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Digital health: sleep

In the past decade, digital solutions have emerged to help patients manage chronic diseases such as diabetes, hypertension and asthma, which affect 147 million adults in the United States alone.

Using cognitive, behavioural and psychological methods, these solutions have gained momentum in recent years, buoyed by technological advances and compelling medico-economic evidence that has driven payers to extend coverage. This trend has led to the emergence of successful companies such as Livongo, Omada Health and Big Health.

Digital adoption has now spread to mental health care, especially in relation to sleep. Poor sleep is one of the most common health problems, leading to increased healthcare costs and lost productivity across the world. Evidence of behavioural solutions for sleep problems indicates that annual savings of up to USD1,000 in healthcare costs per patient are possible, which should lead to strong adoption by payers who are early adopters of innovative solutions for driving healthcare costs down.

Finally, we believe that digital solutions will improve our understanding of sleep, which remains one of the “black boxes” of biology. The new generation of accurate and reliable sleep-monitoring wearables will contribute to a better understanding of sleep by enabling big data analysis, and will have potential applications in the early diagnosis of cognitive disorders, treatments and remote monitoring at large scale.

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Medical cannabis in Western Europe

In this paper, we explore the reasons behind the growth of cannabis as a therapeutic substance and we explore the dynamics and developments in European medical cannabis, with a particular focus on Germany, Europe’s leading cannabis market.

The global cannabis market is evolving from an illegal and mainly recreational market dominated by drug cartels to a legal medical and recreational market in the hands of public and private companies.

Western Europe boasts some of the world’s fastest-evolving and most significant opportunities in medical cannabis, with countries reassessing their restrictions as public support for legalization grows and commercial and social benefits become apparent.

Existing medical cannabis markets such as Germany, Italy and the Netherlands are expanding their programs whilst new medical markets like the UK, France and Spain are reviewing current legislation. And the seeds of a second wave of growth to allow recreational adult use of cannabis are being planted.

Western Europe is on track to become the world’s largest legal medical cannabis market over the next ten years, projected to be worth EUR15.3bn in 2029, up 60x from EUR250m in 2019. Germany, the leading European medical market, is expected to grow to EUR4.9bn by 2029 from EUR210m in 20191. In this paper, we examine the dynamics and developments in European medical cannabis, with a detailed look at the German market.

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Game changers facing B2B telecom operators

The B2B telecom market offers highly attractive growth opportunities. As corporates digitalize, their migration to new technologies and services is opening the door for challengers and outsiders to grab market share from incumbents.

Current valuations in the B2B telecom sector are high comparable with software, but they reflect strong growth profiles and high levels of recurring revenue. M&A is set to continue as investors look for recurring revenue and growth. At the same time, all B2B operators are seeking to accelerate their development, gain scale in distribution or with their services portfolio, and seize the growth opportunities presented by technology transformation.

In this paper we look at the main trends that are shaping the B2B telecom market and driving a wave of consolidation and M&A. We explore how technologies such as VoIP, unified communications, fibre and SD-WAN are challenging legacy services and providers, and opening opportunities for the smaller players. And we describe the valuations and the drivers for M&A in the sector and discuss the strategy of different players, from incumbents to local “outsiders”.

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New ways to care for old people

The aging population is opening up opportunities for businesses to provide new models of care.

In Europe, the number of people aged 80+ is expected to double in the coming five decades. Throughout the world, the demand for senior care solutions already outstrips supply. At the same time, seniors are looking beyond traditional nursing homes towards solutions that enable them to live at home for longer.

COVID-19, unprecedented in its scale and brutality, has accelerated the need to transform senior care. In these extraordinary circumstances, senior care operators have mobilized to ensure continuity of care and protect the elderly population. Using expertise gained in the management of annual epidemic crises such as flu or gastroenteric illness, they have thus far been able to manage patients from the very first cases. But this new crisis, which requires drastic containment to protect the most fragile, highlights the urgent need to deploy technologies such as IoT in institutions as well as in homes. It is the spur for these new technologies to take off without delay.

This paper examines alternative models for elderly care that focus on home-based solutions and take advantage of recent technology innovations. We also profile some of the providers in this fast-evolving sector.

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A good time for solidarity dividends

The debate in France about whether dividends should be paid this year is healthy. However, it not only misses crucial nuances about dividends: it could also miss an opportunity for them to help solve our current crisis. In this feature, we argue for “solidarity dividends” to support vulnerable parts of our economy and society.

