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Harvard Case - Doctor On Demand

"Doctor On Demand" Harvard business case study is written by Robert Chess, Joseph Golden. It deals with the challenges in the field of Entrepreneurship. The case study is 24 page(s) long and it was first published on : Jan 12, 2020

At Fern Fort University, we recommend that Doctor On Demand (DOD) prioritize a multi-pronged growth strategy focusing on strategic partnerships, market expansion, and product innovation. This strategy should leverage DOD's existing strengths in technology and analytics to deliver a seamless and personalized healthcare experience while navigating the complexities of the healthcare industry.

2. Background

Doctor On Demand is a telehealth platform that connects patients with licensed medical professionals via video conferencing. Founded in 2012, DOD rapidly gained traction by offering convenient and affordable access to healthcare services, particularly for non-emergency situations. The case study highlights DOD?s initial success, their subsequent challenges in scaling their business, and their need to navigate the evolving landscape of the healthcare industry.

The main protagonists are founders Adam Jackson and Dr. Brett Tisch, who are grappling with the challenges of scaling a disruptive healthcare company. They are tasked with making critical decisions regarding strategic partnerships, market expansion, and product development.

3. Analysis of the Case Study

To analyze DOD?s situation, we can utilize the Porter?s Five Forces Framework to understand the competitive landscape and the Value Chain Analysis to assess DOD?s internal strengths and weaknesses.

Porter?s Five Forces:

  • Threat of New Entrants: The telehealth industry is attracting significant investment and new entrants, increasing competition.
  • Bargaining Power of Buyers: Patients have increasing choices for healthcare providers, giving them leverage in negotiating prices and services.
  • Bargaining Power of Suppliers: Medical professionals have some bargaining power, but DOD?s platform provides them with access to a wider patient base.
  • Threat of Substitute Products: Traditional healthcare providers are increasingly adopting telehealth technologies, creating substitutes for DOD?s services.
  • Rivalry Among Existing Competitors: The telehealth market is highly competitive, with established players like Teladoc and MDLive, as well as emerging startups.

Value Chain Analysis:

  • Inbound Logistics: DOD?s platform relies on efficient onboarding and management of medical professionals.
  • Operations: The core operations involve facilitating virtual consultations and managing patient data.
  • Outbound Logistics: DOD manages patient communication, scheduling, and appointment reminders.
  • Marketing & Sales: DOD utilizes online marketing, partnerships, and employer-sponsored programs to acquire new customers.
  • Service: DOD provides customer support and ensures a positive patient experience.

Analysis Highlights:

  • Strengths: DOD?s technology platform, strong brand recognition, and focus on patient experience are key strengths.
  • Weaknesses: DOD faces challenges in scaling its operations, securing insurance reimbursements, and navigating regulatory complexities.
  • Opportunities: Expanding into new markets, developing innovative services, and forging strategic partnerships present significant opportunities.
  • Threats: Competition from established players, regulatory changes, and potential data security concerns pose threats to DOD?s growth.

4. Recommendations

  1. Strategic Partnerships: DOD should prioritize strategic partnerships with healthcare providers, insurance companies, and employers.

    • Healthcare Providers: Collaborating with hospitals, clinics, and physician groups allows DOD to expand its network of providers and offer a wider range of services.
    • Insurance Companies: Securing coverage from major insurance providers will increase patient adoption and improve reimbursement rates.
    • Employers: Partnering with employers to offer telehealth services as an employee benefit can significantly expand DOD?s reach.
  2. Market Expansion: DOD should target new markets with high growth potential, including:

    • Emerging Markets: Expanding into international markets with limited access to healthcare can leverage DOD?s technology and address a significant unmet need.
    • Specialized Niches: Focusing on specific patient segments, such as chronic disease management or mental health, can create a competitive advantage.
  3. Product Innovation: DOD should invest in developing new products and services to enhance its offerings:

    • Artificial Intelligence (AI): Integrating AI into the platform can personalize patient experiences, improve diagnosis, and streamline workflows.
    • Virtual Reality (VR): VR can be used for interactive patient education, therapy, and remote physical therapy.
    • Wearable Technology: Integrating with wearable devices can provide real-time health data and enable proactive healthcare management.

