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Where Prevention Becomes Investable

Build LongAsset

Your analytical companion for prevention markets and longevity assets.

In collaboration with

ETH ZürichUniversität St.Gallen
The Prevention Paradox

Where Prevention Becomes Investable

Prevention ROI takes 10-20+ years, but capital cycles are 3-7 years. Most prevention is uninvestable—except in narrow conditions where incentives align.

EDEN's Investable Thesis

Fast payback (<3 years) + measurable outcomes + aligned incentives + captive population

We've identified 5 arbitrage dimensions where these conditions create investable opportunities.

Time Horizon
Regulatory/Payment
Market Structure
Information/Technology
Behavioral/Stigma

Prevention Market Arbitrage Map

Real investors, real deals, real arbitrage opportunities — mapped across 5 dimensions

Dimension 1
Time Horizon Arbitrage
Problem: Prevention ROI takes 10-20+ years, but capital cycles are 3-7 years
Arbitrage: Find near-term payback (< 5 years) under aligned capital horizons
CompanyDescriptionInvestorsDealYearEDEN Insight
Omada HealthDigital pre-diabetes reversalCigna Ventures, a16z, Kaiser Permanente Ventures$50M2022Model ROI < 5 yrs for CGM + coaching
Hinge HealthMSK programs, 2yr paybackTiger Global, Coatue, Insight Partners$600M2022Quantify avoided ER/surgery costs
Virta HealthSelf-insured corporatesSequoia, Venrock, Cigna Ventures$65M2022Target stable workforce contracts
Dimension 2
Regulatory/Payment Model Arbitrage
Problem: Fee-for-service rewards treatment, not prevention
Arbitrage: Value-based and capitated systems where prevention = profit
CompanyDescriptionInvestorsDealYearEDEN Insight
AledadePhysician ACO networkVenrock, OMERS Growth, Meritech$260M2023Savings-share ROI modeling
Doctor AnywherePrimary-care DHTs (Singapore)Novo Holdings, Asia Partners$88M2022Prevention ROI in capitated systems
OvivaDigital nutrition (EU)Temasek, Sofina, MTIP$80M2022National reimbursement frameworks
Dimension 3
Market Structure Arbitrage
Problem: Fragmented stakeholders → no one captures prevention value
Arbitrage: Vertical integration + focus on high-risk cohorts
CompanyDescriptionInvestorsDealYearEDEN Insight
CVS Health + AetnaPharmacy + payer mergerMerger$69B2018Synergy ROI in integrated care
Cityblock HealthMedicaid super-utilizersAlphabet GV, Emerson, Tiger Global$400M2021ROI in underserved markets
Propeller HealthCOPD monitoringAcquired by ResMed$225M2018Hospital-avoidance value capture
Dimension 4
Information/Technology Arbitrage
Problem: Hard-to-measure prevention → hard-to-price contracts
Arbitrage: Digital biomarkers and AI make outcomes observable & contractable
CompanyDescriptionInvestorsDealYearEDEN Insight
Levels HealthConsumer CGMa16z, General Catalyst$44M2023CGM data to short-term ROI
BiofourmisPredictive analyticsSoftBank Vision Fund 2$300M202290-day risk scores to contracts
HumaVoice/gait monitoringLeaps by Bayer, SoftBank, Sony$130M2022Outcome-based payments via RWD
Toku EyesAI retinal screeningIcehouse Ventures, NZ Gov Fund$8M2023Diagnostic AI in preventive contracts
Dimension 5
Behavioral/Stigma Arbitrage
Problem: People don't pay for prevention when they feel healthy
Arbitrage: Focus on high-stigma or appearance-linked conditions; use B2B2C distribution
CompanyDescriptionInvestorsDealYearEDEN Insight
RoSexual health, weight lossGeneral Catalyst, FirstMark$150M2021DTC pricing for cash flows
Hims & HersHair loss, sexual wellnessForerunner, Redpoint, IVP$200M2021Low-friction consumer model
Headspace HealthMental health (merger)Blackstone Growth, KKR$3B2021B2B2C employer programs
Lyra HealthEmployer-paid therapyAccel, Dragoneer$235M2023Employer WTP and retention ROI
AltoidaDigital cognition biomarkersM Ventures (Merck), Evidation$20M2022Preventive ROI in neurodegeneration

EDEN quantifies which interventions deliver measurable ROI < 5 years, under which payment models, with which stakeholder incentive alignment — translating fragmented prevention signals into Prevention as an Asset Class.

