Malaysia Healthcare Insurance Market Analysis Sample Report

Malaysia Healthcare
Insurance Market
Analysis
A sample report on
www.insights10.com
Includes Market Size, Market Segmented by Types
and Key Competitors (Data forecasts from 2022 – 2030F)

This report presents a strategic analysis of the Malaysia Healthcare
Insurance Market and a forecast for its development in the medium and
long term. It provides a comprehensive overview of the market value,
dynamics, segmentation, types of clinical diagnostics, point-of-care testing,
main players, growth and demand drivers, challenges & future outlook, etc.
This is one of the most comprehensive reports about the Malaysia
Healthcare Insurance Market, and offers unmatched value, accuracy, and
expert insights

3
A Sample Report on Malaysia Healthcare Insurance Market Analysis I Confidential
Report Scope
Report Attribute Details
Number of Pages 70-80
Base Year for Estimation 2022
Forecast Period 2023-2030
Report Coverage
Market Overview, Revenue Forecast, Market Segmentation, Growth Factors and Trends,
Competitive Landscape, Key Company Profiles, Government Policies, Regulatory Landscape,
Reimbursement Scenario
Quantitative Units Revenue in USD Million/Billion (Mn/Bn)
Research Approach Secondary Research (60%), Primary Research (40%)
Click on the icon to know the detailed methodology

4
Table of Content
CONTENT PG. NO.
1. Healthcare Insurance Overview 12-25
1.1. Overview
1.2. Malaysia Overview
1.3. Economic Overview: Malaysia
1.4. Healthcare Insurance Market in Malaysia
1.5. Healthcare Services Market in Malaysia
1.6. Healthcare Scenario in Malaysia
1.7. Health Insurance Coverage: Malaysia
1.8. Budget of the Government for Public Insurance
1.9. Mergers and Acquisitions
2. Market Size and Forecasting 26-33
2.1 Market size and forecasts (Excel and Methodology)

5
Table of Content
CONTENT PG. NO.
2.2. Market Segmentation
2.2.1. Type of Insurance
2.2.2. Type of Coverage
2.2.3. Distribution Channel
2.2.4. End-Use
2.2.5. Region
3. Market Dynamics 34-38
3.1. Market Growth Drivers
3.1.1. Malaysia Healthcare Insurance Market Driver 1
3.2. Market Restraints

6
Table of Content
CONTENT PG. NO.
3.2.1. Malaysia Healthcare Insurance Market Restraint 1
4. Competitive Landscape 39-49
4.1. Major Market Share
4.2. Key Company Profile
4.2.1. AIA Malaysia
4.2.1.1. Overview
4.2.1.2. Product Applications & Services
4.2.1.3. Recent Developments
4.2.1.4. Partnerships Ecosystem
4.2.1.5. Financials (Based on Availability)

7
Table of Content
CONTENT PG. NO.
4.2.2. Allianz Malaysia
4.2.2.2. Overview
4.2.3. Great Eastern Life Assurance
4.2.3.1. Overview

8
Table of Content
CONTENT PG. NO.
4.2.4. Prudential Assurance Malaysia
4.2.4.2. Overview
4.2.5. Manulife Insurance Berhad
4.2.5.1. Overview

9
Table of Content
CONTENT PG. NO.
4.2.6. AXA Affin General Insurance
4.2.6.1. Overview
4.2.7. Zurich Insurance Malaysia
4.2.7.1. Overview

10
Table of Content
CONTENT PG. NO.
4.2.8. Etiqa Insurance Berhad
4.2.8.1. Overview
4.2.9. Hong Leong Assurance
4.2.9.1. Overview

11
Table of Content
CONTENT PG. NO.
4.2.10. Tokio Marine Life Insurance Malaysia
4.2.10.2. Overview
5. Reimbursement Scenario 50-57
5.1. Reimbursement Regulation
5.2. Reimbursement Process for Diagnosis
5.3. Reimbursement Process for Treatment
5.4 Reimbursement Process – Medicare
6. Methodology & Scope 58-63

Malaysia Healthcare Insurance Market Analysis
1. Healthcare Insurance Market Overview

13
1.1 Statistics at a Glance: The Burden of Cancer in the World
Prevalence of Cancer ▪ Please be aware that this sample report is
intended to provide you with a brief
overview of the kind of information and
analysis that will be presented in the final
report
▪ In this section you will get an
understanding of the topic, which includes
the prevalence of the disease, the
application of medical devices, new
technology, and other details related to the
topic
▪ In order to obtain access to all of the
information that you are seeking, you will
need to purchase the final report
▪ Final report will be comprehensive and
detailed, and it will include data, analysis,
trends, and other relevant information
related to the topic or subject matter of
interest
2.5 Mn+
new cases of cancer
will be diagnosed in
the world in 2023
1 in 4
cancer cases among women
worldwide are accounted for
by breast cancer, making it
the most commonly
diagnosed cancer in women
43%
of all cancers diagnosed
in men in 2022 were
accounted for by prostate,
lung, and colorectal cancers
$150 Mn
is the projected global
sales figure for
immunotherapy in the
cancer market by 2025
0.7 Mn+
people will die from
cancer in the world
in 2023
1 in 5
cancer deaths (18.4%)
worldwide are caused by lung
cancer, making it the leading
cause of cancer deaths
Illustrative

