While You Were Sleeping: ResMed Builds an Empire in the Cloud

ResMed AirMini Woman-Asleep (ResMed photo used with permission)

Over the past 28 years or so, ResMed (NYSE: [[ticker:RMD]]) has built an empire around its respiratory devices for managing sleep apnea and other forms of “sleep-disordered breathing.”

In the fiscal year that ended last June, the San Diego maker of respiratory machines for maintaining continuous positive airway pressure (CPAP) generated over $1.8 billion in global sales.

The company says it is the global leader in sleep apnea (but declined to provide the size of its market share) and has advanced its technology through the years to make its CPAP devices smaller, quieter, and more convenient—culminating in today’s unveiling of a new product, the AirMini.  ResMed says the AirMini is the world’s smallest CPAP machine, intended for patients who are traveling.

But the debut of ResMed’s AirMini is only part of a bigger picture, according to Jim Hollingshead, ResMed’s president of the Americas. In an interview yesterday afternoon, Hollingshead said the AirMini is part of a strategic shift that began four or five years ago, when ResMed began to pivot from developing medtech hardware to becoming a provider of “connected healthcare.”

Today the company’s bedside sleep apnea devices all have built-in wireless capabilities that send patient data each night into the cloud, enabling healthcare providers to track patient compliance. As it turns out, Medicare and other payers have increasingly sought to verify that patients are actually using their CPAP therapy in order to reimburse providers.

ResMed initially used secure digital memory cards to collect such data. But Hollingshead said it was an inefficient way to collect data, and inconvenient for customers. Moving this data to the cloud in late 2013 for all ResMed devices “solved a number of problems with the whole value chain of care,” he said.

With wireless connectivity in its CPAP devices and other equipment, ResMed says home medical equipment providers can monitor a patient’s breathing, and patient adherence has significantly improved. If there is a problem, a provider can change settings and troubleshoot remotely, which has resulted in fewer house calls and improved efficiencies.

“In a matter of months, we went from a nobody in terms of remote patient monitoring to the number one leader in the world in remote patient monitoring,” Hollingshead said. (With more than 2 million ResMed patients remotely monitored daily, according to the independent tech analyst Berg Insight, ResMed claimed in February that it has become a global leader in connected healthcare.)

Jim Hollingshead, ResMed’s president of the Americas
Jim Hollingshead, ResMed’s president of the Americas, holds AirMini CPAP device (BVBigelow photo)

In the meantime, ResMed introduced myAir, an online patient support platform that enables patients to track their own treatment and get

Author: Bruce V. Bigelow

In Memoriam: Our dear friend Bruce V. Bigelow passed away on June 29, 2018. He was the editor of Xconomy San Diego from 2008 to 2018. Read more about his life and work here. Bruce Bigelow joined Xconomy from the business desk of the San Diego Union-Tribune. He was a member of the team of reporters who were awarded the 2006 Pulitzer Prize in National Reporting for uncovering bribes paid to San Diego Republican Rep. Randy “Duke” Cunningham in exchange for special legislation earmarks. He also shared a 2006 award for enterprise reporting from the Society of Business Editors and Writers for “In Harm’s Way,” an article about the extraordinary casualty rate among employees working in Iraq for San Diego’s Titan Corp. He has written extensively about the 2002 corporate accounting scandal at software goliath Peregrine Systems. He also was a Gerald Loeb Award finalist and National Headline Award winner for “The Toymaker,” a 14-part chronicle of a San Diego start-up company. He takes special satisfaction, though, that the series was included in the library for nonfiction narrative journalism at the Nieman Foundation for Journalism at Harvard University. Bigelow graduated from U.C. Berkeley in 1977 with a degree in English Literature and from the Columbia University Graduate School of Journalism in 1979. Before joining the Union-Tribune in 1990, he worked for the Associated Press in Los Angeles and The Kansas City Times.