A study on the impact of vaccination among Covid-19 patients by Star Health and Allied Insurance, one of the leading standalone health Insurance companies in India, has unveiled the significant impacts of vaccination among individuals of 45 years and above.
The study has concluded that there was a marked reduction in the total hospitalization expenses by approximately 24%, the average length of stay (ALOS) by a mean of 2.1 days, ICU requirement by 66% and a reduction of approximately 81% in mortality among patients who had completed two doses of vaccination.
The study was conducted during the second wave (March & April 2021) and considered a sample size of 3,820 hospitalized patients from across India who were 45 years and above. The cohort study revealed that the average cost of hospitalization of the unvaccinated group was Rs.2.77 lakh while the vaccinated group recorded an average cost of Rs.2.1 lakh.
The reduction is cost was due to factors like reduced need of ICU requirement and reduction in the length of hospital stay from an average of 7 days among unvaccinated to an average of 4.9 days for the vaccinated group.
Speaking on the study, Dr. S Prakash, Managing Director, Star Health and Allied Insurance said, “The beginning of 2021 saw a breakthrough in vaccine discovery against COVID-19 making it the fastest vaccine discovery till date. Our aim was to measure and understand in exact terms the impact of Covid-19 vaccination in patients who contracted the illness 14 days after the second dose versus unvaccinated patients, thus making it a unique research in its own right.“
In the wake of COVID-19, most of the studies conducted so far have reported an impact of vaccination among the common public while Star Health Insurance’s cohort study gives exclusivity to patients diagnosed with COVID-19. The main purpose of this study has not only been to understand the medical benefit but also financial implications.
Dr. Madhumathi Ramakrishnan, Joint Vice President Star Health and Allied Insurance said, “Our study covered pan India data of the patients affected by COVID-19. The aim was to assess the medical and financial implications of vaccination. Our study concluded that, the ones who had taken the vaccination had a clear advantage over the non-vaccinated as we witnessed a significant difference in parameters like hospital stay, cost of treatment and death due to infection.”
The cohort study surveyed customers of Star Health and Allied Insurance Company who were admitted for Covid-19 treatment in 1,104 hospitals across the country and found that the ALOS, need for ICU and reduction in costs also holds true for patients with comorbidities as well. While the need for ICU for patients with comorbidities fell from a whopping 9.4% to 5% amongst those vaccinated, the treatment cost also reduced by nearly 15%.
“However, the study also revealed that over 57% of patients among the unvaccinated group were hesitant to take the vaccine due to fear, ignorance or more worryingly, social factors and disinterest! There is an urgent need to address this and we hope that through this study we will be able to highlight the benefits of the vaccine, educate and motivate the public to get vaccinated soon,” added Dr. Prakash.
Conducted and concluded during the early stages of vaccination drive, the study noted that nearly 86% amongst those surveyed had not taken the vaccination and amongst these 43% did not have any valid reason for not taking the jab.
Star Health believes that the only way to mitigate a third wave is to increase vaccination among the population, host active demystification programs and campaigns through community engagement to reach rural and urban population alike.
Why did file sharing drive so much startup innovation?
One of the great things about editing all of our deep-dive EC-1 startup profiles is that you start to notice patterns across successful companies. While origin stories and trajectories can vary widely, the best companies seem to come from similar places and are conceived around very peculiar themes.
To wit, one common theme that came from our recent profiles of Expensify and NS1 is the centrality of file sharing (or, illegal file sharing if you are on that side of the fence) and internet infrastructure in the origin stories of the two companies. That’s peculiar, because the duo honestly couldn’t be more different. Expensify is an SF-founded (now Portland-based), decentralized startup focused on building expense reporting and analytics software for companies and CFOs. New York-based NS1 designs highly-redundant DNS and internet traffic performance tools for web applications.
Yet, take a look at how the two companies were founded. Anna Heim on the origins of Expensify:
To truly understand Expensify, you first need to take a close look at a unique, short-lived, P2P file-sharing company called Red Swoosh, which was Travis Kalanick’s startup before he founded Uber. Framed by Kalanick as his “revenge business” after his previous P2P startup Scour was sued into oblivion for copyright infringement, Red Swoosh would be the precursor for Expensify’s future culture and ethos. In fact, many of Expensify’s initial team actually met at Red Swoosh, which was eventually acquired by Akamai Technologies in 2007 for $18.7 million.