14
1.1 Statistics at a Glance: Healthcare Insurance in the World (continued)
North America
~ Market Size of
$27.2 Bn
Europe
~Revenue to reach
$7.6 Bn by 2027
Asia
-Fastest CAGR
Africa
~Market Size of
$0.6Bn
Egypt Market
~$118Mn Market
Illustrative

15
1.2 Malaysia Overview
33.5 Mn
Is the population of
Malaysia, in 2022
29.9
Is the median age
in Malaysia, in
2022
372.98 Bn
Is the Gross
Domestic Product
(GDP) in Malaysia in
2021
$437
per capita was the
amount of national
health expenditures in
2021
▪ Please be aware that this sample report is
report
understanding of the demographics of the
country/region, which includes the
population, GDP, healthcare expenditure
and other details related to the topic
interest
Illustrative

16
1.3 Economic Overview: Malaysia
XX
XX
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2023F
Population of Malaysia, (2020-2030)
XX
XX
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2023F
GDP of Malaysia, (2020-2030)
Population Split (2023)
55-64
0-14
15-24
25-54
65+
Male
49%
Female
51%
By Age Group
By Gender
▪ In this section you will get an understanding of the demographics
of the country/region, which includes the population, GDP,
healthcare expenditure and other details related to the topic
▪ In order to obtain access to all of the information that you are
seeking, you will need to purchase the final report
▪ Final report will be comprehensive and detailed, and it will
include data, analysis, trends, and other relevant information
related to the topic or subject matter of interest
Illustrative

17
1.4 Statistics at a Glance: The Burden of Cancer in Malaysia
Prevalence of Cancer
▪ Please be aware that this sample report
is intended to provide you with a brief
analysis that will be presented in the
final report
understanding of the topic, which
includes the prevalence of the disease,
the application of medical devices, new
technology, and other details related to
the topic in Malaysia
information that you are seeking, you
will need to purchase the final report
detailed, and it will include data,
analysis, trends, and other relevant
information related to the topic or
subject matter of interest
1.9 Mn+
new cases of cancer
will be diagnosed in
Malaysia in 2023
1 in 3
cancer cases among women
Malaysia are accounted for
by breast cancer, making it
the most commonly
diagnosed cancer in women
43%
of all cancers diagnosed
in men in 2022 were
accounted for by prostate,
lung, and colorectal cancers
$150 Mn
is the projected global
sales figure for
immunotherapy in the
cancer market by 2025
0.6 Mn+
people will die from
cancer in Malaysia
in 2023
1 in 5
cancer deaths (18.4%) in
Malaysia are caused by lung
cancer, making it the leading
cause of cancer deaths
Illustrative

18
1.5 Healthcare Services Market in Malaysia
620 639 658 677 698 719 740 763 785
2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
Malaysia Healthcare Services Market Forecast, 2022-2030 (in $Mn)
▪ Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be
presented in the final report
▪ In this section you will get an understanding of the overall Healthcare Services market in Malaysia, which includes the market size, current
trends and other details related to the topic
▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
▪ Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or
Illustrative

19
1.6 Healthcare Scenario in Malaysia
Cancer Drug Development Process: The process of developing a cancer drug is complex and involves many stages, from preclinical research
to clinical trials to regulatory approval. Here is a simplified diagram of the cancer drug development process:
o Preclinical Research: Researchers identify potential drug candidates and test them in the lab
o Phase 1 Clinical Trials: Small studies are conducted to test the safety and dosage of the drug in humans
o Phase 2 Clinical Trials: Larger studies are conducted to test the effectiveness of the drug in treating cancer
o Phase 3 Clinical Trials: Even larger studies are conducted to compare the new drug to standard treatments and evaluate its safety and
effectiveness
o Regulatory Approval: The drug is reviewed by regulatory agencies such as the FDA and approved for use in the US market
Fast Track
▪ Fast track is a process designed to facilitate the development, and expedite the review of drugs to treat
serious conditions and fill an unmet medical need
Breakthrough
Therapy
▪ A process designed to expedite the development and review of drugs which may demonstrate substantial
improvement over available therapy
Accelerated
Approval
▪ These regulations allowed drugs for serious conditions that filled an unmet medical need to be approved
based on a surrogate endpoint
Priority Review ▪ A Priority Review designation means FDA’s goal is to take action on an application within 6 months
FDA has developed several approaches to making drugs available as quickly as possible, while still ensuring their safety and
effectiveness. Here are four of these approaches:
Illustrative

20
1.6 Healthcare Scenario in Malaysia: SCD Patient Journey
Presentation Diagnosis Treatment Follow up
A suspected diagnosis is
usually made, based on
physical examination and
detailed patient and family
history
Prenatal screening/
Neonatal screening
Initial Diagnosis
Complete blood count
(evaluate number &
quality of RBCs, Hb &
WBCs)
Imaging (confirm bone
related changes or
respiratory problems)
Bacterial cultures of
blood, sputum, urine,
stool (detect any
infection)
Genetic testing (detect
the type of SCD)
Confirmatory Diagnosis
Prevention and management of
crisis:
• For VOC and Splenic
Sequestration: HU, Endari,
Adakveo, Oxbryta
• For infections: Antibiotics,
Vaccines
Prevention and management of
complications:
• Stroke: Chronic transfusions, HU
• Long term follow-up is required for
patients with SCD
• Annual assessment: CBC and
reticulocyte count, iron status, liver
and renal function tests, urinalysis,
LDH, vitamin D level and
neurocognitive assessment
• ESOD (End Stage Organ Damage)
evaluation starting from age 7
• Yearly Transcranial Doppler test to
determine risk of stroke
Stakeholders
PCP, paediatrician,
neonatologist,
haematologist and genetic
counsellor
PCP, pediatrician, medical geneticist,
hematologist, gynecologist and pathologist
PCP, pediatrician, medical geneticist,
cardiologist, hematologist,
endocrinologist, psychologist and
psychiatrist
PCP, pediatrician, neonatologist,
endocrinologist, cardiologist,
hematologist, orthopedist, psychologist
and psychiatrist
Depending on the organ complications,
the treatment involves different
specialists at different times
Illustrative

