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3. 27M American women are currently experiencing menopause
and 78% feel it interferes with life
34 different
symptoms
Millions of
solutions +
resources
OBs not
helpful?
Sources: Fast Company, Female Founders Fund
4. Anna Nakayasu, MD Morgan Lundblad Sarah Donaldson Nina Prabhu
Picker
MBA1/MD
Designer
MBA1 & BSE Materials
Engineering
Hustler
MBA1 & BS Business
Administration
Hacker
BS Computer Science
DAY 1 NOW
Menopause digital health platform
that connects women to providers
and other women
100
interviews
D2C Menopause symptom tracking app
and on-demand telehealth platform that
offers women a personalized and
integrative approach to menopause care
We came together through a shared passion for women’s health
and have spent the quarter doing a deep dive on menopause
5. 9. Cost Structure
Provider costs - understand D2C model, out of pocket vs insurance
coverage, onboarding and training for doctors / service matter experts
8. Revenue Streams
Subscription based telehealth platform with pricing tiers based on
usage (medical, support, planning and tracking)
7. Key Partners
Providers (OB/GYNs)
Naturopathic doctors
Supplement
manufacturers
Possibly clinics?
5.Key Activities
Telehealth: OB/GYNs
specially trained in
menopause provide care
for patients
App: Symptom tracking
app harvests data to
improve treatment
efficacy via AI
1. Value
Proposition
Increase preparedness for
menopause among aging
women
Provide a holistic menopause
plan for women in or about to
go into menopause
Decrease time to receive
effective treatment (reduce
trial-and-error)
Directly speak with providers
educated in the nuances of
menopause
Provide communities and
forums for collaboration and
support
4 .Customer
Relationships
Building community around
shared experienced in
menopause
Dedicated care specialists
provide resources via
appointments with docs,
information, and symptom
monitoring
2. Customer
Segments
Demand side:
Perimenopausal,
menopausal, and
postmenopausal women
in the US (roughly ages
45-59)
Supply side: OB/GYNs,
likely initially targeting
those who desire a part-
time job with a remote
and flexible work
schedule
6. Key
Resources
Naturopathic doctors
Software / platform (web app,
iOS app)
Telehealth license
5. Channels
D2C Website (telehealth, community,
care specialists, educational resources
App (symptom tracker)
Marketing channels: women’s health
forums, clinicians, social media
6. 9. Cost Structure
Provider costs - understand D2C model, out of pocket vs insurance
coverage, onboarding and training for doctors / service matter experts
8. Revenue Streams
Subscription based telehealth platform with pricing tiers based on
usage (medical, support, planning and tracking)
7. Key Partners
Providers (OB/GYNs)
Naturopathic doctors
Supplement
manufacturers
Possibly clinics?
5.Key Activities
Telehealth: OB/GYNs
specially trained in
menopause provide care
for patients
App: Symptom tracking
app harvests data to
improve treatment
efficacy via AI
1. Value
Proposition
Increase preparedness for
menopause among aging
women
Provide a holistic menopause
plan for women in or about to
go into menopause
Decrease time to receive
effective treatment (reduce
trial-and-error)
Directly speak with providers
educated in the nuances of
menopause
Provide communities and
forums for collaboration and
support
4 .Customer
Relationships
Building community around
shared experienced in
menopause
Dedicated care specialists
provide resources via
appointments with docs,
information, and symptom
monitoring
2. Customer
Segments
Demand side:
Perimenopausal,
menopausal, and
postmenopausal women
in the US (roughly ages
45-59)
Supply side: OB/GYNs,
likely initially targeting
those who desire a part-
time job with a remote
and flexible work
schedule
6. Key
Resources
Naturopathic doctors
Software / platform (web app,
iOS app)
Telehealth license
5. Channels
D2C Website (telehealth, community,
care specialists, educational resources
App (symptom tracker)
Marketing channels: women’s health
forums, clinicians, social media
Original Value Proposition:
● Access to variety of
menopause experts
● Find effective and
holistic treatments
● Share the journey with
other women
7. We learned that most patients feel unsupported by their OBs
and burdened by having to find their own solutions instead
“OBs tend to prescribe a one-size-fits-all
solution; you have to seek out treatments
that are best for you.”