[Expensify founder and CEO David] Barrett, a self-proclaimed alpha geek and lifelong software engineer, was actually Red Swoosh’s last engineering manager, hired after the failure of his first project, iGlance.com, a P2P push-to-talk program that couldn’t compete against Skype. “While I was licking my wounds from that experience, I was approached by Travis Kalanick who was running a startup called Red Swoosh,” he recalled in an interview.
Then you head over to Sean Michael Kerner’s story on how NS1 came together:
NS1’s story begins back at the turn of the millennium, when [NS1 co-founder and CEO Kris] Beevers was an undergrad at Rensselaer Polytechnic Institute (RPI) in upstate New York and found himself employed at a small file-sharing startup called Aimster with some friends from RPI. Aimster was his first taste of life at an internet startup in the heady days of the dot-com boom and bust, and also where he met an enterprising young engineer by the name of Raj Dutt, who would become a key relationship over the next two decades.
By 2007, Beevers had completed his Ph.D. in robotic mapping at RPI and tried his hand at co-founding and running an engineered-wood-product company named SolidJoint Research, Inc. for 10 months. But he soon boomeranged back to the internet world, joining some of his former co-workers from Aimster at a company called Voxel that had been founded by Dutt.
The startup provided a cornucopia of services including basic web hosting, server co-location, content delivery and DNS services. “Voxel was one of those companies where you learn a lot because you’re doing way more than you rightfully should,” Beevers said. “It was a business sort of built out of love for the tech, and love for solving problems.”
The New York City-based company peaked at some 60 employees before it was acquired in December 2011 by Internap Network Services for $35 million.
Note some of the similarities here. First, these wildly different founders ended up both working on key internet plumbing. Which makes sense of course, since back two decades ago, building out the networking and compute capacity of the internet was one of the major engineering challenges of that period in the web’s history.
Additionally in both cases, the founding teams met at little-known companies defined by their engineering cultures and which sold to larger internet infrastructure conglomerates for relatively small amounts of money. And those acquirers ended up being laboratories for all kinds of innovation, even as few people really remember Akamai or Internap these days (both companies are still around today mind you).
The cohort of founders is fascinating. Obviously, you have Travis Kalanick, who would later go on to found Uber. But the Voxel network that went to Internap is hardly a slouch:
Dutt would leave Internap to start Grafana, an open-source data visualization vendor that has raised over $75 million to date. Voxel COO Zachary Smith went on to found bare metal cloud provider, Packet, in 2013, which he ran as CEO until the company was acquired by Equinix in March 2020 for $335 million. Meanwhile, Justin Biegel, who spent time at Voxel in operations, has raised nearly $62 million for his startup Kentik. And of course, NS1 was birthed from the same alumni network.
What’s interesting to me with these two companies (and some others in our set of stories) is how often founders worked on other problems before starting the companies that would make them famous. They learned the trade, built networks of hyper-intelligent present and future colleagues, understood business development and growth, and started to create a flywheel of innovation amidst their friends. They also got a taste of an exit without really getting the whole meal, if you will.
In particular with file sharing, what’s interesting is the rebellious and democratic ethos that came with that world back at the turn of the millennium. To work in file sharing in that era meant fighting the big music labels, overturning the economics of entire industries, and breaking down barriers to allow the internet economy to flourish. It attracted a weird bunch of folks — the exact kind of weirdness that happens to make good startup founders, apparently. It echos one of the key arguments of Fred Turner’s book, “From Counterculture to Cyberculture.”
Which begs the question then: what are the “file sharing” markets today that these sorts of individuals congregate around? One that seems obvious to me is blockchain, which has precisely that balance of rebelliousness, democratization, and technical excellence (well, at least some of the time!) And then there are the modern-day “pirates” today such as Alexandra Elbakyan who invented and has operated Sci-Hub to make the world’s research and knowledge democratized.
It’s maybe not the current batch of companies that we see which will become the next extraordinary unicorns. But watch the people who show up in the interesting places — because their next projects often seem to hit gold.
Zomato raises $562 million from anchor investors ahead of IPO
Indian food delivery startup Zomato said on Tuesday evening that it has raised $562.3 million from its anchor investors ahead of IPO opening on Wednesday.
Zomato, which counts Ant Financial has already secured nearly 45% of the $1.3 billion it plans to raise through the IPO, the 12-year-old Gurgaon-headquartered startup revealed in a filing to local stock exchanges. The public share sale will open on Wednesday and close Friday.
Tiger Global, Fidelity, New World, Baillie Gifford, Government of Singapore, Canada Pension Plan, Mirae Asset, T. Rowe Price, and Steadview are among the investors that are backing the startup in the public markets.
