Jay Rughani is a partner at Andreessen Horowitz (a16z). He outlines the strategic conditions that justify the added complexity of launching multi-sided networks in digital health.
“While two-sided networks can be more complex to execute, founders who choose this go-to-market strategy are typically addressing at least one of three situations in which it can be worth the effort. One, broken data flows between two or more sets of constituents. In this scenario, one party is interested in insights from another party, but this data isn't flowing frequently between them, typically because they're on software rails in between them. Or alternatively, one party wants to collaborate with the other and needs an efficient channel for engagement. The startup becomes that connecting bridge. Two, severe fragmentation in a market that makes it difficult for users to access, navigate, or transact with the other side. The interface in this scenario is the marketplace, which aggregates that fragmented ecosystem and makes it more accessible to other parties. Three, highly elastic demand whereby you have consumers who really need and are willing to use a certain product or service, but where monetizing directly either isn't feasible or would slow down adoption or damage retention prohibitively. So finding a sustainable business model elsewhere can make a lot of sense.”
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More from Jay Rughani
Insight
Rughani: B2C2B lets health startups engage users before contracting payers
“While B to C to B can be more complex to execute, it gives startups the power to acquire and engage users directly without first contracting with the payer.”
Jay RughaniDec 2, 2021▶ 5:25B2C2B in Digital Health, a founder's playbook
“The biggest challenge we hear about with B to C to B is that you're signing yourself up to execute two go-to-market motions in parallel with the limited resources of a startup. The upside though is that if you achieve a high engagement and stickiness in both m…”
Jay RughaniDec 2, 2021▶ 7:50B2C2B in Digital Health, a founder's playbook
Insight
Rughani: Start enterprise B2B sales after establishing repeatable usage patterns
“We generally recommend turning on enterprise when you see repeatable usage patterns among a core customer group through concrete data gathering.”
Jay RughaniDec 2, 2021▶ 19:09B2C2B in Digital Health, a founder's playbook
AssertionNot checkable as stated
Rughani: Enterprise buyers expect digital health startups to present RCT ROI data
“Several digital health founders have told us that their enterprise buyers basically expected them to have a randomized control trial demonstrating the ROI before signing the partnership.”
Jay RughaniDec 2, 2021▶ 19:17B2C2B in Digital Health, a founder's playbook
Insight
Rughani: Network effects make parallel go-to-market motions easier
“And when one company successfully executes two independent go to market motions in parallel, a powerful network effect kicks in, and each go to market motion becomes easier because the other exists.”
Jay RughaniJul 27, 2022▶ 3:26Two-Sided Networks in Healthcare - a Founder's Playbook
Disclosure
Rughani: a16z benchmarks healthcare network sides against standalone software standards
“Well, we take each side in turn, and we benchmark each side's individual performance to best-in-class healthcare software businesses.”
Jay RughaniJul 27, 2022▶ 36:17Two-Sided Networks in Healthcare - a Founder's Playbook
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