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Health Care Market
in India
Dr. Sandeep A. Chavan
21/04/2017
Introduction
• Healthcare has become one of India’s largest sectors - both in
terms of revenue and employment.
• Healthcare comprises hospitals, medical devices, clinical
trials, outsourcing, telemedicine, medical tourism, health
insurance and medical equipment.
• The Indian healthcare sector is growing at a brisk pace due to
its strengthening coverage, services and increasing
expenditure by public as well private players.
Indian healthcare delivery system is categorized into two major
components - public and private. The Government, i.e. public
healthcare system comprises limited secondary and tertiary care
institutions in key cities and focuses on providing basic healthcare
facilities in the form of primary healthcare centres (PHCs) in rural
areas.
The private sector provides majority of secondary, tertiary and
quaternary care institutions with a major concentration in
metros, tier I and tier II cities.
India's competitive advantage
• India has large pool of well-trained medical professionals.
• India is also cost competitive compared to its peers in Asia and
Western countries.
• The cost of surgery in India is about one-tenth of that in the
US or Western Europe.
Healthcare Market Size - INDIA
• The overall Indian healthcare market is worth around US$ 100
billion and is expected to grow to US$ 280 billion by 2020
(1 Billion = 1000 Crores)
• Compound Annual Growth Rate (CAGR) of 22.9 per cent.
• During 2008-20, the market is expected to record a CAGR of
16.5 per cent
• Over 80 per cent of the antiretroviral drugs used globally to
combat AIDS (Acquired Immuno Deficiency Syndrome) are
supplied by Indian pharmaceutical firms
• Rural India accounts for over 70 per cent of the population, is
set to emerge as a potential demand source.
• Rising income level, greater health awareness, increased
precedence of lifestyle diseases and improved access to
insurance would be the key contributors to growth.
• The private sector has emerged as a vibrant force in India's
healthcare industry, lending it both national and international
repute. It accounts for almost 74 per cent of the country’s
total healthcare expenditure
• India requires 6,00,000 to 7,00,000 additional beds over the
next five to six years, indicative of an investment opportunity
of US$ 25-30 billion. Given this demand for capital, the
number of transactions in the healthcare space is expected to
witness an increase in near future
• The average investment size by private equity funds in
healthcare chains has already increased to US$ 20-30 million
from US$ 5-15 million
Market for AYUSH services
• A total of 3,598 hospitals and 25,723 dispensaries across the
country offer AYUSH (Ayurveda, Yoga & Naturopathy, Unani,
Siddha and Homoeopathy) treatment, thus ensuring
availability of alternative medicine and treatment to the
people
Market for Medical Tourism
• The Indian medical tourism industry is pegged at US$ 3 billion
per annum, with tourist arrivals estimated at 2,30,000.
• The Indian medical tourism industry is expected to reach US$
6 billion by 2018, with the number of people arriving in the
country for medical treatment set to double over the next four
years
Market for Telemedicine
• Telemedicine is a fast-emerging trend in India; major hospitals
(Apollo, AIIMS, Narayana Hrudayalaya) have adopted
telemedicine services and entered into a number of public-
private partnerships (PPP).
• The telemedicine market in India is valued at US$ 7.5 million
currently and is expected to grow at a CAGR of 20 per cent to
reach US$ 18.7 million by 2017.
Market for Health Insurance
• Private Health Insurance coverage is only 3% in India
• Market for insurance in India is much likely to become more
competitive in future. Growing number of foreign insurance
companies are likely to form joint ventures with Indian
companies
• Scope for growth of Health Insurance in India with CAGR 25-
30% in next 5-10 years
Emerging HUB : Kerala
• With greater number of hospitals getting accredited and
receiving recognition, and greater awareness on the need to
develop their quality to meet international standards, Kerala
aims to become India's healthcare hub in five years.
Govt. Initiative
• In the Union Budget 2017-18, the overall health budget increased
from INR 39,879 crore (US$ 5.96 billion) (1.97% of total Union
Budget) to INR 48,878 crore (US$ 7.3 billion) (2.27% of total Union
Budget).
• The Government of India aims to develop India as a global
healthcare hub. It has created the National Health Mission (NHM)
for providing effective healthcare to both the urban and rural
population. The Government is also providing policy support in the
form of reduced excise and customs duty, and exemption in
service tax, to support growth in healthcare.
Highlights of Union health Budget :
2017-18
• Harmonise policies and rules for the medical devices industry to
encourage local manufacturing and move towards improving
affordability for patients.
• Modify the Drugs and Cosmetics Act to promote generics and
reduce the cost of medicines.
• Set up two new All India Institute of Medical Sciences (AIIMS) in
Gujarat and Jharkhand.
• Convert 1.5 lakh sub centres in Indian villages to health and
wellness centres
• Set short and medium term targets for key health indicators and
bring down the Maternal Mortality Rate to 100 by 2018-2020 and
Infant Mortality Rate to 28 by 2019.