21
1.7 Health Insurance Coverage: US
1.0
18.9
18.4
35.7
2.5
3.5
10.2
54.3
66.0
91.7
8.3
VA and CHAMPVA
Medicaid
Medicare
Any public plan
TRICARE
Marketplace
Direct-purchase
Employment-based
Any private plan
With health insurance
Uninsured
▪ In 2021, most people (91.7%) had health insurance coverage at some point during 2021 and 8.3 % of people were uninsured for the entire
calendar year
▪ More people had private health insurance (66%) than public coverage (35.7%)
▪ Employer-based insurance was the most common subtype of health insurance in the civilian, noninstitutionalized population (54.3%),
followed by Medicaid (18.9%), Medicare (18.4%), direct-purchase insurance (10.2%), TRICARE (2.5%), and VA and CHAMPVA health care
(1%)
Coverage Type 2020 2021 Change %
Total 327,521 328,074
Any health plan 299,230 300,887 0.4
Any private plan 217,896 216,366 –0.6
Employment-based 178,737 178,285 –0.2
Direct-purchase 33,869 33,555 –0.1
Marketplace coverage 10,924 11,389 0.1
TRICARE 9,165 8,299 –0.3
Any public plan 112,925 117,095 1.2
Medicare 58,541 60,226 0.5
Medicaid 58,778 61,940 0.9
VA and CHAMPVA 2,967 3,151 0.1
Uninsured 28,291 27,187 –0.4
% of People by Type of Health Insurance Coverage
(2021)
Number of People By Health Insurance Coverage
Illustrative

22
1.8 Budget of Malaysia Government for Public Insurance
Proposed Budget By Category
Outlays 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2022-31
In Billions Of Dollars
Medicare $769 $709 $766 $841 $840 $947 $1,014 $1,085 $1,227 $1,178 $1,325 $1,412 $10,633
Medicaid $458 $521 $571 $582 $616 $645 $674 $698 $734 $768 $801 $837 $6,926
As % Of GDP
Medicare 3.7% 3.2% 3.3% 3.4% 3.3% 3.6% 3.7% 3.8% 4.1% 3.8% 4.1% 4.2% 3.7%
Medicaid 2.2% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.4% 2.5% 2.5% 2.5% 2.5% 2.4%
▪ National Health Expenditures (NHE) grew 2.7% to $4.3 trillion in 2021, or $12,914 per person, and accounted for 18.3% of Gross Domestic Product (GDP)
▪ Medicare spending grew 8.4% to $900.8 billion in 2021, or 21% of total NHE
▪ Medicaid spending grew 9.2% to $734.0 billion in 2021, or 17% of total NHE
▪ Private health insurance spending grew 5.8% to $1,211.4 billion in 2021, or 28% of total NHE
▪ Out of pocket spending grew 10.4% to $433.2 billion in 2021, or 10% of total NHE
▪ Other Third Party Payers and Programs and Public Health Activity spending declined 20.7% in 2021 to $596.6 billion, or 14% of total NHE
▪ Hospital expenditures grew 4.4% to $1,323.9 billion in 2021, slower than the 6.2% growth in 2020
▪ Physician and clinical services expenditures grew 5.6% to $864.6 billion in 2021, slower growth than the 6.6% in 2020
▪ Prescription drug spending increased 7.8% to $378.0 billion in 2021, faster than the 3.7% growth in 2020
▪ Largest shares of total health spending were sponsored by the federal government (34%) and the households (27%). The private business share of health
spending accounted for 17% of total health care spending, state and local governments accounted for 15%, and other private revenues accounted for 7%
Illustrative

23
1.9 Mergers and Acquisitions
$6.0
$7.7
$10.5
$16.7
$6.8
$11.7
1H 2020 2H 2020 1H 2021 2H 2021 1H 2022 2H 2022
82
112 107 107
89
110
1H 2020 2H 2020 1H 2021 2H 2021 1H 2022 2H 2022
57% of the total deal volume are done by strategic buyers and the rest 43% are done by financial buyers in 2020
RCM M&A Deal Value Trend ($Bn) RCM M&A Deal Volume Trend
Buyer Composition: Strategic Vs Financial (2020)
59%
41% 41%
59% 58%
42%
61%
39%
$0- $25 $25-$50 $50-$100 $100+
Strategic Buyers
Financial Buyers
Buyer Type by Deal Size
($Mn)
Illustrative