Women often have to seek out
menopause information on their
own
☑ validated (65% interviewees)
From tests we learned... From customer interviews we learned...
Week 2
8. We found that menopause care is an afterthought for a majority
of doctors
“I really just don’t have time to
listen to patients talk on about
their symptoms - I end up
asking closed questions.”
“Studying how to treat
menopause is less prioritized
than other [domains], like
obstetrics, chemo, surgeries.”
Week 2
9. Week 2
Can we FILL THE GAP between confused patients & physicians
by focusing on personalization and expertise…?
PAUSE empowers
menopausal women to
navigate this pivotal life
stage on their terms by
providing:
1) On-demand access
to dedicated care
providers
2) Menopause experts
3) Variety of
treatments
4) Resources
10. Our first major conclusion… menopause is really challenging!
Neither doctors nor patients really know what’s going on…!?
Week 2
11. 9. Cost Structure
Provider costs - understand D2C model, out of pocket vs insurance
coverage, onboarding and training for doctors / service matter experts
8. Revenue Streams
Subscription based telehealth platform with pricing tiers based on
usage (medical, support, planning and tracking)
7. Key Partners
Providers (OB/GYNs)
Naturopathic doctors
Supplement
manufacturers
Possibly clinics?
5.Key Activities
Telehealth: OB/GYNs
specially trained in
menopause provide care
for patients
App: Symptom tracking
app harvests data to
improve treatment
efficacy via AI
1. Value
Proposition
Increase preparedness for
menopause among aging
women
Provide a holistic menopause
plan for women in or about to
go into menopause
Decrease time to receive
effective treatment (reduce
trial-and-error)
Directly speak with providers
educated in the nuances of
menopause
Provide communities and
forums for collaboration and
support
4 .Customer
Relationships
Building community around
shared experienced in
menopause
Dedicated care specialists
provide resources via
appointments with docs,
information, and symptom
monitoring
2. Customer
Segments
Perimenopausal,
menopausal, and
postmenopausal women
in the US (roughly ages
45-59)
6. Key
Resources
Naturopathic doctors
Software / platform (web app,
iOS app)
Telehealth license
5. Channels
D2C Website (telehealth, community,
care specialists, educational resources
App (symptom tracker)
Marketing channels: women’s health
forums, clinicians, social media
Customer segment
hypotheses:
We believed that PAUSE
would initially target all
women in any stage of
menopause
12. Through interviews we learned that anti-HRT women were more
likely to seek out their own solutions & we discovered a bifurcation
HORMONE-AVERSE
WOMEN WITH
SEVERE SYMPTOMS
SEVERE
SYMP-
TOMS
ANTI-
HRT
PROACT-
IVE W/
HEALTH
RABBIT
HOLER
SEVERE
SYMP-
TOMS
ANTI-
HRT
APA-
THETIC
LOST
PATIENT
INITIAL TARGET CUSTOMER
“DO IT WITH ME”
“DO IT FOR ME”
Week 3
We believe that approx.
40%, or 11M menopausal
women fall into this
category
Source: Interviews
13. We learned that many women are cobbling together their own
holistic solutions and are seeking someone to work with them
“I spent a lot of time and
money researching different
approaches, finding the
supplements, and trying them
out”
“I would have liked having a
coach that could have
objectively told me the pros
and cons of different
treatment approaches”
Week 3
WE BELIEVE THAT ALMOST 6M WOMEN COULD FALL INTO THIS CATEGORY
WE CALL THEM RABBIT HOLERS
Source: Interviews
14. MOST COMPETITORS ADDRESS
ONLY ONE PIECE OF THE
MENOPAUSE STORY. OUR
INTERVIEWS AND INSIGHTS
TOLD US THAT WOMEN ARE
LOOKING FOR A CARE
ADVOCATE TO HELP THEM
NAVIGATE THIS LIFE
TRANSITION.
