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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
 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
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
 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
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
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.
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
2002 2003 2004 2005 2006 2007 2008 2009 2010
761
1004
1354
1732
2222
3209
5125
6526
8100
Source : IRDA
INDIA HEALTH MARKET INSURANCE
MAJOR MARKET PLAYERS IN HEALTH INSURENCE
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
Traditional
Formulation
Cluster
Emerging
Bulk Drugs
Cluster
Emerging
Formulation
Cluster
Traditional
Bulk Drugs
Cluster
GOA
MAHARASHTRA – Mumbai, Pune
ANDHRA PRADESH - Hyderabad
ANDHRA PRADESH - Visakhapatnam
HIMACHAL PRADESH – Baddi
UTTARAKHAND - Pantnagar, Haridwar
GUJARAT – Ahmedabad, Ankleshwar, Vapi,
Vadodara
MAHARASHTRA – Mumbai, Tarapur,
Aurangabad, Pune
ANDHRA PRADESH – Hyderabad, Medak
TAMILNADU – Chennai
PONDICHERRY
KARNATAKA – Mysore and Bangalore
GOA - Panaji
Contract Manufacturing Market—Key Indian Hubs
Pharmaceutical Industry Market share
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.
Diagnostic Market segment
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.
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
MEDICAL TOURISM WHY IN INDIA
Why
India?
Short Wait
Time
High
Quality
Low Cost
English
Speaking
Staff
Travel
Affordability
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.
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
Cost comparison between India, USA, Thailand and Singapore
Stay Healthy,
Stay Happy! 

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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.
  • 7. 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 2002 2003 2004 2005 2006 2007 2008 2009 2010 761 1004 1354 1732 2222 3209 5125 6526 8100 Source : IRDA INDIA HEALTH MARKET INSURANCE
  • 8. MAJOR MARKET PLAYERS IN HEALTH INSURENCE
  • 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
  • 10. Traditional Formulation Cluster Emerging Bulk Drugs Cluster Emerging Formulation Cluster Traditional Bulk Drugs Cluster GOA MAHARASHTRA – Mumbai, Pune ANDHRA PRADESH - Hyderabad ANDHRA PRADESH - Visakhapatnam HIMACHAL PRADESH – Baddi UTTARAKHAND - Pantnagar, Haridwar GUJARAT – Ahmedabad, Ankleshwar, Vapi, Vadodara MAHARASHTRA – Mumbai, Tarapur, Aurangabad, Pune ANDHRA PRADESH – Hyderabad, Medak TAMILNADU – Chennai PONDICHERRY KARNATAKA – Mysore and Bangalore GOA - Panaji Contract Manufacturing Market—Key Indian Hubs
  • 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
  • 20. Cost comparison between India, USA, Thailand and Singapore