The document discusses the growth of the Indian healthcare industry and opportunities for disruption through new technologies and models of care. It notes that the healthcare market in India is projected to reach $307 billion by 2025 but faces challenges around access, affordability, and quality. To meet future demand and improve health outcomes, traditional approaches would require building vast new infrastructure. However, the document advocates for a new "predict, monitor, and prevent" model of healthcare enabled by technologies like telemedicine, remote monitoring, and mobile health apps to improve access, costs and quality in a more scalable way.
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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
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
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
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.
Mobile penetration increasing at 3%; smartphones at 70%; internet at 22%
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.
Approximately 370 deals have already been done in India since January 2016.
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.
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.