EDEN: Your Arbitrage Detection Engine

CB Insights track deals. Rock Health reports trends. EDEN quantifies prevention as an investable asset.

Map Time-to-ROI

For different prevention interventions across populations and payer contracts

Identify Payment Conditions

Where prevention becomes net-positive for specific stakeholders

Quantify Integration Opportunities

Where vertical consolidation flips prevention economics

See Real Value, Not Just Revenue

Integrate health outcomes with financial performance in one metric.

Predict Market Access Before Launch

Quantify adoption thresholds, payer incentives, workflow friction with time-discounting functions.

Use Models You Can Audit Today

Reproducible DCF + HTA sheets backed by published research and transparent models you can audit.

Start Identifying Opportunities

Get weekly signals on where prevention becomes investable—backed by transparent models you can audit.

How It Works

EDEN learns from real-world health, market, and policy data to reveal which prevention models create measurable returns—and why.

1. Collect
2. Optimize
3. Validate
4. Decide

From raw data to investment-ready signals

Global Trends
  • OECD, World Bank & WHO – macroeconomic and population metrics
  • PitchBook & Crunchbase – venture funding intelligence
Digital Health Market
  • PubMed – scientific and clinical studies
  • FDA Database – regulatory approvals
  • IP Databases (USPTO, Espacenet) – early technology signals
Local Health System
  • Hospital Statistics – national healthcare and cost data
  • HTA Databases (Swiss HTA, NICE) – reimbursement benchmarks
Case Study

Digital Diabetes Screening in Switzerland

A medium-duration arbitrage with 5–7 year defensibility

Executive Summary

EDEN quantified whether B2C digital diabetes screening can become an investable prevention asset in Switzerland's healthcare system. The analysis reveals a medium-duration opportunity with structural barriers that extend defensibility beyond typical software-only plays.

Key Finding: This is not a fast-closing arbitrage. Regulatory timelines (2–3 years), clinical validation requirements (3–5 years), and workflow integration needs create defensible moats that software competitors cannot easily bypass.

Understanding Arbitrage Duration

Not all prevention opportunities close at the same speed. Strategic positioning requires understanding why some windows stay open longer.

2–3 years

Fast-Closing

Examples: Digital diabetes prevention (Livongo, Omada), mental health B2B (Headspace, Calm)

Low barriers, easy to copy, software-based, no network effects

5–7 years

Medium-Duration

Examples: CGM expansion (Dexcom, Abbott), predictive analytics with data moats

Hardware/manufacturing barriers, regulatory timelines, clinical validation needed

← This case fits here

10+ years

Sustainable

Examples: Vertically integrated systems (Kaiser), employer-owned healthcare

Structural positions, not arbitrages. Policy-driven, captive markets

EDEN Analysis Framework

Target

System-Fit Assessment

Strong Alignment

Consumer readiness, technology maturity, accountability mechanisms

Weak Alignment

Financing structures, public policy support, system integration

Incentivise

Adoption Thresholds

Early adopters demonstrate willingness to pay, but payer adoption lags. Workflow integration is feasible but requires B2B contracts to achieve scale economics.

Scale

Financial Viability

Breakeven at Year 4 with 18,446 users (less than 0.5% of Swiss adults). At 30,000 users by Year 6, valuation ranges CHF 0.94–3.2M depending on discount rate assumptions (50–15%).

Sustainability requires transition to B2B reimbursement model.

Key Metrics

MetricValueContext
Breakeven TimelineYear 4Requires 18,446 users
Market Penetration @ Breakeven<0.5%Of Swiss adult population
Valuation @ 30k Users (Yr 6)CHF 0.94–3.2MRange reflects 50–15% discount rates
Path to SustainabilityB2BContracts + platform integration

Why This Isn't Fast-Closing

1.