WE DESIGNED PAUSE TO
ADDRESS THAT CORE NEED. Week 3
15. PAUSE provides each woman with a care advocate to curate a
personalized care plan based on their unique needs
Symptom
Tracking App
Driven by AI,
designed to
improve
outcomes
Care Advocate
Creates & monitors
personalized
treatment plans
Feedback
loop
Providers
OB/GYNs, therapists,
dieticians, nutritionists,
etc.
Feedback
loop
Feedback
loop
Core Platform Value
Telehealth
Week 3
Patient
16. PAUSE provides each woman with a care advocate to curate a
personalized care plan based on their unique needs
Symptom
Tracking App
Driven by AI,
designed to
improve
outcomes
Care Advocate
Creates & monitors
personalized
treatment plans
Feedback
loop
Providers
OB/GYNs, therapists,
dieticians, nutritionists,
etc.
Feedback
loop
Feedback
loop
Core Platform Value
Telehealth
Patient
Blogs & Articles
Educational resources
to help women learn
about menopause
Chat Forums
Space for women to
connect and share
experiences
Ancillary Services
Products
Supplements &
women’s health
products
17. Week 3
Our learnings helped us to further refine our value proposition
and customer segments
PAUSE empowers
menopausal women to
navigate this pivotal life
stage on their terms by
providing:
1) On-demand access
to dedicated care
providers
2) Menopause experts
3) Variety of
treatments
4) Resources
19. 9. Cost Structure
Provider costs - understand D2C model, out of pocket vs insurance
coverage, onboarding and training for doctors / service matter experts
8. Revenue Streams
Subscription based telehealth platform with pricing tiers based on
usage (medical, support, planning and tracking)
7. Key Partners
Providers (OB/GYNs)
Naturopathic doctors
Supplement
manufacturers
Possibly clinics?
5.Key Activities
Telehealth: OB/GYNs
specially trained in
menopause provide care
for patients
App: Symptom tracking
app harvests data to
improve treatment
efficacy via AI
1. Value
Proposition
Increase preparedness for
menopause among aging
women
Provide a holistic menopause
plan for women in or about to
go into menopause
Decrease time to receive
effective treatment (reduce
trial-and-error)
Directly speak with providers
educated in the nuances of
menopause
Provide communities and
forums for collaboration and
support
4 .Customer
Relationships
Building community around
shared experienced in
menopause
Dedicated care specialists
provide resources via
appointments with docs,
information, and symptom
monitoring
2. Customer
Segments
Perimenopausal,
menopausal, and
postmenopausal women
in the US (roughly ages
45-59)
6. Key
Resources
Naturopathic doctors
Software / platform (web app,
iOS app)
Telehealth license
5. Channels
D2C Website (telehealth, community,
care specialists, educational resources
App (symptom tracker)
Marketing channels: women’s health
forums, clinicians, social media
What we thought:
We believed that customers would
be willing to pay $99 or more per
month for a comprehensive
subscription service
20. We ran an ad to test a $99 price point for bundled services
What we thought: Customers would be most interested in buying if the symptom-tracking app
and telehealth platform were released together.
What we did: Ran ad test for bundle subscription, talked to 9 patients and 3 telehealth startup
founders
$99/month price point
Landing page
Week 5-6
21. 4% CTR (2x industry average)!
It seemed we’d hit a nerve, so we talked to women to find exactly what they liked
Week 5-6
4%!
22. We found that women were interested but something was
missing from our solution...
Interviews:
● Women need credibility in order to use a medical product.
● An app is lower-cost and easier to access than a telehealth platform.
