北米のコネクテッドケア　第2版

出版：Berg Insight（ベルグインサイト社）　出版年月：2022年12月

Connected Care in North America – 2nd Edition
北米のコネクテッドケア　第2版

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Berg Insight「北米のコネクテッドケア　第2版 – Connected Care in North America – 2nd Edition」は北米の医療用警告システム（メディカルアラートシステム）、コネクテッド服薬管理、遠隔患者モニタリング（RPM）などのコネクテッドケア市場に関する最新状況を調査・分析しています。

主な掲載内容

1. 北米の医療
   1. 概説
   2. 慢性疾患
   3. 神経疾患、精神疾患、身体障害
   4. 医療システム
   5. 規制環境
2. 医療用警告システム
3. 服薬管理ソリューション
4. 遠隔患者モニタリングソリューション
5. 市場予測とまとめ
   1. 市場動向と分析
   2. 市場予測
   3. 収益予測

Report Overview

Connected Care in North America is the second consecutive report from Berg Insight analysing the latest developments on the medical alert system, connected medication management and remote patient monitoring (RPM) markets in this region. This strategic research report from Berg Insight provides you with 145 pages of unique business intelligence including 5-year industry forecasts and expert commentary on which to base your business decisions.

How should the mobile industry address the vast business opportunity in the connected care market? Berg Insight forecasts that the number of cellular connections in the connected care market in North America will increase from 19.6 million in 2021 to more than 36.6 million in 2027. Learn more about how wireless technology can become seamlessly integrated with medical alert, connected medication management and remote patient monitoring (RPM) solutions in this 145 page in-depth report.

This report will allow you to:

• Profit from 20 executive interviews with market leading companies.
• Identify key players in the connected care ecosystem.
• Learn about the latest developments in connected care devices and services.
• Understand the dynamics of the North American healthcare system.
• Evaluate the business opportunities in the emerging connected medication management segment.
• Benefit from expert market analysis including detailed market forecasts lasting until 2027.

Connected care revenues in North America to reach US$ 40.4 billion by 2027

The ageing population and the increasing prevalence of chronic diseases will be two of the greatest challenges in North America during this century. It is widely believed that connected care solutions can ease the burden on society by enabling more efficient delivery of care and allowing people to live independently for longer. Berg Insight’s definition of connected care includes medical alert systems, connected medication management solutions and remote patient monitoring (RPM) solutions. Medical alert systems, also known as personal emergency response systems (PERS), comprises solutions that trigger an alarm when the user presses a button or when a passive sensor detects an accident.

Connected medication management solutions comprise medication dispensers, pillboxes, pill bottles, vials caps, blister packages, injection devices, insulin pumps and inhalers that are connected to a monitoring platform to improve medication adherence. RPM solutions comprise connected medical devices and monitoring services that are used for remote management of patients suffering from arrhythmia, asthma, chronic kidney disease, chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease, diabetes, hypertension or obstructive sleep apnea.

At the end of 2021, there were 26.0 million people that relied on connected care services in North America. RPM is the largest and most mature segment of the connected care market having a total of 23.5 million users at the end of 2021. The market for medical alert systems is considerably smaller with an estimated total of 4.2 million users, whereas the number of connected medication management users reached 1.5 million at the end of 2021. There is an overlap between the market segments as medical alert users can also be equipped with a medication management solution or an RPM solution, and vice versa. The market is forecasted to grow at a compound annual growth rate (CAGR) of 15.8 percent during the next six years to reach 62.7 million connected care users by 2027. Berg Insight expects that RPM will remain the largest segment of the connected care market with a forecasted 60.8 million users in 2027. The number of connected medication management users and medical alert system users will at the same time reach 3.7 million and 5.9 million respectively.

Berg Insight estimates that connected care revenues in North America reached US$ 21.9 billion in 2021. This includes revenues from medical alert systems, connected medication management solutions and RPM solutions. The market is expected to grow at a CAGR of 10.8 percent in the following six years to reach US$ 40.4 billion in 2027. RPM solutions accounted for the largest share of the market in 2021 and will remain in lead for the foreseeable future. Revenues from medication management solutions will grow the fastest at a CAGR of 13.3 percent during the forecast period.

The market for RPM solutions involves a wide range of actors, from specialised equipment vendors to integrated mHealth solution providers. The leading RPM application has thus far been sleep therapy compliance monitoring. Patients that suffer from sleep-disordered breathing such as obstructive sleep apnea (OSA) are typically prescribed an airflow generator. However, many patients find the devices unpleasant to use and poor compliance is common. Payers increasingly require that patients comply with their treatment plans to be reimbursed for the device which has driven equipment vendors to connect the devices. The sleep therapy device segment is dominated by Philips and ResMed. The market for connected medication management solutions represents an interesting growth opportunity for companies from several markets. The use of connected insulin dosing systems has thus far gained most traction, but different connected solutions for pills and inhaled medication are increasingly adopted. In contrast, the market for medical alert systems is mature and key actors include Anelto, Essence Group, GreatCall, LogicMark, MobileHelp, Mytrex, Nortek and Lifeline.