Regulatory approval timelines create 2–3 year barriers that software-only competitors cannot bypass.

2.

Clinical validation requirements mean data moats take 3–5 years to accumulate—not easily replicated.

3.

Unlike pure software plays (Livongo, Omada), this requires workflow integration with existing healthcare infrastructure.

4.

The bottleneck is policy/financing/systemic—not technology. This extends defensibility but requires B2B reimbursement to scale.

Market Context

$20–50B

TAM 2030

Growing 15–20% annually

50–70%

EDEN Back Testing

Reduces false positives

12–24 mo

Rotation Edge

Ahead of consensus

Illustrative outputs from EDEN-SCALE (2024 dataset). Not investment advice.

Why It Works

Peer-reviewed methods translating health innovation into investment decisions

Every paper summary includes actionable insights for investors, payers, and founders—no academic jargon, just investable intelligence

Showing 8 of 8 publications
EDEN: Towards a Computational Framework to Align Incentives in Healthy Aging
Peer-reviewed
📅2025
👥2
EDEN: Towards a Computational Framework to Align Incentives in Healthy Aging

Wasu Mekniran, Tobias Kowatsch

Biomedical Engineering Conference - Portugal

NLP
RAG
Network Analysis

💡 Investor takeaway:Use EDEN's thresholds instead of biotech heuristics to avoid overpaying for DHT optionality.

What This Unlocks

Investors:

Demonstrates scalable AI approach to market analysis and stakeholder mapping for prevention ventures

Payers:

Provides framework for identifying aligned partners in prevention ecosystem

Founders:

Offers methodology to map competitive landscape and identify strategic partners

Why investing in digital health is so hard
Commentary
📅2025
👥1
Why investing in digital health is so hard

Wasu Mekniran

Strategic Analysis
DHT vs BioTech
Market Analysis
Resource Analysis

💡 Investor takeaway:Use EDEN's thresholds instead of biotech heuristics to avoid overpaying for DHT optionality.

What This Unlocks

Investors:

Reveals why DHT investments require different evaluation criteria than traditional biotech

Payers:

Explains structural challenges in DHT reimbursement compared to pharmaceutical products

Founders:

Identifies four strategic positioning options for DHT competitive advantage

AI is a prerequisite for sustainability in drug development: A diabetes case study
Commentary
📅2025
👥4
AI is a prerequisite for sustainability in drug development: A diabetes case study

Wasu Mekniran, Lukasz Paciorkowski, Iwona Cymerman, Rafal Pawlowski

4th Swiss-Polish Economic and Technology Forum

Drug Development
Digital Trials
Diabetes

💡 Investor takeaway:AI-first development reduces costs by 70%—prioritize companies with AI infrastructure.

What This Unlocks

Investors:

Quantifies cost savings and efficiency gains from AI adoption in drug development

Payers:

Shows potential for lower drug costs through AI-enabled development efficiency

Founders:

Demonstrates competitive advantage of AI-first development approach

Incentive Systems for Diabetes Prevention with Digital Health
Commentary
📅2024
👥3
Incentive Systems for Diabetes Prevention with Digital Health

Wasu Mekniran, Mia Jovanova, Tobias Kowatsch

Swiss Society of Endocrinology and Diabetes 2024

Digital Health
Diabetes Prevention
Incentive Systems

💡 Investor takeaway:Three contract models identified—target data-driven lifestyle change for fastest ROI.

What This Unlocks

Investors:

Maps value flows and revenue opportunities in diabetes prevention ecosystem

Payers:

Identifies three contract models for diabetes prevention reimbursement

Founders:

Reveals critical partnerships needed to align incentives for market entry

Reimagining Preventive Care and Digital Health: A Paradigm Shift in a Health Insurance's Role
Peer-reviewed
📅2024
👥3
Reimagining Preventive Care and Digital Health: A Paradigm Shift in a Health Insurance's Role

Wasu Mekniran, Jan-Niklas Kramer, Tobias Kowatsch

Biomedical Engineering Conference - Italy

Preventive Care
Health Insurance
Digital Health

💡 Investor takeaway:NCDs and stigmatized conditions have highest payer appeal—prioritize these segments.

