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Healthcare, which is projected to be a 307 USD Bn market by 2025, is ripe
for disruption
Market size of healthcare industry
in
India (USD Bn)200 174
150
99 12%
88100 79686052
50
0
FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 20P
Market breakup by revenues
(%)
Hospitals
18%
Pharmaceuticals
5%
7%
Medical Equipment and
Supplies
Diagnostics
2014 51%
19%
Government
expenditure
Healthcare growth drivers in India
▪ Growth in Awareness and Acceptability
– Rapid urbanization
– Consumerism
▪ Growth in Affordability
– Rising incomes
– Insurance coverage
▪ Growth in Access
– Private capital
– PE and VC money
– Innovations
▪ Growth in Demand
– Chronic diseases
– Rising population
Evolution of healthcare spend in India (EUR billion)1
60
41
20
84
2020E
190-200
2015E
80-90
20102006-07200119961991
14%
~14%
SOURCE: BMI; WHO; Press search
Healthcare spend in India has grown at
14% over last 20 years and is projected
to become EUR ~200 bn by 2020
The issue
Challenges around access, affordability and
quality of healthcare contributes to low life
expectancy
Per 1,000
people:
2016
68
years
Average
life
expectancy
0.65 doctors
1.3 nurses
1.3 hospital beds
Desired
outcome
Improved health outcomes
with easier access to quality
healthcare infrastructure
2034 80
years
2.5
5.0
3.5
doctors
nurses
beds
Achieving outcome by traditional
means
Building more traditional hospitals
Investment in medical education
Addition of 3 million
doctors
Addition of 6 million
nurses
Additional 3.5 million hospital beds required to achieve desired
outcomes
SUPPLY & DEMAND
Indian healthcare industry's demand for
workforce to double to 7.4 million in 2022
Paradigm Shift
Cost
Accessibility Quality
Current Model
Illness
Symptom-based Diagnosis
Treatment
Recover or Revisit
Chasing
Disease
Accessibility
Genetic
Predisposition
Monitoring and Prevention
Cost Quality
Stratified
Population
Diagnose
Treatment Selection
Treatment
Treatment Monitoring
Predict,
monitor &
prevent
Future Model
Technology Trends – Indian Healthcare
Access Cost Quality
Digital health for the
masses: Remote monitoring
and m-Health
Low-cost products & services
(Make in India)
Healthcare Information
Technology (IT-enabled)
India-focused R&D
(Invent in India
Non-Communicable
diseases
Communicable
disease
Mother
&
Child
Enhanced Connectivity & Digital Solutions
0
10
20
30
40
50
60
70
80
90
100
Mobile Smartphone Internet
69
2
12
79
29
33
Penetration of digital resources in India
Awareness Diagnosis Treatment Follow-up
Telemedicine
• Tele-consultations
• Doctor on call
• Tele-radiology centers
• E-ICUs
Remote patient monitoring
• Self-testing and basic treatment at home
• Tracking and monitoring of health-related data
Lifestyle management
• Education tools
• Reminders for diet and medication
• Mobile systems to track compliance
• Wearable technology
2
0
1
2
2
0
1
7
%
Computer Literacy – Teaching & Training
Simulated labs for
basic training
• Enable low-cost training,
assessment in simulated
labs
Online continuing
medical education
• Increase CME
Compliance for doctors
through online platforms
Virtual training and
distance learning
courses
• Complement existing
medical infrastructure
with distance learning for
medical education
• Des Moines University, US
• Standardized
performance
assessment
laboratory with
simulated patients
• In India, Health Varsity is
the first online portal
• In the US, Medscape
provides CME across 35
specialty areas
• Apollo Initiated virtual
education in India, through
Medvarsity
• 25 courses and 2,500
registered medical
students.
Possible benefit
from application
Examples
Standardization of Healthcare Data - NEHA
Government Host – National EMR
National Healthcare Registries
National Registry for Stroke - 2013National Cancer Registry - 1982
Data Analytics – Big Data
START-UP ENVIRONMENT
NETWORK
Ecosystem Corporate
Incubators &
Accelerators
Market
Access Partners
A Young India can take care of greying world!
Startups
Incubators
Accelerators
Enterprise
Academia
Government
Capital
Network
Home
care
Remote
Health
mHealth
Point of
Care
Diagnostic
s
Wellness
Preventive
Health
Fall
Detection/E
mergency
Compliance
~ 1000
million
elderly
population
110
Startups
Healthcare Information Infrastructure
Hospitals
Clinics
Pharmacies
Medical Education & Training
Firewall
Application Servers
Data Warehousing / Mining
Insurance
Hospitals
Hospitals
Hospitals
Hospitals
Internet
Hospitals
Hospitals
ISP Cloud
“MINDSET”
Standards Legislation
Technology
Protocol
Pull from the future
Health Portal
Reaching Rural India
Mobile Medical Unit
Tele Advice
HIT Convergence
Standards
Telemedicine
Network
Video slide
India's Healthcare Market Ripe for $307B Disruption by 2025

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India's Healthcare Market Ripe for $307B Disruption by 2025

