Personal
Genomics
Rethinking the Business
Model for 23andMe
By:
Adrianus Mradipta
Chia Dingshan
Feng Houyuan
Ong Fu Lin
Peh TiongSeng
Xu Libing
1. Introduction
– Genetics
– 23andMe
3. The New Frontier
– Introduction
– Proposed Business
Model: DTC & B2B
Content
2. Current Business Model & Assessment
– Value Proposition, Customer
Selection, Value Capture, Scope of
Activities, Strategic Control
– Assessment & Recommendation
What is inside the Genome?
OR
Source: https://www.23andme.com/gen101/genes/
Y chromosome (From Father) and Mito-
chondrial (From Mother) are used for
identification process.
Cousin
Cell Reproduction make mistakes
SNPs (single nucleotide polymorphisms)
SNP also influence
disease susceptibility or
response to drugs
Source: https://www.23andme.com/gen101/genes/
SNP causes change in physical
appearance (e.g. Curly or
Straight Hair)
Observable traits are known as:
DNA Sequencing &
Technology Improvements
Cost of genome sequencing is dropping
• Sub-$1,000 full genome
sequencing is around the corner
• In January 2014, Illumina
announced a machine that
could sequence a full human
genome for $1,000
Advancements in
Genomics
Advancements in
Computing (Big Data)
Ability to Convey
Clinical Significance
New Opportunities are
Opening Up!
• 23andMe
• Based in Mountain View, CA
• Founded in 2007 by Anne
Wojcicki, ex-wife of Google co-
founder, Sergei Brin
23andMe: How it Works
DNA Sequencing & Analysis
23andMe performs SNP
Sequencing (vs. full genome
mapping)
(+) Cheaper, faster
(-) Less information
• Health Reports *
– Carrier Status
– Disease Risk
– Drug Response
* Health reports currently suspended
23andMe: How it Works
• Ancestry Reports
– Ancestry compositions
– DNA relatives
– 23andMe family tree tool
– Maternal & paternal lineage
TIME Magazine
Invention of the Year 2008
http://content.time.com/time/specials
/packages/article/0,28804,1852747_1
854493,00.html
Problems with FDA
• Note that the
company is currently
having issues with
FDA
• Health reports are
currently suspended,
as of Dec 2013
Validity?
Accuracy?
http://www.npr.org/blogs/health/2013/12/06/249231236/23andme-bows-to-fdas-
demands-drops-health-claims
Current Business Model
23andMe Consumers
$99
DNA Report
Labs
RI
Govts
Money
Service
Future Plans
As 23andMe grows, business model will shift
Business Model
http://www.forbes.com/sites/matthewherper/2013/06/13/expect-to-see-23andme-
ads-as-the-company-tries-to-take-genetic-tests-mainstream/
Current Business Model
CUSTOMER
SELECTION
VALUE
PROPOSITION
VALUE
CAPTURE
SCOPE OF
ACTIVITIES
STRATEGIC
CONTROL
• Provides a cheap & convenient personal
genetics service that produces fast results
that will give insights on the customers’
health* & ancestry information
• Cheap: $99, cheaper than competitors
• Convenient: kit sent directly to customer’s doorstep
• Fast: 2-3 weeks for results to be ready
• Insights: disease risks especially
Current Business Model:
Value Proposition
Provides a cheap
&convenient
personal genetics
service that
produces fast
results that will
give insights on
the customers’
health* &
ancestry
information
Current Business Model:
Value Proposition
Assessment
– Huge part of the value proposition
is removed with FDA’s orders
– Limitations of Health Reports:
• SNP sequencing: 1 million genes
sequenced from a total of 3 billion
• Nature vs. Nurture: 30-70
• No follow-up data analysis –
regarding advise & lifestyle changes
needed
– Limitations of Ancestry Reports:
• Limited by number of people in the
database
http://venturebeat.com/2014/03/12/23andme-ceo-we-need-to-return-to-delivering-
health-information/
http://www.theguardian.com/technology/2014/mar/09/google-23andme-anne-
wojcicki-genetics-healthcare-dna
Current Business Model:
Value Proposition
• Recommendations
– Sort things out with FDA & restore
value proposition through health
reports
– Link up with
physicians/nutritionists/dieticians to
add analysis, thus enhancing value
proposition
Current Business Model:
Customer Selection
“We’re not really focused on a specific age group
or gender or fitness level. It’s the people who
have this control mindset”
- Neil Rothstein
23andMe Marketing Chief
• For health reports:
Consumers who want to be proactive about their
health
Current Business Model:
Customer Selection
• 23andMe recognizes the importance of
building lead users!
• Lead Users: Parkinson’s network
– Free kit to anyone diagnosed with
Parkinson’s
– Largest Parkinson’s genetic research network
with 10,000 people
Current Business Model:
Customer Selection
• For ancestry reports:
– Serve a more niche market
– Specialized customer groups, such as adopted children
http://ireport.cnn.com/docs/DOC-918630
http://www.fourstateshomepage.com/story/dna-helps-reunite-family/d/story/okB1oVl_ukq5It6zsrUWxA
Current Business Model:
Customer Selection
• Assessment
– Good use of lead users
– Health reports: No focus Too wide customer selection for a start-up.
