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The Health Care market in India_Sayantan
1. Health Care market in India
Hospitals
Pharmaceuticals
Diagnostics
Medical Equipment and supplies
Medical Insurance
Medical Tourism
GROUP A4- Sayantan Singha
Debojyoti Bhowmik
Debanjan Sen
Prashant D’cruz
Rajiv Das
Ria Chakraborty
“Healthy citizens are the greatest
asset of any country”
- Winston Churchill
2. The world’s 4th largest economy in terms of Purchasing Power
Party after US, UK and Japan
109 million literate population.
An educated urban middle class of approximately 60 million.
7th most attractive destination for Foreign Direct Investment.
- Japan Ex-Im bank report.
India - Top among world’s emerging markets.
- Morgan Stanley report
INDIA
3. Hospital
Ownership
Basis
Clinical
Basis
Public Hospitals Voluntary Hospitals
Private Hospitals Corporate Hospitals
General Hospitals Rural Hospitals
Specialized Hospitals
Isolation Hospitals
Teaching Hospitals
Tertiary Hospitals
Hospitals can be classified on grounds of ownership and clinical operation
4. Apollo Group of Hospitals
-one of India’s largest healthcare players.
- Plans to invest Rs.2000 core, to build around 15 new hospitals nationally
and internationally.
Fortis Healthcare
- 250 core, 200 bed cardiac hospital plus 12 cardiac and information centers.
Expansion plans: increase capacity to 375 beds and tie-up with an overseas
partner.
Escorts:
-EHIRC provides intensive care to patients after surgery or angioplasty. Unique
in the field of preventive cardiology.
Wockhardt –
-is working with Harvard Medical International in providing world-class health
care to Indians through Wockhardt Hospitals especially in the field of HIV/AIDS.
Asian Heart Institute -
- the newcomer. A swank, high-tech and state-of-the-art hospital with 230
beds, 7 operation theatres facility.
MAJOR PLAYERS
5. Hospitals are a major
component of the Indian
Health care industry forming
a more than 50% of
healthcare sector revenues
2
10
18
35
57
114
150
0
20
40
60
80
100
120
140
2006 2007 2008 2009 2010 2011 2012
NosofAccreditedHospitals
Year
Pwc health research institute
6. Current Scenario of Health insurance
Healthcare Insurance Market in India is unique
and has a strong growth potential than the other
insurance markets.
Health Insurance is an important part of Indian
Insurance market and it portfolio which growing at
the highest rate.
17 General Insurance Companies and 3 Health
Insurance companies are at present selling health
insurance.
9. Pharmaceutical Industry
Bulk drugs, drug intermediates, formulations, generic &
branded, OTC
Bio-technology, Bio-informatics, neutraceuticals
Annual turnover – Rs: 23,000 cr. (5-6% growth p.a.)
Employment – Direct - 50 lakhs
Indirect - 25 lakhs
20,000 units (300 in the organized sector)
No. of hospitals – 16,000
Retail chemists – 6 lakhs
4th in the world (volume)
12th in the world (value)
Significant exports from India
12. Diagnostic Market Overview
Indian diagnostic market comprises of
Diagnostic test services market
Diagnostic products/instruments market
Hospitals & NH
40%
Others
7%
Labs &
Diagnostics
12%
Pharma & Supplies
20%
Allopathic Doctors
22%
The pathology market is currently 2.5 per
cent of the overall healthcare delivery
market. There are 40,000 independent
path labs in the country and the industry is
highly competitive and price-driven with
kickbacks and business referral payments
in the absence of a regulatory body.
Around 70 per cent of treatment decisions
in the country are based on lab results.
14. Medical equipment suppliers
Expensive capital expenditure
CT Scan, MRI, Cath lab, Laser, Theatre
equipment, X-ray
Siemens, Philips, Hitachi etc.
New hospitals, modernization (technological
obsolescence)
Each new bed – total capex Rs. 20-100 lakhs
Equipment sales, AMC, Spare parts, training
Rs. 8,000 to 9,000 cores p.a.
15. Medical Technology Market
• $5 billon Medical
Device market
• Expect to reach CAGR
of 15% (KPMG)
Medical Device Market growth
rate of 15%
“We can expect 12%–16% annual growth over
the next 10 to 15 years. All the risk factors put
together are just irritants, which at most can
bring growth to 8%–9%. This is still significantly
higher than the 2%–3% growth that developed,
Western markets are currently experiencing.”
Annaswamy Vaidheesh - Johnson & Johnson
16. MEDICAL TOURISM WHY IN INDIA
Why
India?
Short Wait
Time
High
Quality
Low Cost
English
Speaking
Staff
Travel
Affordability
17. Medical tourism in India
The Current Scenario
The major service providers in Indian
medical tourism :
The Apollo Hospital, Escorts Hospital,
Fortis Hospitals, Breach Candy, Hinduja,
Mumbai’s Asian Heart Institute, Arvind Eye
Hospital, Manipal Hospitals, Mallya
Hospital, AIIMS.
In terms of location- Delhi, Chennai,
Bangalore and Mumbai cater to the
maximum number of the health tourists
and are fast emerging as medical tourism
hubs.
Nowadays medical tourism in India
includes advanced and life savings health
care services like open transpalnts, cardio
vascular surgery.
18.
19. How the fall of Rupee has increased medical tourism in india
As the rupee continues to plummet,
more and more patients from abroad are
coming to India to undergo complex
surgeries at affordable rates. Private
hospitals in Chennai say that they have
seen a 10% to 15% increase in medical
tourism in the past one year. While part
of it could be attributed to the falling
rupee, the bigger picture spells strain on
the hospitals' pockets as they procure
most of their medical supplies from
abroad.
The study conducted by the Associated Chambers of
Commerce and Industry (ASSOCHAM) said an
Australian patient who paid about 10,000 dollars for
a surgery in 2010 could get the same procedure done
for about 7,000 dollars now