5. Basis of Recommendations

These recommendations align with DOD?s core competencies in technology and analytics, while addressing the challenges of scaling and navigating the healthcare industry. They are grounded in the following considerations:

  1. Core Competencies and Consistency with Mission: The recommendations leverage DOD?s strengths in technology and analytics to deliver innovative healthcare solutions, consistent with its mission of providing accessible and affordable care.
  2. External Customers and Internal Clients: The recommendations address the needs of patients, healthcare providers, insurance companies, and employers, creating value for all stakeholders.
  3. Competitors: The recommendations position DOD to compete effectively by leveraging strategic partnerships, expanding into new markets, and developing innovative products.
  4. Attractiveness ? Quantitative Measures: While a detailed financial analysis is beyond the scope of this case study, the recommendations are expected to drive growth in patient acquisition, revenue generation, and market share.

6. Conclusion

Doctor On Demand has the potential to become a leading player in the rapidly growing telehealth industry. By pursuing a strategic growth strategy focused on partnerships, market expansion, and product innovation, DOD can overcome its challenges, capitalize on emerging opportunities, and establish a sustainable competitive advantage.

7. Discussion

Alternatives Not Selected:

  • Aggressive Pricing Strategy: While a low-cost strategy could attract price-sensitive patients, it might not be sustainable in the long run.
  • Acquisitions: Acquiring smaller telehealth companies could accelerate growth, but it carries significant risks and integration challenges.

Risks and Key Assumptions:

  • Regulatory Changes: The telehealth industry is subject to evolving regulations, which could impact DOD?s operations.
  • Data Security: Maintaining patient data security is crucial, and any breaches could damage DOD?s reputation.
  • Patient Acceptance: The success of DOD?s strategy depends on patient adoption of telehealth services.

Options Grid:

OptionAdvantagesDisadvantages
Strategic PartnershipsIncreased reach, access to resources, improved reimbursement ratesPotential conflicts of interest, dependence on partners
Market ExpansionAccess to new markets, growth opportunitiesIncreased operational complexity, regulatory challenges
Product InnovationCompetitive advantage, enhanced patient experienceHigh development costs, potential for technological obsolescence

8. Next Steps

  • Develop a detailed business plan: Outline the specific strategies, partnerships, and product development initiatives.
  • Secure funding: Obtain necessary financing to support the growth strategy.
  • Build a strong management team: Recruit experienced executives with expertise in healthcare, technology, and business development.
  • Implement a comprehensive marketing strategy: Reach target audiences through online channels, partnerships, and employer programs.
  • Monitor progress and make adjustments: Continuously evaluate the effectiveness of the strategy and make necessary adjustments.

By taking these steps, Doctor On Demand can navigate the challenges of the healthcare industry, leverage its strengths, and achieve sustainable growth in the telehealth market.

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Case Description

This case considers the state of telehealth, or the remote delivery of healthcare services via telecommunications technology, in 2019. Doctor On Demand, a promising start-up in the space, sought to solve the four main challenges that the telehealth industry had faced historically. First, although most Americans who had health insurance coverage through their employers also received telehealth benefits, very few knew about these services, and an even smaller number had tried them. Second, the right incentives for payors, such as health plans and large self-insured enterprises, were not in place, a situation that kept utilization rates for telehealth services at stubbornly low levels. Third, Doctor On Demand and its peers needed to add more providers and offer a broader range of healthcare services to patients if they hoped to drive the next leg of growth for their platforms. And fourth, the regulatory environment in which the platforms operated was incredibly complex, and if history were any indicator, other stakeholders in the U.S. healthcare system who felt threatened by telehealth would do whatever they could to impede its rise. The stakes were high, and not just for Doctor On Demand. If CEO Hill Ferguson and his team could address the industry's four major issues, they could unlock the potential of telehealth to deliver better medical care for more people at lower cost.

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