May stretch resources & difficult to act on
• Recommendations
– Focus on specific segments
– Eg. People who care about their health and buy vitamins or go to the
gym
– Make it for convenient for these people
• Value Chain for genetic reports:
DNA Sequencer
Manufacturer
DNA
Sequencing
Genetic Data
Analysis
Database
Management
Delivery
Services
Consultancy
Services
Key to
business?
Yes Yes Yes Yes No No
Sources Outsource None
Activity Purchase
In-house
capability
In-house
capability
In-house
capability
Outsource None
Criteria of
selection
Out of business
scope,
Lower cost,
Better technology
Key capability Key capability
Key
capability
Lowest
costs
Potential area
to explore
Current Business Model:
Scope of Activities
Assessment
•Controlled the key capability areas
•Consultancy services is a valuable
area to explore
Recommendations
•Link up with consultancy services (eg.
Physicians, dieticians, nutritionists, gyms)
•Partner with clinics, vitamin stores, gyms as
additional source of distributions
•Will also enhance value propositions & value
capture
Current Business Model:
Value Capture
• Currently, 23andMe generates ALL its revenue through sales
of the personalized genetics service
• The company has experimented with many models to
maximize revenue & generate user base
2007 2008 2009 2010 2011 2012 2013
Product
Offerings
Health Reports
(started with 14 reports at
launch)
Split into 3
products:
Ancestry,
Health &
complete
report
Recombined the products
244 Health
Reports +
Ancestry
Report
Dec: Health
reports
suspended
Model One-time fee
Initial fee
+ subscription model
One- time fee
Price $999 $399
$399 +
$5/month
$299  $99 $99
Current Business Model:
Value Capture
• Assessment
– Commend reduction of price & removal of subscription to
expand user base
– However, still too expensive for the mainstream market
– Unable to move to targeted method of value capture: sale of
data to research institutes/universities
• Recommendations
– Quickly further reduce price point to expand user base.
Consider: free?  expand user base  move to B2B sale of
genetic data
– More value capture options: commission and referral fee from
consultancy services
• Complementary Assets
• No hold over complementary assets
• Delivery & consultancy services are common, DNA sequencer
manufacturer can sell to anyone
• Improve relationship with complementary assets, eg. Long
contracts with manufacturers/delivery services to reduce price.
• Appropriability Regime
• Scale & network effects: Larger database will yield better results
• Weak patent protection:
• “Polymorphisms Associated with Parkinson’s disease”
• Designer baby – no relation to main business
• Need to strengthen IP portfolio, esp. in data analysis through
R&D and open innovation
Current Business Model:
Strategic Control
Proposed Business Model
in Healthcare
23andMe
Consumers
$99
DNA Report
Labs
RI
Govts
Money
Service
DNA
Physicians
Referral
fees &
commission
Referral
Nutritionists Dieticians
Recommendations
CUSTOMER
SELECTION
VALUE
PROPOSITION
VALUE
CAPTURE
SCOPE OF
ACTIVITIES
STRATEGIC
CONTROL
Genetic Services in Sports
The New Frontier
Yao Ming and His Family
A “Natural” Selection
• Yao's grandfather, one of Shanghai's
tallest men, was discovered too late for
basketball but his son, the 6ft 7in (2.01 m)
Yao Zhiyuan, soon found himself
dragged into the sports system.
• There he was paired off with the 6ft 3in
(1.90 m) Fang Fengdi, China's women's
captain (more than half a foot taller
than the average man in Shanghai)
• The two were encouraged to marry in a
system with undertones of eugenics, the
controversial gene-pool manipulation
espoused by the Nazis and previously
trumpeted by Beijing.
• Yao's birth had been anticipated for
decades by communist officials -
desperate to boost national pride
through sports - who had been tracking
his family for two generations.
No accident … Yao Ming towers over
Jason Smith.
Photo: AP
http://www.smh.com.au/news/basketball/yao-ming-the-basketball-giant-made-in-china-by-order-of-the-state/2006/01/18/1137553645228.html
Yao Ming and Shaq
“Sports” Genes
• In 2003, a seven-scientist team tested
some 400 elite athletes for the ACTN3
gene.
• Everyone has two copies of that gene,
each of which comes in one of two
variants, R or X.
• The R variant instructs the body to
produce alpha-actinin-3, a protein found
only in fast-twitch muscle fibres, the kind
that contract rapidly and violently to
facilitate explosive movement
• Genotyping an individual as a XX
genotype is positively associated with
endurance performance.
• Not a single one of the 32 Olympic
sprinters in the study had two X variants.
http://www.google.com/patents/EP1546403B1Actn3 genotype screen for athletic performance
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1180686/
ACTN3
R X
Figure was taken from Yang et al., 2003.
