, security

Slide 34: Why digital is now crucial for private health insurers

Slide 35: Cegedim a partner for digital transformation of healthcare

Slide 36: Cegedim at a Glance FY 2017

Slide 37: Cegedim Key Figures

Slide 38: Shareholder Structure as of October 31, 2018

Slide 39: Unique Connected Healthcare Ecosystem

Slide 40: Cegedim: Key Facts

Slide 41: Overview: Health Insurance, HR & e-services solutions

Slide 42: Overview: Healthcare Professionals Solutions

Slide 43: Chronology

Slide 44: Many Drivers Ensure Profitable Growth

Slide 45: Many Drivers Ensure Profitable Growth

Slide 46: How is Cegedim revolutionizing the healthcare industry?

Slide 47: Speakers: CHS and US Healthcare

Slide 48: Speakers: Gers Data, Cloud, Insurance, SY

Slide 49: Success story

Slide 50: Few KPIs

Slide 51: Cegedim Healthcare Software France market share

Slide 52: Cegedim Healthcare Software France

Slide 53: Organization

Slide 54: Romania

Slide 55: CHS supports clients

Slide 56: Better Healthcare Services: CHS Solutions

Slide 57: Assisted Teleconsultation France

Slide 58: HDMP (Belgium)

Slide 59: HDMP (Belgium)

Slide 60: Cegedim RX UK

Slide 61: SmartRX 360 Pharma Groups Strategy

Slide 62: Vision Anywhere (UK)

Slide 63: Simply Vitale

Slide 64: Improved efficiency

Slide 65: US Healthcare Digital Transformation

Slide 66: Introduction: Kathy McClung

Slide 67: Evolution of Medical Billing & Technology

Slide 68: Trends

Slide 69: Reasons for Cloud Technology

Slide 70: US Healthcare Landscape

Slide 71: US Physician Practice Challenges

Slide 72: OANO Experience

Slide 73: OANO and Pulse Partnership

Slide 74: Benefits of Digital Transformation

Slide 75: Legal framework and opportunities in remote consultation

Slide 76: Remote consultation: legal framework and opportunities

Slide 77: Remote consultation: legal framework

Slide 78: The legal framework for remote consultation

Slide 79: Every country is trying to limit potential risks