RPM and Reimbursement for TransTech Devices Link to video: https://youtu.be/gUNGFWu-OLk https://spire.io

1. Private and confidential. Do not distribute. Spire 2018 (c)
The future of remote patient monitoring

2. Private and confidential. Do not distribute. Spire 2018 (c)
Healthcare is being radically transformed by 3 fundamentally new data sources
EHR
Data
Genomics
Data
Physiological
Data
DNA tests
doubled in 2017
Over 12M people
99% of Hospitals now
use an EHR system
Up from 31% in 2003
18% Annual Growth in
Monitoring Devices
CAGR ’17-’22; $6.2B to $14.3B
Better Care
Lower Costs
Sources: ASHP, ISOGG, MarketsandMarkets

3. Private and confidential. Do not distribute. Spire 2018 (c)
Two key issues have prevented
adoption of Remote Patient Monitoring
Products don’t
work for chronic
disease patients.
No method for
reimbursement

4. Private and confidential. Do not distribute. Spire 2018 (c)
2019: Medicare starts reimbursing RPM!
“This rule
innovates and
modernizes home
health care by
allowing remote
patient
monitoring.”
CMS Administrator
Seema Verma,
Oct 31, 2018
Remote Monitoring now
included in Home Health
Agency Benefit
CMS significantly expanding
remote patient monitoring
reimbursement in 2019
• 990X0 - One-time reimbursement to
on-board and train the patient ($21)
• 990X1 - Monthly reimbursement for
obtaining RPM data ($69/month)
• 994X9 - Monthly reimbursement of
Health Care Professional time spent
reviewing the data captured ($54/
month)

5. Private and confidential. Do not distribute. Spire 2018 (c)
First-generation solutions do not address the needs of this growing market
• Frequent charging
• Have to remember to wear
• Visible & uncomfortable
• Low accuracy
• Limited data
• “Data” without actions
Limited long-term engagement
Limited impact on outcomes
Limited healthcare ecosystem adoption
• “Single use” design
• Limited applicability
• Minimal API data access
High Friction
Sensors
•
Low Value
Data
•
Narrowly Scoped
Solutions

6. Introducing the Spire Health Tag
Zero hassle, clinically-accurate,
health monitoring

7. Private and confidential. Do not distribute. Spire 2017 (c)
How it works.
Market Problem Solution Platform Financials
Step 1: Get a pack of Health Tags.
Step 2: Stick the tags onto the clothing you wear most often (e.g.,
underwear/bra)
Step 3: That’s it! Leave them on and just wear/wash your clothes as you
normally do.

8. Private and confidential. Do not distribute. Spire 2017 (c)
Respiration
Proprietary Force Sensor
Respiration
Rate
Respiratory
Rate Variability
Inhalation/
Exhalation Rate
Actigraphy
3-Axis Accelerometer
PPG
Optical Heart Rate Sensor
Heart
Rate
HRVActivity Falls
Spire Health Tag
Incredible battery life and durability with 3 key health sensors
• Up to 2 year battery life
without charging
• Waterproof & washer/
dryer safe.
Market Problem Solution Platform Financials

9. Private and confidential. Do not distribute. Spire 2018 (c)
Adherence Study
100 external customers invited to participate
(received 8 Health Tags each)
engagement
after 3+
months0
25
50
75
100
1 2 3 4 5 6 7 8 9 10 11 12
Number of weeks
95%Percent
Active
Spire Health Tag Engagement
No hassle approach drives dramatically longer engagement
Market Problem Solution Platform Financials

10. Private and confidential. Do not distribute. Spire 2017 (c)
Spire Health Tag - Validation
Proven accuracy against gold standards
IEEE peer-reviewed study shows
Health Tag’s accurate measurement
of respiratory patterns and events.
93-98% accuracy compared to
gold standard in-patient respiratory
monitoring devices
Market Problem Solution Platform Financials

11. Private and confidential. Do not distribute. Spire 2018 (c)