Transcended mere chatter
• In the wake of the '03 study, the Manly
Warringah Sea Eagles of Australia's
National Rugby League began testing
players so that workouts could be tailored
for those apparently more disposed to
explosive powerlifting and sprinting
Beyond ACTN3
• The Duke football team sought
institutional permission to submit players'
DNA to a university researcher who will
look for genes that predispose players to
particular injuries.
http://www.sportscotland.org.uk/media/701955/the-speed-gene.pdf
http://www.ncbi.nlm.nih.gov/pubmed/23681449
Sports Genetic
Screening (1)
“Injuries” Genes
http://www.academia.edu/3139286/Athletic_performance_and_risk_of_injury-Can_genes_explain_all
• Athletes are at increased risk of
acute and chronic musculoskeletal
tissue injuries as a result of training
and/or competition.
• Many are polygenic traits, with each
individual gene having a small
effect on the phenotype, but
added together having a significant
contribution.
• Predisposition to muscle, tendon,
ligament, and/or other injuries can
negatively impact an athlete’s
ability to train optimally and perform
during competition
• Ultimately ending their competitive
careers or preventing them from
reaching their full potential.
Uzbekistan Is Using Genetic Testing to Find
Future Olympians
The country is experimenting with "sports selection at the molecular genetic level."
Ron Synovitz and ZamiraEshanova
Feb 6 2014, 12:59 PM ET
• Rustam Muhamedov, director of the genetics
laboratory at Uzbekistan's Institute of Bioorganic
Chemistry, announced the program for "sports
selection at the molecular genetic level" on January
5 in the government-owned Pravda Vostoka
newspaper
• Muhamedov says that after the 50 genes of a child
are tested from a blood sample, "their parents will
be told what sports they are best suited for"— such
as distance running or weightlifting.
• Muhamedov's announcement marks the first time
any country's Olympic Committee has been
officially linked to a program using genetic tests to
recommend specific sports programs for children.
Sports Genetic
Screening (2)
http://www.theatlantic.com/international/archive/2014/02/uzbekistan-is-using-genetic-testing-to-find-future-olympians/283001/
Uzbek weightlifter Ruslan Makarov at the London 2012 Olympic Games.
(Reuters/Dominic Ebenbichler)
Nature vs. Nurture (1)
A Conversation with David Epstein, author of “The
Sports Gene”
Published on September 3, 2013 by Jonathan Wai, Ph.D. in Finding the Next Einstein
• A mantra of football coaches is that “You can’t
train speed.”
• A study today that followed Oklahoma State
football players over four years of strength
training in college football
• Improved their strength immensely in the
weight room, but they didn’t improve in
running speed at all.
• Ideally you want an Achilles tendon that is
both long and stiff, and stiffness you actually
can change to a degree through training. But
the length is purely a function of the distance
between your calf and your heel bone, and
that’s something you’re born with and you
can’t change.
“You Can’t Train Speed”—Slow Kids Never Make Fast Adults
Nike
http://www.businessinsider.com/16-revelations-about-sports-and-genetics-2013-8?IR=T&op=1
Nature vs. Nurture (2)
A Conversation with David Epstein, author of
“The Sports Gene”
Published on September 3, 2013 by Jonathan Wai, Ph.D. in Finding the Next
Einstein
• Eye sight is more important than reaction
time when it comes to hitting a fastball
• Our brains recognize the ball as it leaves
the pitcher's hand and predicts where the
ball will go based on visual information.
Eye sight is the most important genetic
aspect of hitting, and 58% of MLB players
have superior depth perception
• Albert Pujols is only in the 66th percentile
of reaction time compared to college
students
http://www.businessinsider.com/16-revelations-about-sports-and-genetics-2013-8?IR=T&op=1
Albert Pujols
Getty Images/Jason Miller
Nature vs. Nurture (3)
A Conversation with David Epstein,
author of “The Sports Gene”
Published on September 3, 2013 by Jonathan Wai, Ph.D. in
Finding the Next Einstein
• Only two players in the NBA
in 2010-11 didn't have
unusually large wingspans.
• Humans typically have a
height to wingspan ratio of
1 : 1
• It's 1 : 1.063 among NBA
players
http://www.businessinsider.com/16-revelations-about-sports-and-genetics-2013-8?IR=T&op=1
Stephen Dunn/Getty Images
A Conversation with David Epstein, author of
“The Sports Gene”
Published on September 3, 2013 by Jonathan Wai, Ph.D. in Finding the Next
Einstein
• Your ability to get better with practice is
genetic
• Scientists have found that practice isn't
created equally for everyone.
• Different people can do the same
exercises for the same amount of time
and their improvement over time will be
totally different. For instance some
people's aerobic capacity won't get
better even with deliberate training.
• That's part of the reason why it will take
some people 3,000 hours of practice to
achieve mastery, and others 10,000.
