Indian Healthcare Medical Devices Industry
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  • 1. Indian Healthcare & Medical Devices Industry Challenges & Opportunities
  • 2. Current Status Source: FICCI, Ernst & Young Study Growth Drivers  Growing middle class  Rising income  Growing and aging population  Growing urbanization  Growing medical tourism  Healthcare Insurance Penetration
  • 3. Healthcare Demand Vs Supply HEALTHCARE SERVICES DEMAND IN INDIA HEALTHCARE SERVICES SUPPLY IN INDIA Tertiary Maximum concentration of Conditions requiring care from Urban Care corporate healthcare specialized clinics and facilities Semi-Urban Highly fragmented and Segment that require constant Secondary unorganized sector, focus medical attention, including short Care mainly on secondary care period of hospitalization Primary The basic healthcare facilities for Even Primary & Secondary Rural Care common & minor ailments, and care is at times elusive where prevention is most effective 90% patient needs primary and secondary care
  • 4. Healthcare Demand Vs Supply HEALTHCARE SERVICES DEMAND IN INDIA HEALTHCARE SERVICES SUPPLY IN INDIA Tertiary Conditions requiring care from Care specialized clinics and facilities Hospitals Nursing homes Segment that require constant Secondary medical attention, including short Care Private practitioners period of hospitalization District & Taluk Hospitals Primary The basic healthcare facilities for Government Community Health Clinics Funded Focus Care common & minor ailments, and where prevention is most effective Primary health clinics Opportunities in the bottom of the pyramid
  • 5. Opportunities: Infrastructure India Healthcare Infrastructure: Key Statistics *Statistics * India Healthcare Infrastructure: Key Bed Physicians Nurses Per ‘000 population Bed Physicians Nurses Per ‘000 population High Income Countries 7.4 1.8 7.5 High Income Countries 4.3 7.4 1.8 7.5 Middle Income Countries 1.8 1.9 Low Income Countries 1.5 1.5 1.6 Middle Income Countries 4.3 1.8 1.9 India 1.5 1.2 0.5 Low Income Countries 1.5 1.5 1.6 World Average 3.3 1.5 3.3 India 1.5 1.2 0.5 To meet 2012 demand requires investment of US$ 77.9- 88.8 billion**  India target’s to reach a bed to thousand-population ratio of 1.85 to 2 by 2012 World Average 3.3 1.5 3.3  * Healthcare in India :excess of 1 CII & McKinsey, Data as ofto reach the ratio of 1.85* Beds in The road ahead - million needed 2001 ** Opportunities in Healthcare “Destination India” –E&Y and FICCI, Data as of Jan 2007  To reach the target number of beds to population ration 1.55: 1000/ 2:1000 of US$ 77.9-88.8 billion** To meet 1012 demand requires investment To meet 2012 demand requires investment of US$ 77.9- 88.8 billion**  Need for private sector investment amounts to US$ 69.7 billion * Healthcare in India : The road ahead - CII & McKinsey, Data as of 2001 ** Opportunities in Healthcare “Destination India” –E&Y and FICCI, Data as of Jan 2007 To reach the target number of beds to population ration 1.55: 1000/ 2:1000
  • 6. Opportunities: Telemedicine From patient treated by lower To patient connected to a educated doctor multi specialty network Radiologist Pathologist Cardiologist Generalist Second Opinion Ophthalmologist Oncologist Health for the poor consists Healthcare available and merely of general physician affordable for all  80% of the medical facilities are concentrated in the urban area while 73% of the population resides in the rural area Public Private Partnership
  • 7. Opportunities: Medical Value Travel India’s Cost Advantage Procedure Cost (US$) US India Heart Surgery 100,000 4,400 Liver Transplant 2,50,000 30,000 Bon Marrow 3,00,000 40,000 Transplant Knee Surgery 48,000 4,500 Hip Replacement 55,000 4,500  Indian medical tourism market could touch USD 1.5 billion by 2012  Over 272,000 tourists traveled for medical treatment in 2007 contributing USD 656 million in 2007  Patents are expected to save 60% - 95% of the total treatment costs in India  Government has created special visas for medical tourism
  • 8. Opportunities: Health Insurance Source: FICCI, Ernst & Young Study  Health insurance projected to grow to US$ 3.8 billion in 2012  Merely 10% of Indian population has got health insurance cover so far
  • 9. Medical Devices: Overview Source: FICCI, Ernst & Young Study  The medical devices and equipment market growing at 15 percent per year  Almost 65 per cent of the medical devices is imported  US, Germany and Japan are meeting 85 % of the demand  Most of the multinationals in medical technology has entered India to explore the booming market
  • 10. Medical Devices: Demand Scenario Medical Devices & Equipment Import: Category wise
  • 11. Medical Devices: Opportunities  A traditionally price sensitive market, shifting towards a health conscious, technology demanding population  Tertiary care mostly driven by the private healthcare players who are always ready to invest on the best and expensive equipments for their patients  Indian Government’s National health policy also aims to increase and upgrade health care facilities  Government acknowledges need for foreign/ private involvement in medical technology  The duties on medical equipments have been reduced over a period of time  Most critical medical devices do not require duties