What This Unlocks

Investors:

Reveals insurer decision criteria and three strategic pathways for DHT partnerships

Payers:

Outlines three business model options for insurers entering prevention market

Founders:

Identifies which DHT categories have highest payer appeal and why

Scalable Business Models in Digital Healthy Longevity: Lessons from Top-Funded Digital Health Companies in 2022
Peer-reviewed
📅2023
👥2
Scalable Business Models in Digital Healthy Longevity: Lessons from Top-Funded Digital Health Companies in 2022

Wasu Mekniran, Tobias Kowatsch

Biomedical Engineering Conference - Portugal

Business Models
Healthy Longevity
Venture Capital

💡 Investor takeaway:B2B2C models outperform D2C—prioritize employer partnerships for scale.

What This Unlocks

Investors:

Identifies proven business model patterns from $1.73B in successful DHT funding

Payers:

Shows why B2B2C models outperform direct-to-consumer in prevention

Founders:

Provides blueprint for scalable business model design in longevity space

The Longevity Landscape: Value Creation for Healthy Aging
Under Review
📅2025
👥5
The Longevity Landscape: Value Creation for Healthy Aging

Wasu Mekniran, Odile-Florence Giger, Elgar Fleisch, Tobias Kowatsch, Mia Jovanova

SWU Biomedical Engineering Dept.

Healthy Longevity
Stakeholder Analysis
Value Propositions

💡 Investor takeaway:Five strategies to bridge academic-community gap—target underserved niches for market entry.

What This Unlocks

Investors:

Maps global longevity ecosystem to identify underserved niches and partnership opportunities

Payers:

Reveals alignment gaps between research and community needs for prevention programs

Founders:

Identifies five strategies to bridge academic-community gap for market validation

The Impact of Longevity Awareness on Wealth Allocation
Coming Soon
Under Review
📅2024
👥2
The Impact of Longevity Awareness on Wealth Allocation

Wasu Mekniran, Research Team

NUS Healthy Longevity Academy

Longevity Awareness
Legacy Planning
Financing

💡 Investor takeaway:Consumer WTP data coming Q3 2025—early insights available on request.

What This Unlocks

Investors:

Will reveal consumer willingness to pay for longevity interventions

Payers:

Will show population health priorities for prevention program design

Founders:

Will identify consumer segments most receptive to longevity products

More research publications coming soon!

Research With Us?

We design value-based contracts and capital strategies that make prevention ventures investable

Contract Design & Capital Strategy

Turn prevention into investable infrastructure

2-4 weeks
In 2-4 weeks you get
  • Value-based contract architecture with outcomes-based payment structure
  • Financial model with discounted cash flow analysis and sensitivity scenarios
  • Investor presentation linking risk-sharing contract to capital requirements
Typical Result

Breakeven estimate ±10%, IRR range 12-18%, payer clause set (3 options)

Timeline
2-4 weeks
Breakeven
±10%
IRR Range
12-18%
Approach
  • Contract design incorporates investor exit scenarios and capital structure requirements
  • Financial modeling aligns operational cash flows with investment return expectations
  • Presentation materials translate clinical outcomes into financial performance metrics

Ideal For: Digital prevention ventures designing payer contracts while preparing for capital raises

Wasu Mekniran - Digital Health Researcher and Investment Strategist specializing in prevention markets and longevity assets

Wasu Mekniran

Researcher, ETH Zurich & HSG | Healthcare Financing & Digital Health

📍Switzerland

Researching at ETH Zurich & HSG, we are building the analytical infrastructure to make prevention investable—combining health economics and financial modeling to translate clinical outcomes into capital allocation decisions.

"The future of healthcare is prevention-first."

System-fit + Adoption Thresholds + ROI = the foundation for pricing longevity as an asset.

Ready to explore how prevention can become your next investable asset?