24
1.9 Mergers and Acquisitions (continued)
Company Name Type
Amount /
Duration
Year Key Pointers
Oracle acquisition of
Cerner
Acquisition $28.3 Bn June, 2022
▪ Oracle’s acquisition of Cerner is big tech’s latest foray into the
healthcare system, promising better outcomes
▪ Oracle acquire Cerner through an all-cash tender offer for $95.00
per share, or approximately $28.3 Bn in equity value
▪ Cerner is a leading provider of digital information systems used
within hospitals and health systems to enable medical
professionals to deliver better healthcare to individual patients
and communities
GSK acquisition of
BELLUS Health
Acquisition $2 Bn April 2023
▪ GSK has acquire BELLUS for US$14.75 per share of common
stock in cash representing an approximate total equity value of
US$2.0 billion
▪ BELLUS is a late-stage biopharmaceutical company working to
better the lives of patients suffering from persistent cough
▪ Acquisition further strengthens specialty medicines and
respiratory pipeline with camlipixant, a highly selective P2X3
antagonist and potential best-in-class treatment for refractory
chronic cough
Latest Deals In Malaysia
Illustrative

25
1.9 Mergers and Acquisitions(continued)
Company Name Type
Amount /
Duration
Year Key Pointers
Merger March 2023
Merger Jan 2023
Latest Deals In Malaysia
Illustrative

2. Market Size and Forecasting

27
XX
XX
2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
2.1 Market size and forecasts (Excel and Methodology)
Malaysia Healthcare Insurance Market Forecast, 2022-2030 (in $Bn)
final report
understanding of the overall Healthcare
Insurance market in Malaysia, which
includes the market size, current trends
and other details related to the topic
Click on the icon to know the
methodology and assumption
2023 2024 2025 2026 2027 2028 2029 2030
Major Markets Patient
(Mn)
2.74 2.82 2.90 2.94 2.98 3.02 3.07 3.12
Malaysia Patient Size (Bn) 0.51 0.61 0.68 0.69 0.70 0.71 0.72 0.73
% of US Patients 18.75% 21.70% 23.56% 23.45% 23.42% 23.39% 23.34% 23.45%
Global Market Size (Bn $) 3,620 3,780 3,950 4,128 4,314 4,508 4,711 4,937
Malaysia Market Size (Bn
$)
61 74 84 87 91 95 99 106
Illustrative

28
2.2 Snapshot of Insurance Market Segmentation
▪ In this section you will get an understanding of the segmentations which will cover the Malaysia Healthcare Insurance Market
▪ In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
Type of Insurance
Individual
Insurance
Group Insurance
Type of Coverage
Hospitalization
Insurance
Critical Illness
Insurance
Surgical
Insurance
Maternity
Insurance
Others
Distribution
Channel
Insurance
Brokers
Insurance Agents
Bancassurance
Online Channel
Others
End-User
Corporates
Individuals
Region
Kuala Lumpur
Selangor
Penang
Johor
Other Regions

29
Malaysia Healthcare Insurance Market Share, By Type of
Insurance (2022)
Individual
Insurance
Group Insurance
▪ Individual insurance refers to insurance
coverage that is purchased by
individuals for themselves or their
families, while group insurance is
purchased by employers or
organizations to cover their employees
or members
▪ This segment is important to
understand as it can give insights into
the purchasing behaviour of individuals
and organizations when it comes to
healthcare insurance
final report
2.2.1 Market Segmentation: By Type of Insurance
Illustrative

30
Malaysia Healthcare Insurance Market Share, By Type of
Coverage (2022)
Hospitalization
Insurance
Critical Illness
Insurance
Surgical
Insurance
Maternity
Insurance
Others
2.2.2 Market Segmentation: By Type of Coverage
▪ Different types of healthcare insurance
policies provide coverage for different
medical expenses
▪ Hospitalization insurance provides
coverage for hospital stays, critical
illness insurance provides coverage for
the treatment of serious illnesses,
surgical insurance covers the cost of
surgical procedures, and maternity
insurance covers the cost of childbirth
and related medical expenses
▪ Understanding the popularity and
demand for each type of coverage can
help insurers tailor their policies to
better meet the needs of their
customers
final report
Illustrative

31
Malaysia Healthcare Insurance Market Share, By Distribution
Channel (2022)
Insurance
Brokers
Insurance
Agents
Bancassurance
Online Channel
Others
2.2.3 Market Segmentation: By Distribution Channel
▪ Insurance policies can be sold through
various distribution channels such as
insurance brokers, insurance agents,
bancassurance (insurance sold through
banks), and online channels
▪ This segment is important to analyze as
it can help insurers determine which
distribution channels are most effective
in reaching their target customers and
driving sales
final report
Illustrative

32
Malaysia Healthcare Insurance Market Share, By End User (2022)
Corporates
Individuals
2.2.4 Market Segmentation: By End User
▪ End-users of healthcare insurance
policies can be either corporates or
individuals
▪ Understanding the preferences and
needs of these two groups can help
insurers develop products and services
that better meet the needs of their
customers
final report
Illustrative

33
Malaysia Healthcare Insurance Market Share, By Region (2022)
Kuala Lumpur
Selangor
Penang
Johor
Other Regions
2.2.5 Market Segmentation: By Region
▪ Malaysia is divided into several
regions, each with its own unique
characteristics and healthcare needs.
Understanding the healthcare
insurance market in each region can
help insurers tailor their products and
services to better meet the needs of
local customers
▪ Kuala Lumpur and Selangor are two of
the most populous regions in Malaysia
and have a high demand for healthcare
services, while Penang is a popular
medical tourism destination, making it
an important region to focus on for
healthcare insurers
final report
Illustrative