The investors have subscribed the shares at Rs 76 ($1) — the upper end of the price range for Zomato’ shares — giving the Indian startup an implied valuation of $8.6 billion, up from $5.4 billion in February this year.
The oversubscription illustrates the confidence high-profile investors are placing in the world’s second largest internet market’s first real consumer internet offering.
In a virtual press conference last week, Zomato executives said the startup, which has search and discovery in nearly two dozen markets, will focus largely on India and will explore categories such as online grocery delivery in the future.
The executives also dismissed Amazon as a serious competitor for now. “There’s no major impact on market share from Amazon so far,” the company’s chief financial officer said. Amazon entered the food delivery market last year and is operational in just Bangalore for now. Swiggy, backed by SoftBank Vision Fund 2 and Prosus Ventures, is Zomato’s chief rival in India.
For the financial year that ended in March this year, its revenue was down 23% to $283 million, and it also shrank its losses to $110 million, down 66% from the same period a year ago.
Where is suptech heading?
Technology plays a huge role in nearly every aspect of financial services today. As the world moved online, tools and infrastructure to help people manage their money and make payments have burgeoned the world over in the past decade.
With much of the finance world now leveraging technology to conduct business, predict trends and deliver services, financial services regulators are also developing new technologies to monitor markets, supervise financial institutions and conduct other administrative activities. The emergence of purpose-built technologies to facilitate regulator oversight has, over the past few years, garnered its own moniker of supervisory technology, or suptech.
Interest in suptech is proliferating across the globe thanks to a diverse set of prudential and conduct regulators. A sampling of regulators developing suptech include the FDIC, CFPB, FINRA and Federal Reserve in the U.S.; the U.K.’s FCA and Bank of England; the National Bank of Rwanda in Africa; as well as the ASIC, HKMA and MAS in Asia. Several “super regulators” are also engaged in suptech efforts such as the Bank of International Settlements, the Financial Stability Board and the World Bank.
The strides in suptech demonstrate that creative thinking coupled with experimentation and scalable, easily accessible technologies are jump-starting a new approach to regulation.
In this post, we’ll examine a few core suptech use cases, consider its future and explore the challenges facing regulators as the market matures. The uses are diverse, so we’ll focus on three key areas: regulatory reporting, machine-readable regulation, and market and conduct oversight.
A quick general note: Nearly every financial services regulator is engaged in some type of suptech activity and the use cases discussed in this article are intended as a sample, not a comprehensive list.
But what exactly is suptech?
As a preliminary matter, we should quickly survey a few definitions of suptech to frame our understanding. Both the World Bank and BIS have offered definitions that provide useful outlines for this discussion. The World Bank states that suptech “refers to the use of technology to facilitate and enhance supervisory processes from the perspective of supervisory authorities.” It’s a little circular, but helpful.
The BIS defines suptech as “the use of technology for regulatory, supervisory and oversight purposes.” This is a similarly loose definition that describes the broader scope better.
Regardless of differences on the margins, the “sup” in these suptech definitions acknowledges the primacy of the idea that regulators’ objectives are to oversee the conduct, structure, and health of the financial system. Suptech technologies facilitate related regulatory supervision and enforcement processes.
Regulatory reporting refers to a broad swath of activities such as financial firms providing trading data to regulatory authorities and regulators’ analysis of financial data or corporate information to determine the projected health or potential risks facing an institution or the market.
The MAS and FDIC are incorporating transactional and financial data reported by firms as a means to assess their financial viability. The MAS, in conjunction with BIS, has run tech sprints soliciting new ideas relating to regulatory reporting, while the FDIC has “a regulatory reporting solution that would allow ‘on-demand’ monitoring of banks as opposed to being constrained by ‘point-in-time’ reporting. This project is particularly targeted at smaller, community banks that provide only aggregated data on their financial health on a quarterly basis.”
The HKMA recently outlined its three-year plan for the development of suptech, which includes developing an approach to “network analysis.” The HKMA will analyze reporting data related to corporate shareholding and financial exposure to bring them “to life as network diagrams, so that the relationships between different entities become more apparent. Greater transparency of the connections and dependencies between banks and their customers will enable HKMA supervisors to detect early warning signals within the entire credit network.”
These reporting initiatives touch on a theme regulators have continuously struggled with: How to regulate markets and firms based on a reactive approach to historical data. Regulation and enforcement are often retrospective activities — examining past behavior and data to decide how to sanction an organization or develop a regulatory framework to govern a particular type of activity or financial product. This can result in an approach to regulation too rooted in past failures, which might lack the flexibility to anticipate or adapt to emerging risks or financial products.
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