Week 5-6
“Put this into an app - I’d love to
use it and know a few of my
friends that would as well”
“I journaled night sweats and
chills, so would be excited to try
out an app instead!”
“I would definitely use the
symptom tracker if it gave me
actionable insights into triggers”
23. … so we prioritized app development and
updated our revenue model
8. Revenue Streams
Subscription based telehealth platform with pricing tiers based on usage
(medical, support, planning and tracking)
Unbundled features in pricing model
8. Revenue Streams
- Patients:
- Symptom Tracking App: Subscription fee
- Telehealth: One time consultation or Subscription fee
- Providers/Employers/Payers
- Contract fee + fee/patient to put patients on platform
Rollout plan:
● Prioritize symptom tracking app.
● To build credibility, look into
work with providers/payers
Week 5-6
24. We were starting to feel like we were headed in the right
direction
Week 5-6
THE 6M RABBIT HOLERS
NEED OUR HELP!
25. 9. Cost Structure
Provider costs - understand D2C model, out of pocket vs insurance
coverage, onboarding and training for doctors / service matter experts
8. Revenue Streams
- Patients:
- Symptom Tracking App: Subscription fee
- Telehealth: One time consultation or Subscription fee
- Providers/Employers/Payers
- Contract fee + fee/patient to put patients on platform
7. Key Partners
Health Experts
- Psychologist Therapists
^Nutritionists
-Meditation etc.
Employers: employer
benefit plans
Payors: reimbursement
Hospitals: use our
product for their patients
& referrals
5.Key Activities
● Product development
● Customer
development
● Legal
● Space procurement
● Fundraise
1. Value
Proposition
“Save women time,
money and emotional
burden, by providing a
dedicated care
specialist and direction
to right solution”
“Alleviate symptoms
and improve health
outcomes using
feedback loop of
symptom tracking”
4 .Customer
Relationships
Get: Freemium, online ads,
learner circles, provider
referrals, WoM
Keep: Care mgr., tracking
& insights, community &
expert speakers
Grow: Subscription
conversion, supplements,
prescriptions, WoM
2. Customer
Segments
“The Rabbit Holer”
Cobble together their own
treatment plan in search of
something that works for
them
“The Lost Patient”
Unaware of treatment
options and wants
someone to put together
plan for them
“The Remote Patient”
Lacks access to quality
OB/GYNs or other women’s
health providers
Providers (Holistic)
6. Key Resources
-providers: especially OB/GYNs
who will serve as advisors
-software/platform (web + iOS)
-telehealth license
5. Channels
D2C (primary)
Customers pay out of
pocket
What we thought:
● We should focus on building the
symptom tracking app first and work
on other partnerships later
● We can start with the app to to build
data + customer platform, and later roll
out telehealth
26. Google Ad Test: $5.99/month subscription on symptom
tracking app - 3.7% CTR!
Ad received no conversion
→ are patients not interested to enroll just
on the app? Is it due to lack in credibility? Week 6-7
27. “I would absolutely use the app if it
helps my doctor help me.”
“I would be open to talking to doctors if I knew they
specialized in menopause and were reliable”
“I would value the continuous management of my
symptoms with a ‘point person’ I can talk to”
“I would recommend my patients use
the app if they wanted to keep a pulse
on their symptoms”
“I would welcome a platform that
encouraged women to consider lifestyle
factors”
We also got out of the building and talked to:
Women value using this
app with a provider!
Providers think our app is
valuable in
complementing their care
9 PATIENTS 3 PROVIDERS
Week 6-7
28. We circled back to…
rolling out the app and telehealth together
Lesson learned:
-Combining the symptom tracking app and telehealth will be more attractive to customers.
-It may also be a way for us to build trust as we partner with providers from credible institutions.
-It’s too early to ask for credit card info (paywall) on ads. Our next ads should be for free trials.