3. Market Dynamics

35
3.1 Market growth drivers
▪ Incidence of cancer is increasing in the US, with more than 1.8 Mn new
cancer cases expected to be diagnosed in 2023
▪ This is driving the demand for cancer treatments and creating
opportunities for growth in the cancer market
▪ Please be aware that this sample report is intended to provide you with a
brief overview of the kind of information and analysis that will be
presented in the final report
▪ In order to obtain access to all of the information that you are seeking,
you will need to purchase the final report
▪ Final report will be comprehensive and detailed, and it will include data,
analysis, trends, and other relevant information related to the topic or
2010 2022 2030
3.1.1 Incidence of cancer is increasing in the US, with more than 1.8 Mn new cancer cases expected to be
diagnosed in 2023
Incidence of Cancer in the US
Illustrative

36
3.1 Market growth drivers (continued)
Top countries that are leveraging
technology in their fight against cancer
United States
Japan
Germany
South Korea
China
United Kingdom
France
Canada
Australia
Israel
Switzerland
Singapore
Sweden
Netherlands
Italy
Spain
Belgium
Denmark
Austria
Norway
3.1.2 Death rate from cancer in the US has declined by 31% from 1992 to 2022, largely due to advances in
technology and treatment options
▪ US has a long history of investing in cancer research and
treatment, and as a result, has become a world leader in the
field
▪ IT has a robust healthcare infrastructure, including world-
renowned research institutions, hospitals, and clinics, that
are dedicated to cancer treatment and research
▪ One of the key factors that has allowed the US to stay ahead
in the field of cancer research and treatment is the high level
of investment in cancer-related research
Illustrative

37
3.1 Market growth drivers (continued)
Fundings from government and other
organizations
3.1.3 In 2021, the National Cancer Institute (NCI) received $6.4 Bn in funding from the US federal government to
support cancer research and training programs
▪ US government provides significant support and funding for
cancer research and treatment, which is driving innovation
and growth in the cancer market
▪ Please be aware that this sample report is intended to
provide you with a brief overview of the kind of information
and analysis that will be presented in the final report
Source Year Fund ($)
National Cancer
Institute (NCI)
2021 $ 6.4 Bn
Centers for Disease
Control and
Prevention (CDC)
2021 $ 501 Mn
American Cancer
Society (ACS)
2020 $ 150 Mn
Susan G. Komen 2020 $ 98 Mn
Illustrative

38
3.2 Market restraints
3.2.1 In 2020, the
average cost of a new
cancer drug was over
$150,000 per year
▪ Cancer treatments can be very
expensive and can lead to
financial burden for patients and
healthcare systems
▪ Cost of cancer treatment varies
depending on the type of cancer,
stage of cancer, and treatment
options
▪ Some common cancer
treatments, such as
chemotherapy and radiation
therapy, can cost tens of
thousands of dollars
3.2.2 Average cost of
developing a new cancer
drug that is ultimately
approved by the FDA is over
$2.6 Bn
▪ Regulatory requirements for
cancer treatments can be very
stringent, which can slow down
the approval process and limit
access to new treatments
▪ Regulatory bodies, such as the
US Food and Drug
Administration (FDA), require
extensive clinical trials and
safety data before approving
new cancer treatments
▪ This can be a lengthy and costly
process, which can delay the
availability of new treatments for
patients
3.2.3 Demand for cancer care is
expected to increase by 42% by
2025, while the supply of
oncologists is only expected to
increase by 28%
▪ There is a shortage of
oncologists in the US, which can
limit access to cancer treatments
and create barriers to growth in
the cancer market
▪ Oncologists are physicians who
specialize in the diagnosis and
treatment of cancer
▪ With the aging population and
the increasing incidence of
cancer, there is a growing
demand for oncologists
▪ However, the supply of
oncologists is not keeping pace
with the demand
Our analysis will thoroughly investigate the key restraints that may significantly impact business
operations and growth.
Illustrative

4. Competitive Landscape

40
4.1 Major Market Share
XX
Other
▪ US cancer market is a highly competitive
space, with many companies developing
and marketing cancer treatments
▪ Some of the top companies in Malaysia
Healthcare Insurance Market based on
revenue and market share include
interest
Revenue of Major Players in Malaysia Healthcare Insurance Market
($ Mn)
Illustrative

41
4.2 Key Company Profile
Key Notes
▪ Here is the list of top 10 companies which
will cover in the final report
▪ Each company will have slides for
o Overview
o Key details
o Offerings
o Name of products
o Recent activities/ Press Coverage
o Distribution and Vendor Partners
o Mergers, Acquisitions and
Collaboration
o Financials
▪ If there are specific companies that you
would like to be included in the report,
please let us know via email
1 AIA Malaysia
3 Great Eastern Life
5 Manulife Insurance
7 Zurich Insurance
9 Hong Leong Assurance
2 Allianz Malaysia
4 Prudential Assurance
6 AXA Affin
8 Etiqa Insurance
Tokio Marine
10
Illustrative

42
4.2.1 AIA Malaysia
Founded in: 1948
HQ: Pulau Pinang, Malaysia
Type: Private
Revenue: $70.88 Bn
Website: www.aia.com
▪ AIA Malaysia is one of the leading insurance companies in
Malaysia and is a part of AIA Group Limited, the largest
independent publicly listed pan-Asian life insurance group
▪ Company has a strong presence in the country, with over 23
branches and more than 2,500 agents
▪ In 2021, the company was recognized as the "Life Insurance
Company of the Year" at the 7th International Business Awards,
and it was also named the "Best Life Insurance Company in
Malaysia" at the International Finance Awards in the same year
Solutions offered by AIA Malaysia
➢ Life Insurance
➢ Medical Insurance
➢ Personal Accident Insurance
➢ Savings and Investment Plans
➢ Retirement Planning
➢ Employee Benefits
Recent Activity / Press Coverage
AIA Group Limited is announced that Harry Kane, Tottenham Hotspur striker and England captain, has been appointed as an AIA Ambassador. This
ambassadorship builds on the 10-year association with Harry through AIA’s partnership with Tottenham Hotspur.
In early 2021, AIA Malaysia launched its community programme, AIA Cares Community Squad with an objective to help ease the financial burden of urban B40
families who had been most affected by the pandemic
Early October, AIA Malaysia launched the social media campaign with an aim to motivate fellow Malaysians to get healthy
Illustrative

