National Healthcare applications Nicanor Isaza ID and Healthcare

National Healthcare applications Nicanor Isaza ID and Healthcare LATAM Manager 2/20/2021 Confidential

AGENDA 1 Introduction 2 Health. Care Project overview 5 2/20/2021 3 4 Needs for e-healthcare systems GEMPLUS Commitment French & German Cases Net. C@ard Project

INTRODUCTION ØHealthcare system : Ø Answers the basic need of security Ø Allows economy growth Ø Manages Billions of Dolars per year Ø Is a Key cost center for the national competitiveness ØIn a challenging worldwide eco-system, Healthcare systems need for a better control and cost reduction : Ø From paper forms to e-documents Ø From 1 st Generation of e-document to 2 nd generation of e-document and pre-authorization Ø Shared personal medical file Ø European harmonization by 2010 : Net. C@ard project -> geographic mobility 3 Confidential

AGENDA 1 Introduction 2 Health. Care Project overview 5 2/20/2021 3 4 Needs for e-healthcare systems GEMPLUS Commitment French & German Cases Net. C@ard Project

e-Healthcare systems ØThe main ideas are: Ø Dematerialize the medical prescription from paper to electronic Ø reduce costs and increase efficiency Ø Pre-authorize the health transaction : Ø Control the validity of the right of the patient Ø Secure the distribution of social fund to the poor population : Ø Use the electronic cash functionality ØTwo types of e-healthcare system : Ø Off-line : Ø Allows decentralized system even in remote area (no IP or telecom infrastructure) Ø On-line : Ø Strong control on the validity of right Ø Possibility to update easily the card parameters ØMost of the time : Ø System starts with off-line then introduce the on-line function Ø Can be a mix of both on-line in the city and off-line in the remote area Smart card is the best proven technology 5 Confidential

Timeline of Schemes Roll out Algeria (7 Mu) Ukraine (35 Mu) An early start in the mid 90’s, A faster migration in the coming years Turkey (25 Mu) Mexico (4 Mu) Poland (22 Mu) Austria (8 Mu) Italy ? Taiwan (24 Mu) China (110 Mu) Slovenia (2 Mu) Belgium (11 Mu) France (60 Mu) Spain (5. 5 Mu) Germany (75 Mu) 1994 1995 1996 1997 12 Mu renewal per year 1998 1999 memory 6 Confidential Germany (75 Mu) 2000 micro 2001 2002 2003 2004 2005 2006 2007 2008

Countries deploying e. Health cards Who is deploying e. Health cards? European Union Member States Other countries, with public or semi public healthcare systems Austria Belgium France Germany Italy China India Japan Kenya Malaysia Puerto Rico Countries with private healthcare system & corporate schemes Netherlands Poland Slovenia Spain Taiwan Tanzania Turkey Vietnam Ukraine USA Brazil Mexico Saudi Arabia South Africa • National schemes • Provincial and regional schemes: China, Italy, Spain • Private schemes: USA, Brazil • Corporate Schemes: In countries with no social security, it is handled by the employer. Example: Petrobras (Brazil), Saudi Aramco (Saudi Arabia) 7 Confidential Evolution of split per region 2003 -2008 • Cross boarder scheme (Germany/Netherlands) • Trans European scheme (Net. C@rd)

AGENDA 1 Introduction 2 Health. Care Project overview 5 2/20/2021 3 4 Needs for e-healthcare systems GEMPLUS Commitment French & German Cases Net. C@ard Project

GEMPLUS COMMITMENT ØDedicated team for Governmental projects Ø Setec – Gemplus merge in 2005: Ø Setec : Ø 120 year of existence in security printing Ø Major European players in ID and Passport applications Ø Gemplus : Ø Worldwide leader in smart card Ø Strong experience in Healthcare Ø International company with strong finance position ØHealthcare references Ø France : “Vital” patient card and Healthcare terminal Ø Germany : “KVK” patient card and healthcare terminal Ø Slovenia : Patient card and healthcare terminal Ø China : SCC patient card Ø Mexico : “Seguro popular” welfare program Ø South Africa : Pension fund welfare program Ø UK : Professional Health card and web authentication Ø Finland : National patient card “Kela card” Ø European Health card : Netc@rd ØResults Ø Long-term commitment on this application ! Ø Able to help Government in setting up a full system 9 Confidential

Gemplus - Setec Healthcare offer § Patient § European Healthcare card (EHC) § National Healthcare card (standard Gemplus product or customized) § Healthcare Professional § Health professional card § Readers: § PC readers § Non connected readers § Stand alone (with 2 slots) § Services: § Patient enrolment (data and picture capturing) § Data preparation and card personalization § Mailing and custom Packaging § Security : § Security consulting around smart card application § Patient secure web access § Health professional secure web access § Secure Logical access control (PC) § Secure Physical access control (Building) 10 Confidential

AGENDA 1 Introduction 2 Health. Care Project overview 5 2/20/2021 3 4 Needs for e-healthcare systems GEMPLUS Commitment French & German Cases Net. C@ard Project