http://www.businessinsider.com/16-revelations-about-sports-and-genetics-2013-8?IR=T&op=1
Michael Steele/Getty Images
Donald Thomas won the high jump world
championships after 8 months of training
Nature vs. Nurture (4)
Unexploited Market
SPORTS
GENETICS
(DATA)
SCOUTING
Personal Genomics: Business Model for 23andMe
23andMe
Private TrainersNutritionistsPrivate Health
Practitioners
Health and
Wellness Clinics
Government Laboratory
MoneyService
( Data )
Research and
Development
Pharmaceutical
Companies
Reputation
Hospitals
BasketballFootball Baseball
Professional Sports Leagues & Training Academies Businesses
Money
Reports and updates to
individual accounts
DNA Kit
Existing
Consumer
New Consumer
Referrals
Genetic Screening
Service
Saliva
Subscription Credits
per Referral
Experience
Intellectual
Property
Protection
Subscription
( Annually )
Health Products
and
Consultancy
Services
Money
(Data Privacy Rights)
Sports Traits Data
Questionnaires
Exposure
(Referrals)
Commission
Patents
Money
Patents Filing / Infringements
Money
Exposure
from
Sponsorship
Sponsorship
(Merchandise)
Data
(Referral of sport talents)
Genetic Screening
Education Courses
SPORTS
GENETICS
(DATA)
SCOUTING
SPORTS
Personal Genomics: Business Model for 23andMe
Customer Selection
Direct to Consumers
(DTC)
23andMe
Reports and updates to
individual accounts
DNA Kit
Existing
Consumer
New Consumer
Referrals
Saliva
Subscription Credits
per Referral
Experience
Subscription
( Annually )
Money
(Data Privacy Rights)
Sports Traits Data
Questionnaires
Direct-To-Consumers
• Young individuals with interest to predict and
discover their athletic strengths / sports niche
• Sports career options to attempt and pursue
• Prospects of turning into Elite Professionals
o Weekend athletes and sports enthusiasts
devoted to tailor workouts / diets to their body
types
o Keep in shape
Value Propositions
(DTC)
• Easy to use DNA Test Kits at the comfort of own
home
• Competitive/affordable pricing for personal
genome test with State-of-the-art technology
• Global Exposure to wide range of Professional
Sports Leagues as compared to specific ones
• Subscription fee credits for new customer referrals
• Fast and reliable services
o All tests done in CLIA-Certified Laboratory
• Accurate and detailed data analysis
(interpretation)
o through the company’s network of qualified practitioners
and nutritionists
23andMe
Reports and updates to
individual accounts
DNA Kit
Existing
Consumer
New Consumer
Referrals
Saliva
Subscription Credits
per Referral
Experience
Subscription
( Annually )
Money
(Data Privacy Rights)
Sports Traits Data
Questionnaires
Value Capture
(DTC)
• Sales of the personalized genetics
service
o DNA Test Kits
o DNA Reports with specific sport traits analysis
• “Sports Scouting Service” (S3)
Subscription Fee
o Option to include oneself into Company’s
“Sports Scouting Database”
o Consumers opted in will be tagged as
“Talents”
o Database accessed by Businesses
23andMe
Reports and updates to
individual accounts
DNA Kit
Existing
Consumer
New Consumer
Referrals
Saliva
Subscription Credits
per Referral
Experience
Subscription
( Annually )
Money
(Data Privacy Rights)
Sports Traits Data
Questionnaires
Personal Genomics: Business Model for 23andMe
Customer Selection
Business to Business
(B2B)
Business to Business
Sports Market Segment – “Talent Data”
• National Olympic Committees
• Professional Sport Leagues
• Talent Identification Companies
• Training Academies
R&D Market Segment – “Health Report Data”
• Universities / Colleges
• Hospitals
• Government / Commercial
Healthcare Market Segment– “Health Report Data”
• Nutritionists
• Dieticians
• Physicians / Physiotherapists
Value Propositions
(B2B)
• Ease of data usage and
Interpretation
o Customised report for the different
market segments
o In-house education and training
• Highly reliable data
o Sports talent recruitment
o Laboratories R&D
o Healthcare services
• Competitive/affordable
pricing
o Increase rate of diffusion
o Build-up installed base
Value Capture
(B2B)
• Subscription fee
Sports Market Segment
o Access to the “Sports Scouting Service”
o Access to the talents’ videos, audition,
records etc.
R&D Market Segment
o Access to anonymous health database
• Commissions
Sports Market Segment
o Certain percentage of transfer fees for
successful drafts into Pro-Team/National
Teams
Healthcare Market Segment
o Certain percentage of sales collected
from successful consultancy referrals
Scope of Activities
DTC & B2B
DNA Sequencer
Manufacturer
DTC Personal
Genomics
Services
Sports trait
Genome Patent
Database
Management
Exclusive
Sales Team
Consultancy
Services
Key to
business?
Yes Yes Yes Yes
s
Yes No
Sources Hybrid Outsource
Activity Purchase In-house
capability
1. In-house
capability
(primary)
2. Purchase
(secondary)
In-house
capability
House
-house
capability
In-house
capability
Partnership
Criteria of
selection
Out of business
scope,
Lower cost,
Better
technology
Key capability Key technology
Key capability
asset
Exclusive
resources
Out of
business
scope
Strategic Control
o Invest in making brand
stronger and build brand
equity
o Uphold reputation through
 Deliver high standard of
services and products
 Deliver company’s promises
to customers
 Ensure customers privacy/
confidentiality
Company
Brand
Strategic Control
Complementary
assets
o Secure long-term commitment
DNA kit manufacturers
(printing, containers)
Distribution channels (FedEx,
DHL, delivery companies)
Strategic Control
o Outsource to contractors
o Achieve low cost through
economy of scale
Bulk manufacturing of DNA kits
Bulk distribution of DNA kits
Accessories
Products
Strategic Control
o Enhance Public Awareness
 Conferences/Seminars/Talks
 TVs shows/ Radios/
Newspapers/Magazines
 Training and courses
o Specialized in-house trained
sales forces to direct promote
Services
Marketing
Strategic Control
o Patent key technologies
developed though their R&D
o Build up and patent genes
which correspond to sports
traits
IP
Protection
• DNA Sequencing technology is advancing
o Cost reducing but throughput increased
• Increasing interest in sequencing
o More research groups using the technologies
o Companies working on future technologies
• Next Generation Sequencing (NGS)
o Data will be more easily to be interpreted
• A Big Business Opportunities for 23andMe
o To leverage on the two pillars “healthcare” and “sports” business to drive growth
o “healthcare” as the foundation, “sport” industry as the high payoff business.