43
4.2.1 AIA Malaysia (continued)
Major Distribution Partners Major Vendor Partners
Partnerships Ecosystem
One of the largest pharmaceutical
distributors in the United States, McKesson
has been a long-standing distribution
partner for Roche
Cardinal Health is a Fortune 500 healthcare
services company that provides
pharmaceutical distribution services to
Roche
It is one of the largest drugstore chains in
the United States and Europe, and its
extensive network of retail locations and
distribution centers make it an important
distribution partner for Roche
A leading healthcare services provider in
Asia, Zuellig Pharma is a distribution
partner for Roche in several Asian countries
One of the largest pharmaceutical
wholesalers in Europe, PHOENIX Group
distributes Roche's products in several
European countries
Roche has been working with SAP, a
leading software company, to develop digital
solutions for its healthcare products
A leading Swiss biotechnology company,
Lonza provides Roche with contract
manufacturing services for the production of
its biologics and pharmaceuticals
Roche has a strategic partnership with
Microsoft to leverage its cloud computing
and AI technologies in the development of
new healthcare products
Thermo Fisher Scientific is a leading
provider of analytical instruments, reagents,
and laboratory services
GE Healthcare provides Roche with
advanced medical imaging and diagnostics
technologies, including CT scanners and
MRI machines
Illustrative

44
Company Type
Amount /
Shares
Year Key Pointers
Collaboration - August, 2022
▪ Understanding the need to help organisations better address
mental health issues at the workplace, AIA has launched a first-
in-market Mental Health Solution, in collaboration with
ThoughtFull, a Southeast Asian-based digital mental health
platform
▪ This new solution enables employers to provide better care and
end-to-end support for their people’s mental wellbeing
Acquisition
100% of
the shares
September,
2022
▪ AIA extends its pan-Asian leadership in health insurance through
the acquisition of MediCard in the Philippines
▪ With an operating history of over 30 years, MediCard is one of
the largest health maintenance organisations (HMO) in the
Philippines
▪ It has more than 920,000 members large corporate, small and
medium-sized enterprises (SMEs) and individual plans, with a
nationwide service and provider network including 523 hospitals
and 482 independent partner clinics
Latest Deals - Mergers and Acquisitions
Illustrative

45
63.3
70.3 70.9
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
Revenues ($Bn), 2020-2030
▪ AIA Malaysia is a subsidiary of AIA Group
Limited and is one of the leading insurance
companies in Malaysia
▪ As of December 31, 2022, the company
had a market share of 15.2% in the life
insurance industry in Malaysia
▪ AIA Malaysia reported a total revenue of
RM5.9 billion for the financial year ended
November 30, 2020, representing a 5.5%
increase from the previous year
▪ Company's net profit after tax for the same
period was RM973.7 Mn, a 20.6% increase
from the previous year
Breakdown of Net Revenue by Segment, 2022
1 2 3 4
Illustrative

46
4.2.2 Company 2
Founded in:
HQ:
Type:
Revenue:
Website:
Solutions offered by Company
Drugs Indications
Drugs for Cancer Recent Activity / Press Coverage
Illustrative

47
4.2.2 Company 2 (continued)
Major Distribution Partners Major Vendor Partners
Partnerships Ecosystem
Illustrative

48
Company Name Type
Amount /
Duration
Year Key Pointers
Latest Deals - Mergers and Acquisitions
Illustrative

49
xx xx xx
2020 2021 2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2030F
Revenues ($Bn), 2020-2030
▪ Please be aware that this sample report is
report
▪ In this section you will the understating of
financial overview of the company, which
includes revenue forecasting, segment
revenue and other key details as per
availability
interest
Breakdown of Net Revenue by Segment, 2022
1 2 3 4
Illustrative

5. Reimbursement Scenario

51
5.1 Reimbursement Regulation in Malaysia
The reimbursement scenario in the US cancer market is complex and can vary
depending on the specific treatment, setting of care, and insurance coverage.
Here are some key points to consider:
▪ Medicare:
o Medicare is a federal health insurance program for people aged 65 and
older, as well as people with certain disabilities or health conditions
o Medicare covers many cancer treatments, including chemotherapy,
radiation therapy, and some immunotherapies
o However, coverage can be subject to strict guidelines and restrictions,
such as the requirement for prior authorization
▪ Medicaid:
o Medicaid is a joint federal-state program that provides health insurance
for people with low incomes
o Medicaid coverage for cancer treatments can vary by state, and may be
subject to limits on the amount and type of treatment covered
▪ Private Insurance:
o Private insurance coverage for cancer treatments can also vary widely
depending on the insurer and the specific policy
o Some policies may have high out-of-pocket costs, such as deductibles
and co-pays, while others may have more comprehensive coverage
Medicare and Medicaid together provide
health insurance coverage for more than
4 in 10 Americans
Medicare
17%
Medicaid
and CHIP
21%
Employer-Sponsored
49%
Other Private
3%
Other Public
1%
Uninsured
9%
Health Insurance Coverage, 2022
Illustrative

