Health Service

Health Services Conglomerate

Healthcare, Health Insurance, Biopharma, Cybersecurity

Start

The Big Dogs of Biopharma

Pfizer

Johnson and Johnson

Novo Nordisk

AstraZeneca

Eli Lilly

The Duel for Diabetes: Novo Nordisk vs. Eli Lilly

Their competition stimulates their growth, their battle enhancing their developments

Two pharmaceutical giants fighting for the right to save the world from the crime of diabetes and chronic health issues, having mastery over drug production and medical therapies

01

Biopharma

Johnson and Johnson: The Biological Swiss Army Knife

Medical Technologies

Consumer Health

Immunology

Vaccines

Rare Dieases

Surgical Innovation

Pfizer and AstraZeneca: Eternal Rivals

Since Pfizer's debut of their COVID vaccine, AstraZeneca and Pfizer have been in constant compeitition, separated only by thousands of miles, united in their goals to better the world. Their means of doing so are even identical, with AstraZeneca's recent acquisition of Alexion Pharmaceutials, and Pfizer's recent acceleration of immunology, there is a surge of innovation and expansion like never before to tackle the ever-changing diseases and medical issues that plague our world. As their expansion grows, the technological protections that are required to protect their company secrets, patient information, and patented formulas with advanced forms of cybersecurity protections and new innovations for protecting our digital information.

• Diabetes, Oncology, Neurological and Degenerative Diseases, Eli Lilly handles it all
• Specializing in the handling of chronic diseases, Eli Lilly specializes in long-term patient care, while doing its best to lower the cost of these lengthy treatments.
• Drive by outcomes and not costs; it is the perfect long-term partner to ensure the success of our health-based conglomerate.

Eli Lilly: The Chronic Disease Killer

SWOT Analysis

Strengths: Large Accessibility of Resources, Heavy Research and Development, Consistent Product Output Weaknesses: High Production Costs, Heavy Governmental Regulation, Large Pricing Changes Opportunities: Precision Medicine, Changing Patient Outcomes, Technological Innovations, Artificial Intelligence Threats: New Legislation, Data Breaches, Lack of Materials, Overarching Regulations

Mergers and Acquistions

• Pfizer recently acquired Arena Pharmaceuticals to boost their immunology department and offerings

• AstraZeneca consumed Alexion Pharmaceuticals to boost its own rare diseases program

• Johnson and Johnson absorbed Actelion and Auris Health to expand into rare diseases and surgical robotics

• The bread and butter of expansion for biopharmaceutical industries
• This is how they grow, expand, their networks, and take on new resources to become more dynamic, innovative, and efficient.

A Brief History of Biopharmaceutical Medicines

Conclusion

The biopharma industry isn’t just about pills and patents. It’s about creating a world where healthcare works seamlessly, affordably, and securely for everyone.

"Breakthroughs that change patients' lives".

- Pfizer

Sustainability and Ethics: How do Biopharma companies ensure they keep doing right by the people?

02

Health Insurance

Health Insurance Companies: Blue Cross Blue Shield, Kaiser, Cigna, United Healthcare, State Farm, and Metlife

Summary

-Reduces high medical bills, covering most of the expenses for visits, procedures, and emergencies.--Covers essential preventive care like vaccinations and screenings at little or no cost, promoting early detection. -Eases the financial burden of healthcare, allowing for more predictable costs through premiums.

-Over 900 health insurance companies in the nation.-92.3% of people are insured with health insurance. -Provides security for families and is often an important part of job benefits, improving job satisfaction.

History

-Health Insurance was originally started in the U.S in 1850 by The Franklin Health Assurance Company of Massachusetts-Blue Cross and Blue Shield, respectively, started in 1929 and 1930 and still are actively providing health insurance to this day

Mergers & Acquisitions

Examples of Major M&A in Health Insurance

Expansion into New Markets

Diversification of Services

Market Power

M&A allows health insurers to diversify their offerings and move beyond traditional insurance. By acquiring companies with complementary capabilities (e.g., pharmacy benefits managers, wellness programs, or data analytics), insurers can offer more integrated healthcare solutions.

Acquisitions enable insurers to enter new geographical markets or demographic segments more quickly than organic growth would allow. This is particularly important in regions where healthcare demand is increasing, or where insurers see potential for underserved populations.

Health insurers seek M&A to increase their market share, which gives them greater leverage with healthcare providers and can result in cost savings through negotiated rates. Larger companies can often negotiate better prices with hospitals and physicians, helping reduce costs.

CVS and Aetna (2018): This $69 billion merger combined a major pharmacy chain with a leading health insurer, aiming to create a more integrated healthcare experience.

S.W.O.T

Strengths:Health insurance is a mature industry with well-established companies and brand recognition, leading to consumer trust and stability.