Week 6-7
29. START WOW,
MENOPAUSE IS
COMPLICATED
WE LOVE RABBIT HOLERS!
FIRST COMES
SYMPTOM TRACKING
APP… THEN COMES
TELEHEALTH
JK… WOMEN WON’T PAY FOR
APP ALONE - NEED TELEHEALTH
NOW!
Week 6-7
THE 6M RABBIT HOLERS
NEED OUR HELP!
30. 9. Cost Structure
Provider costs - understand D2C model, out of pocket vs insurance
coverage, onboarding and training for doctors / service matter experts
8. Revenue Streams
- Patients:
- Symptom Tracking App: Subscription fee
- Telehealth: One time consultation or Subscription fee
- Providers/Employers/Payers
- Contract fee + fee/patient to put patients on platform
7. Key Partners
Health Experts
- Psychologist Therapists
^Nutritionists
-Meditation etc.
Employers: employer
benefit plans
Payors: reimbursement
Hospitals: use our
product for their patients
& referrals
5.Key Activities
● Product development
● Customer
development
● Legal
● Space procurement
● Fundraise
1. Value
Proposition
“Save women time,
money and emotional
burden, by providing a
dedicated care
specialist and direction
to right solution”
“Alleviate symptoms
and improve health
outcomes using
feedback loop of
symptom tracking”
4 .Customer
Relationships
Get: Freemium, online ads,
learner circles, provider
referrals, WoM
Keep: Care mgr., tracking
& insights, community &
expert speakers
Grow: Subscription
conversion, supplements,
prescriptions, WoM
2. Customer
Segments
“The Rabbit Holer”
Cobble together their own
treatment plan in search of
something that works for
them
“The Lost Patient”
Unaware of treatment
options and wants
someone to put together
plan for them
“The Remote Patient”
Lacks access to quality
OB/GYNs or other women’s
health providers
Providers (Holistic)
6. Key Resources
-providers: especially OB/GYNs
who will serve as advisors
-software/platform (web + iOS)
-telehealth license
5. Channels
D2C (primary)
Customers pay out of
pocket
What we thought:
● Women would be willing to
get care directly from Pause
● Women would be willing to
pay out of pocket for
menopause care, with
estimated costs of $100-200
per session
31. Women want solutions but don’t seem to be willing to
pay for solutions, as evidenced by our ads
NO CONVERSIONS
Weeks 8-9
$99 Menopause
Telehealth Appts
$5.99 / Month
Symptom
Tracking App
32. And interview feedback from menopausal women
Weeks 8-9
“I would still to go to my
OB to be diagnosed with
menopause.”
“I would use telehealth if
it were covered by my
insurance.”
“I would pay upwards of
$200 for telehealth
menopause
appointments.”
33. So we talked to healthcare industry experts...
Weeks 8-9
“OBs do not want to deal with menopause.
I could see Doctor on Demand partnering
with you to provide women’s healthcare
for women in menopause and post-
menopause.”
- CMO, Major Telehealth Company
"Two dirty words in
gynecology are pelvic
pain and menopause."
- Physician
34. … thought that initially targeting providers may be
optimal...
Weeks 8-9
THE 6M RABBIT HOLERS
NEED OUR HELP!
35. …and decided to test a B2B model
5. Channels
D2C (primary)
Customers pay out of
pocket
5. Channels
B2B (primary)
Doctors “prescribe”
Pause as a partner in
menopause patient care
D2C (secondary)
Customers pay out of
pocket Weeks 8-9
36. Then we talked to many more providers and patients
Weeks 8-9
“I would view a third party
menopause partner as a threat,
but some providers may not.”
“My OB takes a holistic approach
so I might only use telehealth
when I can’t get in to see the
doctor.”
“We spend plenty of time with our
patients to work through their
menopause journey and would not
need a partner.”
37. Weeks 8-9
“I would view a third party
menopause partner as a threat,
but some providers may not.”