• Prepare action plans to eliminate Kala Azar and Filariasis by 2017,
leprosy by 2018, measles by 2020 and tuberculosis (TB) by 2025.
• The Government of Assam has launched the Atal-Amrit Abhiyan - Health
insurance scheme, which would offer comprehensive coverage for six
disease groups to below-poverty line (BPL) and above-poverty line (APL)
families, with annual income below Rs 5,00,000 (US$ 7,500).
• Diseases covered :
• Cardiovascular Diseases
• Cancer
• Kidney Diseases
• Neo Natal Diseases
• Neurological Conditions
• Burns
• The Government of India and the Government of the State of
Nagaland signed financing agreement and project agreement
respectively with The World Bank, for the ‘Nagaland Health
Project’ for US$ 48 million, which aims to improve health
services and increase their utilization by communities in
targeted locations in the state.
• The Union Cabinet has approved signing of an agreement with
the World Health Organization (WHO) under which WHO will
develop technical documents on traditional medicines which
is expected to lead to better acceptance of Indian systems of
medicines at an international level.
• The NITI Aayog (National Institute for Transforming India)
seeks to bring reforms in India’s public health system like
outsourcing primary healthcare to private doctors and
promoting competition between government and private
hospitals at the secondary level.
• A unique initiative for healthcare 'Sehat' (Social Endeavour for
Health and Telemedicine) has been launched at a government
run Common Service Centre (CSC) to empower rural citizens
by providing access to information, knowledge, skills and
other services in various sectors through the intervention of
digital technologies and fulfilling the vision of a ‘Digital India’.
• Mr J P Nadda, Union Minister for Health & Family Welfare,
Government of India has launched the National Deworming
initiative aimed to protect more than 24 crore children in the ages
of 1-19 years from intestinal worms, on the eve of the National
Deworming Day.
• Under the National Health Assurance Mission, Prime Minister Mr
Narendra Modi's government would provide all citizens with free
drugs and diagnostic treatment, as well as insurance cover to treat
serious ailments.
• The E-health initiative, which is a part of Digital India drive
launched by Prime Minister Mr Narendra Modi, aims at
providing effective and economical healthcare services to all
citizens.
• The programme aims to make use of technology and portals
to facilitate people maintain health records and book online
appointments with various departments of different hospitals
using eKYC data of Aadhaar number.
THANK
YOU !

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Healthcare market in India

  • 1. Health Care Market in India Dr. Sandeep A. Chavan 21/04/2017
  • 2. Introduction • Healthcare has become one of India’s largest sectors - both in terms of revenue and employment. • Healthcare comprises hospitals, medical devices, clinical trials, outsourcing, telemedicine, medical tourism, health insurance and medical equipment. • The Indian healthcare sector is growing at a brisk pace due to its strengthening coverage, services and increasing expenditure by public as well private players.
  • 3. Indian healthcare delivery system is categorized into two major components - public and private. The Government, i.e. public healthcare system comprises limited secondary and tertiary care institutions in key cities and focuses on providing basic healthcare facilities in the form of primary healthcare centres (PHCs) in rural areas. The private sector provides majority of secondary, tertiary and quaternary care institutions with a major concentration in metros, tier I and tier II cities.
  • 4. India's competitive advantage • India has large pool of well-trained medical professionals. • India is also cost competitive compared to its peers in Asia and Western countries. • The cost of surgery in India is about one-tenth of that in the US or Western Europe.
  • 5. Healthcare Market Size - INDIA • The overall Indian healthcare market is worth around US$ 100 billion and is expected to grow to US$ 280 billion by 2020 (1 Billion = 1000 Crores) • Compound Annual Growth Rate (CAGR) of 22.9 per cent.
  • 6. • During 2008-20, the market is expected to record a CAGR of 16.5 per cent
  • 7.
  • 8. • Over 80 per cent of the antiretroviral drugs used globally to combat AIDS (Acquired Immuno Deficiency Syndrome) are supplied by Indian pharmaceutical firms • Rural India accounts for over 70 per cent of the population, is set to emerge as a potential demand source. • Rising income level, greater health awareness, increased precedence of lifestyle diseases and improved access to insurance would be the key contributors to growth.
  • 9. • The private sector has emerged as a vibrant force in India's healthcare industry, lending it both national and international repute. It accounts for almost 74 per cent of the country’s total healthcare expenditure
  • 10. • India requires 6,00,000 to 7,00,000 additional beds over the next five to six years, indicative of an investment opportunity of US$ 25-30 billion. Given this demand for capital, the number of transactions in the healthcare space is expected to witness an increase in near future • The average investment size by private equity funds in healthcare chains has already increased to US$ 20-30 million from US$ 5-15 million
  • 11. Market for AYUSH services • A total of 3,598 hospitals and 25,723 dispensaries across the country offer AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy) treatment, thus ensuring availability of alternative medicine and treatment to the people
  • 12. Market for Medical Tourism • The Indian medical tourism industry is pegged at US$ 3 billion per annum, with tourist arrivals estimated at 2,30,000. • The Indian medical tourism industry is expected to reach US$ 6 billion by 2018, with the number of people arriving in the country for medical treatment set to double over the next four years
  • 13. Market for Telemedicine • Telemedicine is a fast-emerging trend in India; major hospitals (Apollo, AIIMS, Narayana Hrudayalaya) have adopted telemedicine services and entered into a number of public- private partnerships (PPP). • The telemedicine market in India is valued at US$ 7.5 million currently and is expected to grow at a CAGR of 20 per cent to reach US$ 18.7 million by 2017.