Conclusion:
Future on DNA Sequencing
Opens to New Business Models
Personal Genomics: Business Model for 23andMe

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Personal Genomics: Business Model for 23andMe

  • 1. Personal Genomics Rethinking the Business Model for 23andMe By: Adrianus Mradipta Chia Dingshan Feng Houyuan Ong Fu Lin Peh TiongSeng Xu Libing
  • 2. 1. Introduction – Genetics – 23andMe 3. The New Frontier – Introduction – Proposed Business Model: DTC & B2B Content 2. Current Business Model & Assessment – Value Proposition, Customer Selection, Value Capture, Scope of Activities, Strategic Control – Assessment & Recommendation
  • 3. What is inside the Genome? OR Source: https://www.23andme.com/gen101/genes/ Y chromosome (From Father) and Mito- chondrial (From Mother) are used for identification process. Cousin
  • 4. Cell Reproduction make mistakes SNPs (single nucleotide polymorphisms) SNP also influence disease susceptibility or response to drugs Source: https://www.23andme.com/gen101/genes/ SNP causes change in physical appearance (e.g. Curly or Straight Hair) Observable traits are known as:
  • 5. DNA Sequencing & Technology Improvements Cost of genome sequencing is dropping • Sub-$1,000 full genome sequencing is around the corner • In January 2014, Illumina announced a machine that could sequence a full human genome for $1,000 Advancements in Genomics Advancements in Computing (Big Data) Ability to Convey Clinical Significance
  • 6. New Opportunities are Opening Up! • 23andMe • Based in Mountain View, CA • Founded in 2007 by Anne Wojcicki, ex-wife of Google co- founder, Sergei Brin
  • 7. 23andMe: How it Works DNA Sequencing & Analysis 23andMe performs SNP Sequencing (vs. full genome mapping) (+) Cheaper, faster (-) Less information
  • 8. • Health Reports * – Carrier Status – Disease Risk – Drug Response * Health reports currently suspended 23andMe: How it Works • Ancestry Reports – Ancestry compositions – DNA relatives – 23andMe family tree tool – Maternal & paternal lineage
  • 9. TIME Magazine Invention of the Year 2008 http://content.time.com/time/specials /packages/article/0,28804,1852747_1 854493,00.html
  • 10. Problems with FDA • Note that the company is currently having issues with FDA • Health reports are currently suspended, as of Dec 2013 Validity? Accuracy? http://www.npr.org/blogs/health/2013/12/06/249231236/23andme-bows-to-fdas- demands-drops-health-claims
  • 11. Current Business Model 23andMe Consumers $99 DNA Report Labs RI Govts Money Service Future Plans As 23andMe grows, business model will shift Business Model http://www.forbes.com/sites/matthewherper/2013/06/13/expect-to-see-23andme- ads-as-the-company-tries-to-take-genetic-tests-mainstream/
  • 13. • Provides a cheap & convenient personal genetics service that produces fast results that will give insights on the customers’ health* & ancestry information • Cheap: $99, cheaper than competitors • Convenient: kit sent directly to customer’s doorstep • Fast: 2-3 weeks for results to be ready • Insights: disease risks especially Current Business Model: Value Proposition
  • 14. Provides a cheap &convenient personal genetics service that produces fast results that will give insights on the customers’ health* & ancestry information Current Business Model: Value Proposition Assessment – Huge part of the value proposition is removed with FDA’s orders – Limitations of Health Reports: • SNP sequencing: 1 million genes sequenced from a total of 3 billion • Nature vs. Nurture: 30-70 • No follow-up data analysis – regarding advise & lifestyle changes needed – Limitations of Ancestry Reports: • Limited by number of people in the database http://venturebeat.com/2014/03/12/23andme-ceo-we-need-to-return-to-delivering- health-information/ http://www.theguardian.com/technology/2014/mar/09/google-23andme-anne- wojcicki-genetics-healthcare-dna
  • 15. Current Business Model: Value Proposition • Recommendations – Sort things out with FDA & restore value proposition through health reports – Link up with physicians/nutritionists/dieticians to add analysis, thus enhancing value proposition
  • 16. Current Business Model: Customer Selection “We’re not really focused on a specific age group or gender or fitness level. It’s the people who have this control mindset” - Neil Rothstein 23andMe Marketing Chief • For health reports: Consumers who want to be proactive about their health
  • 17. Current Business Model: Customer Selection • 23andMe recognizes the importance of building lead users! • Lead Users: Parkinson’s network – Free kit to anyone diagnosed with Parkinson’s – Largest Parkinson’s genetic research network with 10,000 people
  • 18. Current Business Model: Customer Selection • For ancestry reports: – Serve a more niche market – Specialized customer groups, such as adopted children http://ireport.cnn.com/docs/DOC-918630 http://www.fourstateshomepage.com/story/dna-helps-reunite-family/d/story/okB1oVl_ukq5It6zsrUWxA