52
5.1 Reimbursement Regulation in Malaysia (continued)
▪ Affordable Care Act:
o Affordable Care Act (ACA) includes provisions to help improve access to cancer treatments by requiring insurers to cover
certain preventive services, including cancer screenings, without co-pays or deductibles
o It also includes protections for people with pre-existing conditions, such as cancer
▪ Reimbursement for New Treatments:
o Reimbursement for new cancer treatments can be a complex and lengthy process, as insurers and government programs
often require evidence of safety and effectiveness before providing coverage
o This can create challenges for companies developing and marketing new treatments
▪ Value-Based Care:
o There is a growing trend towards value-based care, which aims to improve outcomes and lower costs by focusing on the
value of treatments rather than simply the volume of treatments
o Value-based care models can include payment models that tie reimbursement to outcomes or performance metrics
In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the
topic or subject matter of interest
Illustrative

53
5.1 Reimbursement Regulation in Malaysia (continued)
Coverage Penetration (% Total Population) Source of Funding
Spend on Healthcare (%of Current Health Expenditure)
Reimbursement Market Trends
 Public healthcare coverage is provided by the government and includes programs like
Medicare and Medicaid
 Medicare is a federal program that provides healthcare coverage to individuals who
are 65 years of age or older, as well as certain younger people with disabilities
 Medicaid is a joint federal-state program that provides healthcare coverage to
individuals with low income and limited resources
▪ Shift towards value-based care has been a significant trend in the US healthcare system, with payers and providers increasingly focused on improving patient
outcomes and reducing costs
▪ This has led to the development of alternative payment models such as accountable care organizations (ACOs) and bundled payment arrangements, which
incentivize providers to deliver high-quality, cost-effective care 38.9%
37.1%
35.6%
32.5%
31.5%
44.0%
46.0%
47.7%
51.0%
51.8%
2017 2018 2019 2020 2021 2022 2023
Government Expenditure
Private Health Insurance
Out of Pocket
Other
NA NA
100% 100% 100% 100% 100%
xx xx xx xx xx
2012 2013 2014 2015 2016
Public Healthcare
Coverage
Private Coverage
6.3% 4.08% 5.1% 3.8% 2.2% 2.4% 3.6% GDP Growth (yoy)
14.7% 11.3% 15.5% 7.5% 4.2% NA NA HC Spend Growth (yoy)
Illustrative

54
5.2 Reimbursement Process for Diagnosis of Cancer
The reimbursement process in the US healthcare system can be complex and can vary depending on the type of healthcare service,
the healthcare provider, and the insurance coverage. Here are the general steps involved in the reimbursement process:
▪ Service or Treatment Provided: The healthcare provider performs a service or treatment for the patient
▪ Billing: The healthcare provider submits a claim to the insurance company or other payer, requesting reimbursement for the
service provided
▪ Adjudication: The insurance company or other payer reviews the claim to determine whether it meets the criteria for
reimbursement. This can involve verifying the patient's eligibility, reviewing the treatment provided, and checking for any potential
errors or fraud
▪ Payment: If the claim is approved, the insurance company or other payer reimburses the healthcare provider for the service
provided, based on the negotiated payment rates or fee schedule
▪ Patient Responsibility: Depending on the patient's insurance coverage, they may be responsible for paying a portion of the cost
of the service, such as deductibles, co-payments, or co-insurance
In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the
topic or subject matter of interest
Illustrative

55
5.3 Reimbursement Process for Treatment of Cancer
The reimbursement process in the US healthcare system can be complex
and can vary depending on the type of healthcare service, the healthcare
provider, and the insurance coverage. Here are the general steps involved
in the reimbursement process:
▪ Service or Treatment Provided: The healthcare provider performs a
service or treatment for the patient
▪ Billing: The healthcare provider submits a claim to the insurance
company or other payer, requesting reimbursement for the service
provided
▪ Adjudication: The insurance company or other payer reviews the claim
to determine whether it meets the criteria for reimbursement. This can
involve verifying the patient's eligibility, reviewing the treatment
provided, and checking for any potential errors or fraud
▪ Payment: If the claim is approved, the insurance company or other
payer reimburses the healthcare provider for the service provided,
based on the negotiated payment rates or fee schedule
FDA
Private Payers Public Payers
Health Technology Assessment
Payment
Coverage
Coding
Coding depends on availability code while coverage and
payment process decisions are made through an HTA.
Market Authorization
1 3
2
Illustrative