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Bryan, Garnier & Co promotes Stanislas de Gmeline to Partner

PARIS, 9 March 2020 – Bryan, Garnier & Co, the leading pan-European Investment Bank focusing on growth companies, is delighted to announce that Stanislas de Gmeline will become a Partner at the firm.

Stanislas has worked as Managing Director with Bryan, Garnier & Co’s Business Services practice since 2017.

Key transactions he has worked on at the firm include Hg’s investment in smartTrade, the Groupe Crédit Agricole acquisition of Linxo, Keensight’s investment in Sogelink, Ingenico Group’s carve-out of its French healthcare business to Andera Partners, the IK Investment Partners acquisition of Recocash and the sale of Quality Insurance Services to CNP Assurances.

Before joining Bryan, Garnier & Co, Stanislas, spent 10 years in investment banking working for both bulge brackets banks (HSBC, Credit Suisse) and independent M&A boutiques in London and Paris, as well as 7 years in venture capital and small-cap LBO investment for private banks. He is also the Founder of Valbrenne Finance, an independent Corporate Finance advisory boutique dedicated to entrepreneurs and family offices.

Greg Revenu, Managing Partner, Bryan, Garnier & Co comments: “The promotion of Stanislas to Partner recognizes his immensely valuable contribution to the firm since he joined us in 2017. At Bryan, Garnier & Co he has built on his excellent track record in investment banking and been a key player in numerous high-value transactions over the past year. His entrepreneurial spirit has proven to be a perfect match for our business ambitions and culture”.

Stanislas holds a Master of Business Administration from INSEAD as well as a Master’s Degree in Political Sciences from Sciences Po, in Paris where he majored in Economics and Finance.


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Cybersecurity

Organizations today are embracing technologies such as cloud services and mobile computing to enhance employee productivity, generate new revenue sources and improve operating efficiency.

More broadly, the number of communications is exploding, as is the internet of things (IoT) – and data is everywhere. This emergence of an increasingly distributed IT infrastructure, along with the explosion in its diversity, scale and importance has greatly increased vulnerability to attacks. As a result, cybersecurity has become more critical for governments and corporations alike.

In this paper, we explore the reasons behind the growth of the cybersecurity market. We also look back to the launch of cybersecurity solutions to understand why prevention-based solutions such as antivirus software have failed in the past, examining how the market reacted to that failure with the emergence of detection-based tools such as Endpoint Detection and Response. Finally, we explore how the market is once again changing its paradigm, taking a more proactive stance to fend off cyber threats using Cyber Threat Intelligence and orchestration.

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Into the mainstream: the evolving organics sector in France

With EUR 8bn of sales, the organic sector is become especially well-established in France as the trend towards ‘naturalness’ in products continues. This new report explores whether generalist retailers may dominate this fast-evolving sector in France.

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Mikroskop

Advancing the future of healthcare

From early-stage finance to IPO and beyond, we help the healthcare innovators of today become the leaders of tomorrow. With over 20 years of experience our team of expert investment bankers, equity research analysts and institutional sales people cover the market’s key sub-sectors.

So, whether you are a biotechnology company, large cap pharmaceutical, specialty pharma, developer of life science tools, medical technology, work in diagnostics, healthcare IT or in healthcare services, we can help you grow your business.

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Edge computing

Artificial intelligence technologies have become a powerful way of creating value.

Many AI applications have been widely adopted, for example predictive analysis in recommendation engines for social networks and streaming platforms, or face and voice recognition in smartphones and voice assistants. In 2017, 99% of AI-related semiconductor hardware was centralised in the cloud, controlled by only a handful of players including Intel and Nvidia, and represented around USD5.5bn market value.

However, as sensors and compute technologies continue to evolve and become more affordable, AI is spreading to industries including automotive, industrial automation, and healthcare. These applications require low latency, reinforced security and data privacy, none of which can be provided by the current cloud computing architecture. As a consequence, we are moving to a more distributed landscape, where the AI computing capabilities increase at the edge of the IoT node, opening a new paradigm: edge computing.

In this paper, we explore the fundamental differences between cloud computing and edge computing architectures. Looking at different use cases across several industries, we highlight why edge computing is gaining so much attention. We also focus on the related semiconductor market, which is expected to soar from around USD100m to USD5.5bn by 2025. Unlike the cloud, it appears that edge computing will benefit a much broader set of players, from start-ups to well-established microcontroller players and outsourced embedded computing companies.

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