1. Managing Competition in
Globalization of Healthcare
Dr Prem Jagyasi
ChMC, MBA, PGDHHM, BEMS
Chartered Management Consultant
Medical Tourism Consultant
Group Director – Marketing - Lifeline Healthcare, Dubai
Chief Strategic Officer – Medical Tourism Association, USA*

2. Globalization of Healthcare
Rise of Medical travel / medical tourism / global
healthcare
Challenges for GCC Industry
Competition on wrong objectives
Transforming one way street into in to two way global
healthcare. Achieving Win-Win
Managing Competition in Globalization of Healthcare

3. Globalization of Healthcare
Medical
Travel
Medical
Tourism
Global
Healthcare

4. Rise of Medical Tourism |
Industry Driver & Lifecycle

5. Potential Target Markets
USA Market
• Cost Based Market
• 45m without
Insurance and 250m
without sufficient
Insurance
• Malpractice
Insurance is 25 time
costlier than India
UK Market
• Need Based Market
• Very High Waiting
Time
• 2.2 Practitioner per
thousand below than
Ideal 2.9
Canada Market
• Need Based Market
• 782,936 people were
in waiting list in 2005
• Critical procedure
waiting time is one to
two year
GCC Market
• Need Specialized Care
• Demand is Higher
than Supply
• Struggling Healthcare
because of rapid
development
No Affordability + No Accessibility

6. Current Medical Tourism Industry Life Cycle
EARLY STAGE
•No competition
•Early adaptors
•Innovation
EMERGE STAGE
•Competition Starts
•No Price War
•New Entrance
DECLINE STAGE
•Supply > Demand
•Substitute Exists
•Volume Down
MATURE STAGE
•Fierce Competition
•Excess Capacity
•Price War
Medical Tourism
Global Healthcare

7. Competition on wrong objectives
Competition on cost, not on value
Competition to capture patients
Competition to move economy from
country to country
Competition to make one way street
Healthcare Services focus is shifting
from local to international patients

8. Managing Competition on Global Level
The total outcome should be measured by
total value for patients, not by total cost
The circulation of health professionals rather
than circulation of patients
Extreme exchange of Healthcare Resources

9. Managing Competition for Global Healthcare
 Focus on Affordability & Accessibility
 Avoid copying the healthcare systems of other non-
similar economies
 Focus on Preventions
 More Outpatient & Day Surgical Services
 No national geographic boundaries by Insurance
providers. Provide accessibility within nation.
 Common IT platform and integration across the
country. Common Health Information Systems.
 Active participation in Medical Tourism Industry
 Provide support to private healthcare industry
 Be prepared for Geriatric Care

10. Copyright / Disclaimer
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11. Managing Competition in
Globalization of Healthcare
Dr Prem Jagyasi
Chartered Management Consultant
Medical Tourism Consultant