French Case ØEco system FORECAST Ø The first French Healthcare system is born in 1830 Ø The current system is still the same since 1948 Ø Healthcare spending in 2005 : 136 Billions Euros Ø State Budget = 320 Billions Euros Ø In 1995 : first deployment of e-healthcare application “Vitale” project ØConcept of the “Vitale“ project Ø Reduce the operating cost of the French insurances Ø Create an IT system for Healthcare saving of 300 Meuro per year ØOn going project “Vitale 2 “ Ø On-line capability Ø Possibility to run multi application – Healthcare and then pay for the debit card Ø E-prescriptions Ø Prepare the techno based for the central Medical Data File 12 Confidential

The French Architecture 13 Confidential

Electronic claim creation 14 Confidential

Benefits of the « Vitale » card ØFor the insurances Ø Cost reduction of 300 Meuro per year Ø Better tractability of the costs allowing better focus on cost reductions ØPatients Ø Are reimburse in a 5 days instead of 1 month Ø Easy to use and convenient 15 Confidential

German Case ØEco system FORECAST Ø The first German Healthcare system is born in the 19 th century Ø Healthcare spent in 2005 : 170 Billions Euros Ø State Budget = 290 Billions Euros Ø In 1990 : first deployment of e-healthcare application “KVK” project ØConcept of the “KVK“ project Ø Reduce the operating cost of the German insurances Ø Pure Off-line mode Ø Cost saving per year : 250 Meuros Ø Total project costs : 270 Meuros ØOn going project “e. GK” Ø On line pre-autorization Ø PIN for strong authentication Ø e-presecription on board Ø Emergency medical information Ø Medical file 16 Confidential

The German Architecture HBA(Health prof. card) Telematics System Standard Appl. MANDATORY Doctors (347. 000) Pharmacist (22. 000) VSDD Main EDP System eprescr. Medical File…… emerg. data Insurances (278) CAMS Future Appl. On Demand Hospitals (2. 000) ZDA (Trust- Center) 17 Confidential • Datageneration • Picture Enrolment • Personalisation

Benefits of the “KVK” and “e. GK” cards ØFor the insurances Ø Cost reduction of 250 Meuro per year (KVK) Ø Better tractability of the costs allowing better focus on cost reductions ØPatients Ø Are reimburse in a 5 days instead of 1 month Ø Easy to use and convenient 18 Confidential

AGENDA 1 Introduction 2 Health. Care Project overview 5 2/20/2021 3 4 Needs for e-healthcare systems GEMPLUS Commitment French & German Cases Net. C@ard Project

Netc@rd project ØObjective Ø Replacing paper forms with electronic forms Ø Integrating the EHIC with national (regional) schemes Ø Facilitate the geographic mobility of European citizens ØSteps : Ø October 2003 Decisions Nr 189, 190, 191, publication in Official Journal of the E. U. Ø 2005 -2006 Issuance of Plastic EHIC cards (already 50 Mu deployed) Ø 2007 - 2010 Create a common EHIC cards infrastructure (no new OS!) ØGemplus role : Ø The European actor in e-healthcare systems Ø Current providers of EHIC plastic cards Ø Working closely with the GIE SV on the infrastructure (terminal) 20 Confidential

Netc@rd project Greek Health Care Provider Austrian Health Insurance back-office Austrian Health Care Provider French Health Care Provider Portal Trans-European Extranet Portal German Health Care Provider Portal French Health Insurance back-office 21 Confidential Other National Schemes ü Italy ü Slovenia … German Health Insurance back-office

Seguro Popular 22 Confidential

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Seguro Popular background § 12 M people who are not covered with any type of Healthcare benefits or Social Security in Mexico § Need of a system to control fraud § Policy Management of a sector where there is no Healthcare information § Need of a portable, trustworthy, secure, auditable, flexible and controlable means of ID. § Next step: Individual card 8, 3 M § Global Picture: National ID card for Mexican citizens 24 Confidential

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Project Integrator § Image Technology Mexico, part of the Intelogik Group § Strong portfolio in ID systems, security solutions, biometric applications and transportation automation § One of the major players for smart card and biometric based ID solutions for Mexico and the Latin American market Ø 20 years experience with a direct involvement in some of the major ID projects for Mexico Ø Participated in the following projects: § § § § 26 Metrobus (transport) Instituto Federal Electoral (national electoral card) Secretaría de Relaciones Exteriores (passport) Secretaría de Seguridad Pública Federal (ID card, national database of fingerprints) Secretaría de Gobernación (ID card) Servicio de Administración Tributaria (SAT) (logical access control) Aeropuerto Ciudad de México (time and attendance) CFE (time and attendance) Confidential

Product Gemeasy 8000 High resolution black printing Green fluo Ink UV Micro text Laser Engraving MPCOS R 5 4 K Microprocessor Guilloche & Rainbow 27 Confidential

Thank you ! Contact : Mr. Nicanor Isaza Healthcare and ID Manager Gemplus ID&S B. U. Nicanor. Isaza@gemplus. com 2/20/2021