  • 14. Market for Health Insurance • Private Health Insurance coverage is only 3% in India • Market for insurance in India is much likely to become more competitive in future. Growing number of foreign insurance companies are likely to form joint ventures with Indian companies • Scope for growth of Health Insurance in India with CAGR 25- 30% in next 5-10 years
  • 15. Emerging HUB : Kerala • With greater number of hospitals getting accredited and receiving recognition, and greater awareness on the need to develop their quality to meet international standards, Kerala aims to become India's healthcare hub in five years.
  • 16. Govt. Initiative • In the Union Budget 2017-18, the overall health budget increased from INR 39,879 crore (US$ 5.96 billion) (1.97% of total Union Budget) to INR 48,878 crore (US$ 7.3 billion) (2.27% of total Union Budget). • The Government of India aims to develop India as a global healthcare hub. It has created the National Health Mission (NHM) for providing effective healthcare to both the urban and rural population. The Government is also providing policy support in the form of reduced excise and customs duty, and exemption in service tax, to support growth in healthcare.
  • 17. Highlights of Union health Budget : 2017-18 • Harmonise policies and rules for the medical devices industry to encourage local manufacturing and move towards improving affordability for patients. • Modify the Drugs and Cosmetics Act to promote generics and reduce the cost of medicines. • Set up two new All India Institute of Medical Sciences (AIIMS) in Gujarat and Jharkhand. • Convert 1.5 lakh sub centres in Indian villages to health and wellness centres • Set short and medium term targets for key health indicators and bring down the Maternal Mortality Rate to 100 by 2018-2020 and Infant Mortality Rate to 28 by 2019. • Prepare action plans to eliminate Kala Azar and Filariasis by 2017, leprosy by 2018, measles by 2020 and tuberculosis (TB) by 2025.
  • 18. • The Government of Assam has launched the Atal-Amrit Abhiyan - Health insurance scheme, which would offer comprehensive coverage for six disease groups to below-poverty line (BPL) and above-poverty line (APL) families, with annual income below Rs 5,00,000 (US$ 7,500). • Diseases covered : • Cardiovascular Diseases • Cancer • Kidney Diseases • Neo Natal Diseases • Neurological Conditions • Burns
  • 19. • The Government of India and the Government of the State of Nagaland signed financing agreement and project agreement respectively with The World Bank, for the ‘Nagaland Health Project’ for US$ 48 million, which aims to improve health services and increase their utilization by communities in targeted locations in the state.
  • 20. • The Union Cabinet has approved signing of an agreement with the World Health Organization (WHO) under which WHO will develop technical documents on traditional medicines which is expected to lead to better acceptance of Indian systems of medicines at an international level.
  • 21. • The NITI Aayog (National Institute for Transforming India) seeks to bring reforms in India’s public health system like outsourcing primary healthcare to private doctors and promoting competition between government and private hospitals at the secondary level.
  • 22. • A unique initiative for healthcare 'Sehat' (Social Endeavour for Health and Telemedicine) has been launched at a government run Common Service Centre (CSC) to empower rural citizens by providing access to information, knowledge, skills and other services in various sectors through the intervention of digital technologies and fulfilling the vision of a ‘Digital India’.
  • 23. • Mr J P Nadda, Union Minister for Health & Family Welfare, Government of India has launched the National Deworming initiative aimed to protect more than 24 crore children in the ages of 1-19 years from intestinal worms, on the eve of the National Deworming Day. • Under the National Health Assurance Mission, Prime Minister Mr Narendra Modi's government would provide all citizens with free drugs and diagnostic treatment, as well as insurance cover to treat serious ailments.
  • 24. • The E-health initiative, which is a part of Digital India drive launched by Prime Minister Mr Narendra Modi, aims at providing effective and economical healthcare services to all citizens. • The programme aims to make use of technology and portals to facilitate people maintain health records and book online appointments with various departments of different hospitals using eKYC data of Aadhaar number.

Editor's Notes

  1. The compound annual growth rate (CAGR) is the mean annual growth rate of an investment over a specified period of time longer than one year Read more: Compound Annual Growth Rate (CAGR) http://www.investopedia.com/terms/c/cagr.asp#ixzz4eog2QZL2 Follow us: Investopedia on Facebook