56
5.4 Reimbursement Process - Medicare
Medicare
Population Covered
▪ 100% population is covered under this scheme
▪ Citizen’s contribute to this scheme which then earns an interest. There is Basic Healthcare Sum (BHS) cap which limits the maximum contribution to an
individuals Medicare account
Provider Restrictions/
Selection
Services can be claimed from Medicare-approved institutions only (14 public hospitals, 10 private hospitals, 7 public community centers, 1 private community
center and over 100 surgery centers, dialysis centers, colonoscopy centers and screening centers)
Services Covered
▪ Medicines under SDL and MAF Plus can be bought from the money saved in this account
▪ Money can be also be claimed for antiretroviral drugs for HIV, Desferrioxamine drug for treatment of thalassemia and immuno-suppressant drugs for organ
transplant
▪ Money from this account can be used to pay Medishield premiums and Integrated Shield Plan premiums, subject to withdrawal limits
▪ Patients above 65 years of age can claim under Flexi-Medicare and further reduce their out-of-pocket expenses by using up to $200 per patient per year from
their Medicare account
▪ Excluded: Traditional drugs such as Herbal and Ayurveda cannot be claimed from Medicare account; Drugs used for cosmetic purposes such as slimming pills
and hair loss pills cannot be claimed from this account
Level of Coverage/ Assurance
▪ Approved chronic conditions and vaccinations, health screenings as outpatient treatments can be paid with Medicare up to $500 per account per year, however
a cash copayment of 15% is applicable
▪ Inpatient hospitalization, up to $450 per day + surgical limits according to Table of Surgical Procedures
▪ Approved day surgeries up to $300 per day + surgical limits according to Table of Surgical Procedures
▪ Outpatient scans/ diagnostics for cancer up to $600 per year per patient, and up to $300 for other medical conditions
▪ Chemotherapy (includes analgesic medication and suppressive treatments such as neuroendocrine and nuclear medicine treatments) up to $1,200 per month
per patient
▪ Renal dialysis up to $450 per patient per month
▪ Other treatments are also approved with various sub-limits for withdrawal
Mechanism of Coverage
▪ DRG with Activity Based Funding for public providers
▪ Block funding with DRG for providers not covered under ABF
Financial Feasibility ▪ The Basic Healthcare sum has been increased by more than 4.4% in 2017 on account of increasing costs of healthcare. This is an individual account
Illustrative

57
5.4 Reimbursement Process - Medicaid
Medicaid
Population Covered
▪ 38% population is covered under this scheme
▪ Medicare covers individuals who are aged 65 and older, as well as those with certain disabilities or end-stage renal disease
Provider Restrictions/
Selection
Services can be claimed from Medicaid-approved institutions only (14 public hospitals, 10 private hospitals, 7 public community centers, 1 private community
center and over 100 surgery centers, dialysis centers, colonoscopy centers and screening centers)
Services Covered
▪ Medicines under SDL and MAF Plus can be bought from the money saved in this account
▪ Money can be also be claimed for antiretroviral drugs for HIV, Desferrioxamine drug for treatment of thalassemia and immuno-suppressant drugs for organ
transplant
▪ Money from this account can be used to pay Medishield premiums and Integrated Shield Plan premiums, subject to withdrawal limits
▪ Patients above 65 years of age can claim under Flexi-Medicaid and further reduce their out-of-pocket expenses by using up to $200 per patient per year from
their Medicaid account
▪ Excluded: Traditional drugs such as Herbal and Ayurveda cannot be claimed from Medicaid account; Drugs used for cosmetic purposes such as slimming pills
and hair loss pills cannot be claimed from this account
Level of Coverage/ Assurance
▪ Approved chronic conditions and vaccinations, health screenings as outpatient treatments can be paid with Medicaid up to $500 per account per year, however
a cash copayment of 15% is applicable
▪ Inpatient hospitalization, up to $450 per day + surgical limits according to Table of Surgical Procedures
▪ Approved day surgeries up to $300 per day + surgical limits according to Table of Surgical Procedures
▪ Outpatient scans/ diagnostics for cancer up to $600 per year per patient, and up to $300 for other medical conditions
▪ Chemotherapy (includes analgesic medication and suppressive treatments such as neuroendocrine and nuclear medicine treatments) up to $1,200 per month
per patient
▪ Renal dialysis up to $450 per patient per month
▪ Other treatments are also approved with various sub-limits for withdrawal
Mechanism of Coverage
▪ DRG with Activity Based Funding for public providers
▪ Block funding with DRG for providers not covered under ABF
Financial Feasibility ▪ The Basic Healthcare sum has been increased by more than 4.4% in 2017 on account of increasing costs of healthcare. This is an individual account
Illustrative

6. Methodology & Scope

Research Methodology
▪ Insights 10’s research methodology delves deeper into the market, covering the macro and micro aspects of the industry. We identify the
key growth drivers, opportunities, and restraints that might promote or hinder the future industry growth along with an expansive
overview of the competitive landscape to help our clients make informed strategic decisions
▪ We implement a mix of primary and secondary research for our market estimate and forecast. The secondary research forms the initial
phase of our study where we conduct extensive data mining, referring to verified data sources such as independent studies, government
and regulatory published material, technical journals, trade magazines, and paid data sources
▪ For forecasting, the following parameters are considered:
❑ Market drivers and restraints along with their current and expected impacts
❑ Technological scenario and expected developments
❑ End use industry trends and dynamics
❑ Trends in the consumer behavior
❑ Regulatory scenario and expected developments
❑ Current capacity and expected capacity additions up to 2030
▪ We assign weights to these parameters and quantify their market impacts using the weighted average analysis to derive the expected
market growth rate
▪ We appoint data triangulation strategies to explore different areas of the market. Our qualitative and quantitative assessments are time-
sensitive, reflecting the most recent value and volume of the market across regions
▪ All our estimates and forecasts are verified through exhaustive primary research with the Key Industry Participants (KIPs)
▪ Currency used in the report is the US dollar (USD), with the market size indicated in USD million/billion (Mn/Bn)

Analysis Methodology
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Insights
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Summarization of revenue
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Revenue generated by products &
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Validation from
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Final
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Size
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Final Market size break up to
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Arriving at market size
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Validation from
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Final
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Key Benefits for Stakeholders from this Report
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