  • 19. Current Business Model: Customer Selection • Assessment – Good use of lead users – Health reports: No focus Too wide customer selection for a start-up. May stretch resources & difficult to act on • Recommendations – Focus on specific segments – Eg. People who care about their health and buy vitamins or go to the gym – Make it for convenient for these people
  • 20. • Value Chain for genetic reports: DNA Sequencer Manufacturer DNA Sequencing Genetic Data Analysis Database Management Delivery Services Consultancy Services Key to business? Yes Yes Yes Yes No No Sources Outsource None Activity Purchase In-house capability In-house capability In-house capability Outsource None Criteria of selection Out of business scope, Lower cost, Better technology Key capability Key capability Key capability Lowest costs Potential area to explore Current Business Model: Scope of Activities Assessment •Controlled the key capability areas •Consultancy services is a valuable area to explore Recommendations •Link up with consultancy services (eg. Physicians, dieticians, nutritionists, gyms) •Partner with clinics, vitamin stores, gyms as additional source of distributions •Will also enhance value propositions & value capture
  • 21. Current Business Model: Value Capture • Currently, 23andMe generates ALL its revenue through sales of the personalized genetics service • The company has experimented with many models to maximize revenue & generate user base 2007 2008 2009 2010 2011 2012 2013 Product Offerings Health Reports (started with 14 reports at launch) Split into 3 products: Ancestry, Health & complete report Recombined the products 244 Health Reports + Ancestry Report Dec: Health reports suspended Model One-time fee Initial fee + subscription model One- time fee Price $999 $399 $399 + $5/month $299  $99 $99
  • 22. Current Business Model: Value Capture • Assessment – Commend reduction of price & removal of subscription to expand user base – However, still too expensive for the mainstream market – Unable to move to targeted method of value capture: sale of data to research institutes/universities • Recommendations – Quickly further reduce price point to expand user base. Consider: free?  expand user base  move to B2B sale of genetic data – More value capture options: commission and referral fee from consultancy services
  • 23. • Complementary Assets • No hold over complementary assets • Delivery & consultancy services are common, DNA sequencer manufacturer can sell to anyone • Improve relationship with complementary assets, eg. Long contracts with manufacturers/delivery services to reduce price. • Appropriability Regime • Scale & network effects: Larger database will yield better results • Weak patent protection: • “Polymorphisms Associated with Parkinson’s disease” • Designer baby – no relation to main business • Need to strengthen IP portfolio, esp. in data analysis through R&D and open innovation Current Business Model: Strategic Control
  • 24. Proposed Business Model in Healthcare 23andMe Consumers $99 DNA Report Labs RI Govts Money Service DNA Physicians Referral fees & commission Referral Nutritionists Dieticians
  • 27. Yao Ming and His Family A “Natural” Selection • Yao's grandfather, one of Shanghai's tallest men, was discovered too late for basketball but his son, the 6ft 7in (2.01 m) Yao Zhiyuan, soon found himself dragged into the sports system. • There he was paired off with the 6ft 3in (1.90 m) Fang Fengdi, China's women's captain (more than half a foot taller than the average man in Shanghai) • The two were encouraged to marry in a system with undertones of eugenics, the controversial gene-pool manipulation espoused by the Nazis and previously trumpeted by Beijing. • Yao's birth had been anticipated for decades by communist officials - desperate to boost national pride through sports - who had been tracking his family for two generations. No accident … Yao Ming towers over Jason Smith. Photo: AP http://www.smh.com.au/news/basketball/yao-ming-the-basketball-giant-made-in-china-by-order-of-the-state/2006/01/18/1137553645228.html Yao Ming and Shaq
  • 28. “Sports” Genes • In 2003, a seven-scientist team tested some 400 elite athletes for the ACTN3 gene. • Everyone has two copies of that gene, each of which comes in one of two variants, R or X. • The R variant instructs the body to produce alpha-actinin-3, a protein found only in fast-twitch muscle fibres, the kind that contract rapidly and violently to facilitate explosive movement • Genotyping an individual as a XX genotype is positively associated with endurance performance. • Not a single one of the 32 Olympic sprinters in the study had two X variants. http://www.google.com/patents/EP1546403B1Actn3 genotype screen for athletic performance http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1180686/ ACTN3 R X Figure was taken from Yang et al., 2003.