The North American market for connected care solutions is affected by several trends and developments that will have an impact on the competitive landscape in the next years. Changing demographics is driving the demand for home care, while technological developments and regulatory changes affect the competitive landscape for solution vendors. One major change has been the sunset of the landline telephone networks and cellular 3G networks, which has forced equipment providers to upgrade products. At the same time, the industry is becoming more patient-centric which calls for integrated systems and improved interoperability of connected care solutions. New companies are entering the connected care market and connected medication management solutions are today in the centre of attention for start-ups. An incipient convergence of the medical alert system and remote patient monitoring markets can be seen, where some medical alert system providers have started to add remote patient monitoring services to their solutions.

目次

Executive Summary

1 Healthcare in North America

1.1 Introduction
1.1.1 The ageing population
1.1.2 Metabolic syndrome and lifestyle-related diseases
1.2 Chronic diseases
1.2.1 Cardiovascular diseases
1.2.2 Chronic respiratory diseases
1.2.3 Diabetes
1.2.4 Obstructive sleep apnea
1.3 Neurological disorders, mental disorders and physical disabilities
1.3.1 Autism spectrum disorders
1.3.2 Dementia
1.3.3 Epilepsy
1.3.4 Other disorders and disabilities
1.4 Healthcare systems
1.4.1 Healthcare
1.4.2 Long-term care
1.5 The regulatory environment
1.5.1 Medical device regulations
1.5.2 Medical data regulations
1.5.3 Standardisation

2 Medical Alert Solutions

2.1 Market overview
2.1.1 Form factors and use cases
2.1.2 Value chain
2.1.3 Competitive landscape
2.2 Solution providers
2.2.1 Aloe Care Health
2.2.2 Anelto
2.2.3 Climax Technology
2.2.4 Connect America
2.2.5 Essence Group
2.2.6 Freeus
2.2.7 Lively (Best Buy)
2.2.8 GTX Corp
2.2.9 HandsFree Health
2.2.10 Laipac Technology
2.2.11 Life Alert Emergency Response
2.2.12 LogicMark
2.2.13 Medical Guardian
2.2.14 MobileHelp
2.2.15 Mytrex
2.2.16 Nortek Control
2.2.17 QMedic
2.2.18 SecuraTrac
2.2.19 Vayyar Imaging

3 Medication Management Solutions

3.1 Market overview
3.1.1 Form factors and use cases
3.1.2 Competitive landscape
3.2 Medication management solution providers
3.2.1 AdhereTech
3.2.2 AceAge
3.2.3 Compliance Meds Technologies
3.2.4 etectRx
3.2.5 Hero Health
3.2.6 Information Mediary Corporation
3.2.7 Medipense
3.2.8 MedMinder
3.2.9 MedReady
3.2.10 Merck Group
3.2.11 Pharmadva
3.2.12 Propeller Health
3.2.13 SMRxT
3.2.14 Spencer Health Solutions
3.2.15 Vaica

4 Remote Patient Monitoring Solutions

4.1 Market overview
4.1.1 Form factors and use cases
4.1.2 Value chain
4.1.3 Competitive landscape
4.2 Solution providers
4.2.1 A&D Medical
4.2.2 Abbott
4.2.3 Accuhealth
4.2.4 AMC Health
4.2.5 Biofourmis
4.2.6 BioTelemetry
4.2.7 Biotronik
4.2.8 Boston Scientific
4.2.9 Care Innovations
4.2.10 CareSimple
4.2.11 Current Health
4.2.12 Dexcom
4.2.13 eDevice
4.2.14 Fisher & Paykel Healthcare
4.2.15 Get Real Health
4.2.16 Health Recovery Solutions (HRS)
4.2.17 Lark Health
4.2.18 Life365
4.2.19 Livongo
4.2.20 Masimo
4.2.21 Medtronic
4.2.22 Nonin Medical
4.2.23 Omada Health
4.2.24 Omron Healthcare
4.2.25 Philips
4.2.26 Raziel (Ideal Life)
4.2.27 ResMed
4.2.28 TytoCare
4.2.29 VitalConnect
4.2.30 Vivify Health
4.2.31 Withings

5 Market Forecasts and Conclusions

5.1 Market trends and analysis
5.1.1 An ageing population increases healthcare expenditures
5.1.2 The sunset of 2G/3G cellular networks have driven launches of 4G devices
5.1.3 Standalone systems to be replaced by platform solutions
5.1.4 Favourable policies that align financial incentives are driving RPM adoption
5.1.5 COVID-19 became a catalyst that spurred RPM adoption
5.1.6 The growth of lightweight solutions is broadening the market
5.1.7 The market for connected medication management is gaining traction
5.1.8 From remote patient monitoring to data-driven patient engagement
5.1.9 A growing market and new entrants lead to a changing market landscape
5.1.10 Convergence between medical alert systems and RPM solutions
5.2 Market forecasts
5.2.1 Medical alert systems
5.2.2 Medication management solutions
5.2.3 Remote patient monitoring solutions
5.3 Revenue forecasts
5.3.1 Medical alert systems
5.3.2 Medication management solutions
5.3.3 Remote patient monitoring solutions