Weakness:Health insurers have complex administrative processes and high overhead, which can impact profitability and drive up costs for consumers.

Threats: Ongoing regulatory changes, such as potential reforms to the Affordable Care Act, create uncertainty, impacting planning and pricing strategies.

Opportunities:Leveraging telemedicine, AI, and data analytics can improve customer experience, streamline claims processing, and enhance personalized healthcare.

WHO IS THE OG

Insurance Premiums

How Health Insurance Relates To...

Cybersecurity

Healthcare

Biopharma

Health insurance directly affects biopharma by determining the accessibility and affordability of treatments, while biopharma’s innovations shape the types of therapies and drugs insurers provide. Together, they play a critical role in the healthcare ecosystem by influencing patient access, treatment options, and overall healthcare costs.

Health insurance is a critical component of the healthcare system, serving as the financial mechanism that enables individuals to access and afford necessary medical services. It influences nearly every aspect of healthcare delivery, from cost management and access to care to quality standards and health outcomes. By bridging the gap between patients and healthcare providers, health insurance ensures that individuals can receive timely and appropriate care, ultimately contributing to a healthier and more stable society.

In summary, cybersecurity is vital to the health insurance industry due to the sensitive nature of health data and the high risk of cyber threats. Effective cybersecurity strategies help insurers protect data, maintain regulatory compliance, ensure operational continuity, and build trust with policyholders. As the industry becomes more digital and data-driven, robust cybersecurity will remain essential for safeguarding health information and maintaining the integrity of insurance services.

Conclusions

-Digital Transformation: Insurers are increasingly adopting digital technologies, such as telemedicine, data analytics, and AI, to improve service efficiency and patient experience. -Value-Based Care and Preventive Initiatives: Moving toward value-based models and preventive health programs, insurers aim to improve patient outcomes and reduce long-term healthcare costs. -Future Role in Society: By navigating these challenges and continuing to innovate, health insurance can enhance health outcomes, reduce financial risk, and contribute to a healthier, more resilient society.

-Financial Protection: Health insurance provides essential financial support, making healthcare services accessible without overwhelming individuals' costs. -Access to Care: It connects patients with a network of healthcare providers, enabling access to essential medical treatments, preventive services, and chronic disease management. -Public Health Contribution: Health insurance promotes early intervention and preventive care, improving public health outcomes by reducing the progression of diseases. -Challenges and Pressures: The industry faces rising healthcare costs, regulatory challenges, and the demand for robust cybersecurity to protect sensitive health data.

- Genially

Question: We hear about many Americans being uninsured, how many do you think?

Answer: According to the census bureau, 26 million. Which has decreased from 45 million in the last decade.

03

Healthcare

Healthcare Companies: McKesson, Scripps, CVS Health, UC Health,HCA Healthcare, and Sharp

Disease History

SWOT Analysis

Strengths

Weaknesses

Opportunities

Threats

• Digital Health

• Growing and Personalized Medicine

• Preventative Healthcare

• Regulatory and Legal Changes

• Cybersecurity Risks

• Pandemic- Related Strain

• Consistent and Growing Demand

• Technological Advancements

• Skilled Workforce

• High Operating Costs

• Workforce Shortages

• Inconsistent Quality

Major Mergers and Aquisitions

HCA Healthcare and Health Midwest

Scripps and Mercy Hospital

CVS Health and Aetna

McKesson and Vantage Oconology

CVS Health acquired Aetna, a major insurance company for $69 billion dollars. The intergaration of these two companies also streamlined and intergated their care model.

Scripps merged with Mercy Hospital to create Scripps Mercy Hospital and expand centers and the Scripps network.

A major aqusition in 2003, this opened the idea of acquriing smaller facilities, instead of building new. This 1 billion dollar aqusition expanded HCA to the Midwest.

McKesson merged in a $1.2 billion dollar deal with Vantage Oncology, a leading provider of cancer care.

Cyber Security

Health Insurance

Biopharma

Health Insurance and Healthcare are clearly closely related. Health insurance allows patients to receive affordable healthcare while helping hospital systems meet the large operating costs associated with quality patient care.

Healthcare and Biopharma work closely every day. Whether this is through medications, vaccines, and other pharmacuetical needs. Additionally, Biopharma and Healthcare work together to create vaccines and implement vaccinations. As well as through drug and clinical trials for future advancements.

Cybersecurity is one of the most important aspects of Healthcare. HIPAA, which regulates patient information relies on the ability of cybersecurity to avoid data breaches and any patient information being leaked.