  • 29. Transcended mere chatter • In the wake of the '03 study, the Manly Warringah Sea Eagles of Australia's National Rugby League began testing players so that workouts could be tailored for those apparently more disposed to explosive powerlifting and sprinting Beyond ACTN3 • The Duke football team sought institutional permission to submit players' DNA to a university researcher who will look for genes that predispose players to particular injuries. http://www.sportscotland.org.uk/media/701955/the-speed-gene.pdf http://www.ncbi.nlm.nih.gov/pubmed/23681449 Sports Genetic Screening (1)
  • 30. “Injuries” Genes http://www.academia.edu/3139286/Athletic_performance_and_risk_of_injury-Can_genes_explain_all • Athletes are at increased risk of acute and chronic musculoskeletal tissue injuries as a result of training and/or competition. • Many are polygenic traits, with each individual gene having a small effect on the phenotype, but added together having a significant contribution. • Predisposition to muscle, tendon, ligament, and/or other injuries can negatively impact an athlete’s ability to train optimally and perform during competition • Ultimately ending their competitive careers or preventing them from reaching their full potential.
  • 31. Uzbekistan Is Using Genetic Testing to Find Future Olympians The country is experimenting with "sports selection at the molecular genetic level." Ron Synovitz and ZamiraEshanova Feb 6 2014, 12:59 PM ET • Rustam Muhamedov, director of the genetics laboratory at Uzbekistan's Institute of Bioorganic Chemistry, announced the program for "sports selection at the molecular genetic level" on January 5 in the government-owned Pravda Vostoka newspaper • Muhamedov says that after the 50 genes of a child are tested from a blood sample, "their parents will be told what sports they are best suited for"— such as distance running or weightlifting. • Muhamedov's announcement marks the first time any country's Olympic Committee has been officially linked to a program using genetic tests to recommend specific sports programs for children. Sports Genetic Screening (2) http://www.theatlantic.com/international/archive/2014/02/uzbekistan-is-using-genetic-testing-to-find-future-olympians/283001/ Uzbek weightlifter Ruslan Makarov at the London 2012 Olympic Games. (Reuters/Dominic Ebenbichler)
  • 32. Nature vs. Nurture (1) A Conversation with David Epstein, author of “The Sports Gene” Published on September 3, 2013 by Jonathan Wai, Ph.D. in Finding the Next Einstein • A mantra of football coaches is that “You can’t train speed.” • A study today that followed Oklahoma State football players over four years of strength training in college football • Improved their strength immensely in the weight room, but they didn’t improve in running speed at all. • Ideally you want an Achilles tendon that is both long and stiff, and stiffness you actually can change to a degree through training. But the length is purely a function of the distance between your calf and your heel bone, and that’s something you’re born with and you can’t change. “You Can’t Train Speed”—Slow Kids Never Make Fast Adults Nike http://www.businessinsider.com/16-revelations-about-sports-and-genetics-2013-8?IR=T&op=1
  • 33. Nature vs. Nurture (2) A Conversation with David Epstein, author of “The Sports Gene” Published on September 3, 2013 by Jonathan Wai, Ph.D. in Finding the Next Einstein • Eye sight is more important than reaction time when it comes to hitting a fastball • Our brains recognize the ball as it leaves the pitcher's hand and predicts where the ball will go based on visual information. Eye sight is the most important genetic aspect of hitting, and 58% of MLB players have superior depth perception • Albert Pujols is only in the 66th percentile of reaction time compared to college students http://www.businessinsider.com/16-revelations-about-sports-and-genetics-2013-8?IR=T&op=1 Albert Pujols Getty Images/Jason Miller
  • 34. Nature vs. Nurture (3) A Conversation with David Epstein, author of “The Sports Gene” Published on September 3, 2013 by Jonathan Wai, Ph.D. in Finding the Next Einstein • Only two players in the NBA in 2010-11 didn't have unusually large wingspans. • Humans typically have a height to wingspan ratio of 1 : 1 • It's 1 : 1.063 among NBA players http://www.businessinsider.com/16-revelations-about-sports-and-genetics-2013-8?IR=T&op=1 Stephen Dunn/Getty Images
  • 35. A Conversation with David Epstein, author of “The Sports Gene” Published on September 3, 2013 by Jonathan Wai, Ph.D. in Finding the Next Einstein • Your ability to get better with practice is genetic • Scientists have found that practice isn't created equally for everyone. • Different people can do the same exercises for the same amount of time and their improvement over time will be totally different. For instance some people's aerobic capacity won't get better even with deliberate training. • That's part of the reason why it will take some people 3,000 hours of practice to achieve mastery, and others 10,000. http://www.businessinsider.com/16-revelations-about-sports-and-genetics-2013-8?IR=T&op=1 Michael Steele/Getty Images Donald Thomas won the high jump world championships after 8 months of training Nature vs. Nurture (4)
  • 38. 23andMe Private TrainersNutritionistsPrivate Health Practitioners Health and Wellness Clinics Government Laboratory MoneyService ( Data ) Research and Development Pharmaceutical Companies Reputation Hospitals BasketballFootball Baseball Professional Sports Leagues & Training Academies Businesses Money Reports and updates to individual accounts DNA Kit Existing Consumer New Consumer Referrals Genetic Screening Service Saliva Subscription Credits per Referral Experience Intellectual Property Protection Subscription ( Annually ) Health Products and Consultancy Services Money (Data Privacy Rights) Sports Traits Data Questionnaires Exposure (Referrals) Commission Patents Money Patents Filing / Infringements Money Exposure from Sponsorship Sponsorship (Merchandise) Data (Referral of sport talents) Genetic Screening Education Courses SPORTS GENETICS (DATA) SCOUTING SPORTS