“My OB takes a holistic approach
so I might only use telehealth
when I can’t get in to see the
doctor.”
“We spend plenty of time with our
patients to work through their
menopause journey and would not
need a partner.”
And learned providers don’t want
our help
(for the most part)
38. Our journey has been long and winding… and in many
ways, we’ve ended up right where we started
START
TODAY
WOW,
MENOPAUSE IS
COMPLICATED
WE LOVE RABBIT
HOLERS!
FIRST COMES
SYMPTOM
TRACKING APP…
THEN COMES
TELEHEALTH
JK… WOMEN WON’T PAY FOR
APP ALONE - NEED
TELEHEALTH NOW!
MAYBE WE SHOULD
TARGET PROVIDERS
FIRST?
WAIT, HOW DID
WE END UP BACK
WHERE WE
STARTED?
Weeks 8-9
THE 6M RABBIT HOLERS
NEED OUR HELP!
39. 9. Cost Structure
Provider costs - understand D2C model, out of pocket vs insurance
coverage, onboarding and training for doctors / service matter experts
8. Revenue Streams
- Patients:
- Symptom Tracking App: Subscription fee
- Telehealth: One time consultation or Subscription fee
- Providers/Employers/Payers
- Contract fee + fee/patient to put patients on platform
7. Key Partners
Health Experts
- Psychologist Therapists
^Nutritionists
-Meditation etc.
Employers: employer
benefit plans
Payors: reimbursement
Clinics: use our product
for their patients &
referrals
5.Key Activities
● Product development
● Customer
development
● Legal
● Space procurement
● Fundraise
1. Value
Proposition
“Save women time,
money and emotional
burden, by providing a
dedicated care
specialist and direction
to right solution”
“Alleviate symptoms
and improve health
outcomes using
feedback loop of
symptom tracking”
4 .Customer
Relationships
Get: Freemium, online ads,
learner circles, provider
referrals, WoM
Keep: Care mgr., tracking
& insights, community &
expert speakers
Grow: Subscription
conversion, supplements,
prescriptions, WoM
2. Customer
Segments
“The Rabbit Holer”
Cobble together their own
treatment plan in search of
something that works for
them
“The Lost Patient”
Unaware of treatment
options and wants
someone to put together
plan for them
“The Remote Patient”
Lacks access to quality
OB/GYNs or other women’s
health providers
Providers (Holistic)
6. Key Resources
-providers: especially OB/GYNs
who will serve as advisors
-software/platform (web + iOS)
-telehealth license
5. Channels
D2C (primary)
Customers pay out of
pocket
44. 44
We believe that many menopausal women are not satisfied with
their current options
Sources: 1) Forbes; 2) Female Founders Fund and team estimations; 3) Pew Research Center; 4) Statista; 5) Bloomberg
TAM
SAM
Target
Market
$42.5B
$33.6B
$6.76B
Menopausal women in US1 x $2,100
increased healthcare spending1
Smartphone ownership
20% unsatisfactory with care /
severe symptoms
45. But we need to run more tests to find our wedge in the solution
Lessons learned from our tests
☑ Menopause solutions and
treatments are still not providing
satisfactory treatment for 100% of
the women suffering
☑ Do not focus too much on no
conversions for paid product
☑ Do faster testing / more iterations
☑ Focus on iterating ads one step further
(information gathering)
☑ Test accessibility hypotheses → are
women able to get to an OB when they
need for menopause?
Interviews & Ads / CTR
Go-forward plan
PAUSE Summary
46. Let’s keep in touch!
Anna Nakayasu, MD Morgan Lundblad Sarah Donaldson Nina Prabhu
Picker
MBA1/MD
Designer
MBA1 & BSE Materials Engineering
Hustler
MBA1 & BS Business Administration
Hacker
BS Computer Science
morganlu@stanford.edu
annany@stanford.edu sdonalds@stanford.edu nsp@stanford.edu