  • 1.
  • 2. Healthcare, which is projected to be a 307 USD Bn market by 2025, is ripe for disruption Market size of healthcare industry in India (USD Bn)200 174 150 99 12% 88100 79686052 50 0 FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 20P Market breakup by revenues (%) Hospitals 18% Pharmaceuticals 5% 7% Medical Equipment and Supplies Diagnostics 2014 51% 19% Government expenditure Healthcare growth drivers in India ▪ Growth in Awareness and Acceptability – Rapid urbanization – Consumerism ▪ Growth in Affordability – Rising incomes – Insurance coverage ▪ Growth in Access – Private capital – PE and VC money – Innovations ▪ Growth in Demand – Chronic diseases – Rising population Evolution of healthcare spend in India (EUR billion)1 60 41 20 84 2020E 190-200 2015E 80-90 20102006-07200119961991 14% ~14% SOURCE: BMI; WHO; Press search Healthcare spend in India has grown at 14% over last 20 years and is projected to become EUR ~200 bn by 2020
  • 3. The issue Challenges around access, affordability and quality of healthcare contributes to low life expectancy Per 1,000 people: 2016 68 years Average life expectancy 0.65 doctors 1.3 nurses 1.3 hospital beds Desired outcome Improved health outcomes with easier access to quality healthcare infrastructure 2034 80 years 2.5 5.0 3.5 doctors nurses beds Achieving outcome by traditional means Building more traditional hospitals Investment in medical education Addition of 3 million doctors Addition of 6 million nurses Additional 3.5 million hospital beds required to achieve desired outcomes SUPPLY & DEMAND Indian healthcare industry's demand for workforce to double to 7.4 million in 2022
  • 4. Paradigm Shift Cost Accessibility Quality Current Model Illness Symptom-based Diagnosis Treatment Recover or Revisit Chasing Disease
  • 5. Accessibility Genetic Predisposition Monitoring and Prevention Cost Quality Stratified Population Diagnose Treatment Selection Treatment Treatment Monitoring Predict, monitor & prevent Future Model
  • 6. Technology Trends – Indian Healthcare Access Cost Quality Digital health for the masses: Remote monitoring and m-Health Low-cost products & services (Make in India) Healthcare Information Technology (IT-enabled) India-focused R&D (Invent in India Non-Communicable diseases Communicable disease Mother & Child
  • 7. Enhanced Connectivity & Digital Solutions 0 10 20 30 40 50 60 70 80 90 100 Mobile Smartphone Internet 69 2 12 79 29 33 Penetration of digital resources in India Awareness Diagnosis Treatment Follow-up Telemedicine • Tele-consultations • Doctor on call • Tele-radiology centers • E-ICUs Remote patient monitoring • Self-testing and basic treatment at home • Tracking and monitoring of health-related data Lifestyle management • Education tools • Reminders for diet and medication • Mobile systems to track compliance • Wearable technology 2 0 1 2 2 0 1 7 %
  • 8. Computer Literacy – Teaching & Training Simulated labs for basic training • Enable low-cost training, assessment in simulated labs Online continuing medical education • Increase CME Compliance for doctors through online platforms Virtual training and distance learning courses • Complement existing medical infrastructure with distance learning for medical education • Des Moines University, US • Standardized performance assessment laboratory with simulated patients • In India, Health Varsity is the first online portal • In the US, Medscape provides CME across 35 specialty areas • Apollo Initiated virtual education in India, through Medvarsity • 25 courses and 2,500 registered medical students. Possible benefit from application Examples
  • 10. Government Host – National EMR
  • 11. National Healthcare Registries National Registry for Stroke - 2013National Cancer Registry - 1982
  • 12. Data Analytics – Big Data
  • 13. START-UP ENVIRONMENT NETWORK Ecosystem Corporate Incubators & Accelerators Market Access Partners
  • 14. A Young India can take care of greying world! Startups Incubators Accelerators Enterprise Academia Government Capital Network Home care Remote Health mHealth Point of Care Diagnostic s Wellness Preventive Health Fall Detection/E mergency Compliance ~ 1000 million elderly population 110 Startups
  • 15. Healthcare Information Infrastructure Hospitals Clinics Pharmacies Medical Education & Training Firewall Application Servers Data Warehousing / Mining Insurance Hospitals Hospitals Hospitals Hospitals Internet Hospitals Hospitals ISP Cloud “MINDSET” Standards Legislation Technology Protocol
  • 16. Pull from the future Health Portal Reaching Rural India Mobile Medical Unit Tele Advice HIT Convergence Standards Telemedicine Network

Notas do Editor

  1. India stands to lose $6 trillion before 2030 – NCDs not only affect health, but also productivity and economic growth. High out-of-pocket and an impoverished population (-300M below the poverty line) – Affordable devices (eg-infant warmer), mass screening tools to identify early risk factors, tools for early diagnosis of diseases/epidemic Over a third of hospital beds in urban areas; rural beds continue to be unsatisfied – tools to enable remote, mobile MNCH care, wearable devices for lifestyle management and adherence, disease/epidemic alerts & advices Lack of disease repository, limited avenues for patient engagement outside of the hospital, limited care coordination – tracking and reporting antenatal care, electronic patients records for care coordination, disease surveillance systems for epidemic hotspots Unique dual burden of diseases with high prevalence of tropical diseases (-315M affected) – technologies that are relevant to india, population genetic studies and india focused treatment protocols, tropical disease R&D.
  2. Mobile penetration increasing at 3%; smartphones at 70%; internet at 22%
  3. National Cancer Registry data collected since 1982, the number of cancer cases in India is projected to increase by 17 per cent, from 979,786 patients in 2010 to 1.15 million by 2020.
  4. Approximately 370 deals have already been done in India since January 2016.
  5. 110 healthcare start-ups from August 2014 onwards. 70+ Incubators and 200+ Accelerators in India. 50% Indian Population under age 35 India has around 100 million elderly at present and the number is expected to increase to 323 million, constituting 20 per cent of the total population, by 2050. 2015 - 901 Million which is 12.3% of total world population. 2030 – 1,402 Million which is 16.5% of total world population. 2050 – 2,092 Million which is 21.5% of total world population.
  6. But for all the innovations…what do we need ….standards……HC information infrastructure….. Protocols,….technology…….Networking Hospitals, Insurance providers, patients…… But above all we need the right MINDSET…. (PAUSE) Mindsets play strange tricks on us. We see things the way our minds have instructed our eyes to see.