  • 40. Customer Selection Direct to Consumers (DTC) 23andMe Reports and updates to individual accounts DNA Kit Existing Consumer New Consumer Referrals Saliva Subscription Credits per Referral Experience Subscription ( Annually ) Money (Data Privacy Rights) Sports Traits Data Questionnaires Direct-To-Consumers • Young individuals with interest to predict and discover their athletic strengths / sports niche • Sports career options to attempt and pursue • Prospects of turning into Elite Professionals o Weekend athletes and sports enthusiasts devoted to tailor workouts / diets to their body types o Keep in shape
  • 41. Value Propositions (DTC) • Easy to use DNA Test Kits at the comfort of own home • Competitive/affordable pricing for personal genome test with State-of-the-art technology • Global Exposure to wide range of Professional Sports Leagues as compared to specific ones • Subscription fee credits for new customer referrals • Fast and reliable services o All tests done in CLIA-Certified Laboratory • Accurate and detailed data analysis (interpretation) o through the company’s network of qualified practitioners and nutritionists 23andMe Reports and updates to individual accounts DNA Kit Existing Consumer New Consumer Referrals Saliva Subscription Credits per Referral Experience Subscription ( Annually ) Money (Data Privacy Rights) Sports Traits Data Questionnaires
  • 42. Value Capture (DTC) • Sales of the personalized genetics service o DNA Test Kits o DNA Reports with specific sport traits analysis • “Sports Scouting Service” (S3) Subscription Fee o Option to include oneself into Company’s “Sports Scouting Database” o Consumers opted in will be tagged as “Talents” o Database accessed by Businesses 23andMe Reports and updates to individual accounts DNA Kit Existing Consumer New Consumer Referrals Saliva Subscription Credits per Referral Experience Subscription ( Annually ) Money (Data Privacy Rights) Sports Traits Data Questionnaires
  • 44. Customer Selection Business to Business (B2B) Business to Business Sports Market Segment – “Talent Data” • National Olympic Committees • Professional Sport Leagues • Talent Identification Companies • Training Academies R&D Market Segment – “Health Report Data” • Universities / Colleges • Hospitals • Government / Commercial Healthcare Market Segment– “Health Report Data” • Nutritionists • Dieticians • Physicians / Physiotherapists
  • 45. Value Propositions (B2B) • Ease of data usage and Interpretation o Customised report for the different market segments o In-house education and training • Highly reliable data o Sports talent recruitment o Laboratories R&D o Healthcare services • Competitive/affordable pricing o Increase rate of diffusion o Build-up installed base
  • 46. Value Capture (B2B) • Subscription fee Sports Market Segment o Access to the “Sports Scouting Service” o Access to the talents’ videos, audition, records etc. R&D Market Segment o Access to anonymous health database • Commissions Sports Market Segment o Certain percentage of transfer fees for successful drafts into Pro-Team/National Teams Healthcare Market Segment o Certain percentage of sales collected from successful consultancy referrals
  • 47. Scope of Activities DTC & B2B DNA Sequencer Manufacturer DTC Personal Genomics Services Sports trait Genome Patent Database Management Exclusive Sales Team Consultancy Services Key to business? Yes Yes Yes Yes s Yes No Sources Hybrid Outsource Activity Purchase In-house capability 1. In-house capability (primary) 2. Purchase (secondary) In-house capability House -house capability In-house capability Partnership Criteria of selection Out of business scope, Lower cost, Better technology Key capability Key technology Key capability asset Exclusive resources Out of business scope
  • 48. Strategic Control o Invest in making brand stronger and build brand equity o Uphold reputation through  Deliver high standard of services and products  Deliver company’s promises to customers  Ensure customers privacy/ confidentiality Company Brand
  • 49. Strategic Control Complementary assets o Secure long-term commitment DNA kit manufacturers (printing, containers) Distribution channels (FedEx, DHL, delivery companies)
  • 50. Strategic Control o Outsource to contractors o Achieve low cost through economy of scale Bulk manufacturing of DNA kits Bulk distribution of DNA kits Accessories Products
  • 51. Strategic Control o Enhance Public Awareness  Conferences/Seminars/Talks  TVs shows/ Radios/ Newspapers/Magazines  Training and courses o Specialized in-house trained sales forces to direct promote Services Marketing
  • 52. Strategic Control o Patent key technologies developed though their R&D o Build up and patent genes which correspond to sports traits IP Protection
  • 53. • DNA Sequencing technology is advancing o Cost reducing but throughput increased • Increasing interest in sequencing o More research groups using the technologies o Companies working on future technologies • Next Generation Sequencing (NGS) o Data will be more easily to be interpreted • A Big Business Opportunities for 23andMe o To leverage on the two pillars “healthcare” and “sports” business to drive growth o “healthcare” as the foundation, “sport” industry as the high payoff business. Conclusion: Future on DNA Sequencing Opens to New Business Models