Impactful Legislation in CA

Prop 34

Prop 35

What Does Prop 34 Do? • It would require specific healthcare providers to spend 98% of their revenue from drug sales on direct patient care (e.g., medical services, preventive care). • Only applies to providers participating in the 340B program who meet certain conditions (such as spending over $100 million in 10 years on non-healthcare activities). • Providers who fail to meet these requirements could lose their tax-exempt status, licenses, and government contracts for up to 10 years

What Does Prop 35 Do?• Aims to permanently establish the Managed Care Organization (MCO) tax on health insurance companies, which is currently set to expire in 2026. • The tax has been used to generate revenue for California’s Medi-Cal program, which provides health coverage to lower-income residents. • The proposition would secure between $7-8 billion annually to fund healthcare services without increasing taxes on individuals.

Sustainability

Hospitals are focusing on sustainability by:

• Reducing energy costs!
• This includes renewable energy and changing products- like all LED lights!
• Better waste management and plastic use.
• Waste management is a difficult change for healthcare due to biohazard reasons BUT they have begun to reduce single use plastics while reducing waste for any non biohazardous materials.
• Preventative Care
• This allows public health to be better, allowing decreased usage in health facilities.
• Lastly,
• Proper Drug Disposal has major effects on the environment, as incorrectly doing so can affect wildlife and nature.

Question: What is the white coat effect?

Answer: When a patient's vitals change due to the anxiety of being in a doctor's office.

Question: Who revolutionized healthcare standards in the 1800's?

Answer: Florence Nightingale, her emphasis on cleanliness decreased infection significantly!

Ethical Dilemma

Every person in this room, has likely experienced the feeling of being dismissed, or on the other hand, overtreated. Medical ethics is a huge aspect of healthcare. However, many doctors feel the need to over-test. This is because of the increasing amount of malpractice suits. When doctors over-test they use resources, which increase cost while also decrease sustainability. Ethical dilemmas will always plague healthcare.

Question: What is the most common scrubs color? and why?

Answer: Blue or green scrubs help surgeon's eyes adjust from the red color of blood. It is shown to reduce eye strain!

04

CyberSecurity

Cybersecurity Companies: Cisco, CrowdStrike, SentinelOne, Darktrace, Wendego, and ZScaler

Background Information: Cybersecurity

CyberSecurity was first established in 1987 and has since evolved into a multi-billion dollar industry $

• Digital Transformation
• Developing technology
• Utilization of artificial intelligence

SWOT Analysis

Strengths

Weaknesses

Opportunities

Threats

• Increasing Investments
• Technological Advancements
• Mulit-billion dollar industry

• Financhial Burden
• Shortage of Skilled Professionals
• Complexity of industry

• Partnerships w/ technology and cybersecurity companies
• AI and Automation
• Cybersecurity awareness

• Competitive Market
• Evolving Cyberattacks
• Reliance on investments

How does Cybersecurity work in the Healthcare system?

Healthcare:

• Patient Data Protection and Data Breaches
• Encryption of sensitive matieral, authorization, seperating neworks, and simple monitoring

How does Cybersecurity work in the Health Insurance system?

Health Insurance:

• Data Breaches and Compliance
• Fraud Detection
• 3rd party vendor management
• Overall privacy controls

How does Cybersecurity work in the Biopharma system?

Biopharma:

• Protection of intellectual property/sensitive data
• Firewalls and intrusion dection systems
• Data Loss Prevention

Major Mergers and Aquisitions

Symantec --> Blue Coat Systems

• Web security
• Network traffic management

CrowdStrike --> Humio

• Real-Time solutions
• Enhances incident response capabilities

Palo Alto Networks --> Expanse

• Attack surface managment
• Protects "cloud-based assests"

Cisco --> DuoSecurity

• Multi-factor authentication
• Requires authorized personal to databases

Fun Fact Time!

How much money is the cybersecurity industry worth?A.) 900 Million $B.) 25 Billion $C.)220 Billion $D.) 80 Billion $

Fun Fact Time!

How much money is the cybersecurity industry worth?A.) 900 Million $B.) 25 Billion $C.)220 Billion $D.) 80 Billion $

Fun Fact Time!

The average cost to repair a databreach on a healthcare's network (per day)?A.) 10 Million $B.) 100 Billion $C.)100 Thousand $D.) 55 Billion $

Fun Fact Time!

The average cost to repair a databreach on a healthcare's network (per day)?A.) 10 Million $B.) 100 Billion $C.)100 Thousand $D.) 55 Billion $

Fun Fact Time!

What's one factor that helped the cybersecurity industry thrive ?A.) Photosynthesis B.) Digital Transformation C.) Money D.) Competition in the market

Fun Fact Time!

What's one factor that helped the cybersecurity industry thrive ?A.) Photosynthesis B.) Digital Transformation C.) Money D.) Competition in the market

Thank you! Any Questions?