Glossary

List of Figures

Figure 1.1: Population by age group and country (North America 2021–2050) ….. 5
Figure 1.2: Prevalence of metabolic syndrome by country (North America 2020) …. 6
Figure 1.3: Prevalence of major chronic diseases by country (North America 2018)…… 7
Figure 1.4: Prevalence of dementia, ASDs and epilepsy by country (North America 2018)… 10
Figure 1.5: Total and per capita healthcare expenditure by country (North America 2019) … 12
Figure 1.6: Healthcare spending by type of service and product (Canada 2021) …… 13
Figure 1.7: Health insurance coverage by type of insurance (US 2021)…… 14
Figure 1.8: Healthcare spending by type of service and product (US 2020) …….. 15
Figure 1.9: Long-term public healthcare expenditure by country (North America 2015).. 16
Figure 1.10: Adults with limitations in ADLs and IADLs (US 2017)……… 17
Figure 2.1: Adoption of medical alert systems by country (North America 2021)…. 23
Figure 2.2: Number of medical alert systems by form factor (North America 2021)…… 23
Figure 2.3: The MobileHelp Duo combined in-home and mobile medical alert system … 25
Figure 2.4: The medical alert system value chain………….. 26
Figure 2.5: Leading vendors of medical alert systems by shipments (North America 2021).. 27
Figure 2.6: Leading providers of medical alert services by users (North America 2021).. 28
Figure 2.7: Overview of medical alert system providers ………. 29
Figure 2.8: Lively’s medical alert device and smartphone………. 37
Figure 2.9: GPS SmartSole by GTX Corp ………….. 38
Figure 2.10: The LooK Watch I from Laipac Technology ……….. 40
Figure 2.11: The MXD-LTE from Mytrex………….. 45
Figure 2.12: QMedic’s medical alert system……………. 47
Figure 2.13: Vayyar Care’s monitoring sensor…………. 49
Figure 3.1: Prescription medication use by country and age group (North America 2019)…. 51
Figure 3.2: Adoption of medication adherence solutions by country (North America 2021).. 52
Figure 3.3: Examples of medication management solutions………… 53
Figure 3.4: Leading connected medication management solutions (North America 2021)…. 54
Figure 3.5: Medication management solutions by form factor……… 55
Figure 3.6: The AdhereTech Smart Pill Bottle………….. 57
Figure 3.7: The RxPense connected medication dispenser by Medipense ……. 62
Figure 3.8: Propeller Health’s asthma management app and inhaler sensor……. 66
Figure 3.9: The Spencer Smarthub from Spencer Health Solutions ……… 68
Figure 4.1: Adoption of RPM by country (North America 2021)………. 72
Figure 4.2: Installed base by disease segment (North America 2021)……… 73
Figure 4.3: mHealth gateway form factors……………. 74
Figure 4.4: Connected medical devices and the provision of care …….. 75
Figure 4.5: Overview of the remote patient monitoring value chain ………. 76
Figure 4.6: Connected sleep therapy solutions by vendor (North America 2021)…… 78
Figure 4.7: Connected CRM implants by vendor (North America 2021)…… 79
Figure 4.8: Overview of RPM solution providers…………. 80
Figure 4.9: The Merlin.net interface, Merlin@home transmitter and the myMerlinPulse app …. 83
Figure 4.10: FreeStyle Libre 2 CGM system ……………. 85
Figure 4.11: Biotronik’s CardioMessenger Smart device ……….. 90
Figure 4.12: Latitude NXT wireless communicator ………… 92
Figure 4.13: The Health Harmony solution …………… 93
Figure 4.14: Current Health’s HomeHub and wearable monitor………. 96
Figure 4.15: The Ellie home dashboard…………… 100
Figure 4.16: Livongo’s device kit for diabetes care ………… 105
Figure 4.17: Omron Healthcare’s connected product family………. 112
Figure 4.18: ResMed myAir with the Care Check-In and Personal Therapy Assistant…. 119
Figure 5.1: Medicare chronic care spending (US 2007–2017)………. 126
Figure 5.2: Cellular connections in the connected care market (North America 2021–2027).. 127
Figure 5.3: CMS reimbursement codes for RPM …………. 130
Figure 5.4: Connected care users by segment (North America 2011–2027)…… 136
Figure 5.5: Medical alert system users (North America 2021–2027)……. 137
Figure 5.6: Medication management users (North America 2021–2027)…… 138
Figure 5.7: RPM users by disease segment (North America 2021–2027)…….. 140
Figure 5.8: Connected care revenues by segment (North America 2021–2027) …… 141
Figure 5.9: Medical alert system revenues (North America 2021–2027)……. 141
Figure 5.10: Medication management revenues (North America 2021–2027)…. 142
Figure 5.11: RPM revenues by value chain activity (North America 2021–2027)…… 142