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Training Report
On
“ Market Understanding of Healthcare Industry in 1
Tier Cities of India”
From
Nirvair Online Solutions Pvt. Ltd., Gurgaon
Submitted by:
Submitted to:
Anjana, Priya, Naman, Deepak Ambala College of Engg. & Applied
Research
2312402,2312404,2312410,2312411 Dept. of Biotechnology
Objective
 To collect the statistical data about current status
of Healthcare Industry in India
 To brainstorm its applications
 To create awareness about medical services and
common diseases.
 To further improve the current status of this
industry
Contents
 Medical Tourism
 Ayurveda
 Pharmaceuticals in India
 Research and Development
 Labour Force
 Recommendations
 Scientific Understanding of
Medical Tests
 Brief Overview on Indian
HealthCare System
 Scientific understanding of
diseases
 Indian healthcare
infrastructure
 Telemedicine
 Health Insurance Market
(India)
 Nutraceuticals Market
Brief Overview
 The Healthcare Sector comprises of
 Hospitals
 Diagnostics
 Pathology
 Equipment and Supplies
 Medical Tourism
 Telemedicine, etc
 It is one the prominent contributors to India’s GDP.
 It attracts large number of domestic as well as international players
 India has become an attractive destination for
 Medical Tourism
 Clinical Studies
 Research and Development Programs
List of Hospitals in NCRs
 Total 168 hospitals
studied in NCRs.
 These regions
included:
 Delhi, Faridabad,
Ghaziabad, Noida,
Greater Noida,
Gurgaon
Diagnostic Tests
 Studied about 150 diagnostic
centers in about 15 cities
 Compared the availability of
various diagnostic tests and
compared their costs
 This creates awareness about
every aspect like cost differences
and quality of services.
Diagnostic Centres
Some Facts
 The HealthCare Industry is presently worth $50
billion.
 Second largest service sector employer in the
country.
 Provides jobs for 4.5 million people directly or
indirectly.
 Some studies estimate doubling of size of the
sector to $100 billion by the end of 2015
Growth of Indian Healthcare
Industry
 A sudden paradigm shift in the last five years.
 This shift has become visible only in the last two
years.
 A shift from an unorganized to an organized
structure.
 Apollo started the trend of corporate hospitals in
India.
Factors for the HealthCare growth
in India
 Strong Indian Economy
 Increasing options for Healthcare Financing
 Increasing Opportunities in Healthcare
delivery
 Better Profitability
 Medical Tourism
 Increasing demand from within the county
Increasing Demand Within the Country
Top Health Care Hospitals and
Diagnostic Centres
ALL INDIA INSTITUTE OFMEDICAL SCIENCES
 APOLLO HOSPITAL
 NATIONAL INSTITUTE OF MENTAL HEALTH AND
NEUROSCIENCES
 WIPRO GE HEALTHCARE
 POST GRADUATE INSTITUTE OF MEDICAL SCIENCES &
RESEARCH
 TATA MEMORIAL HOSPITAL
 LILAWATI HOSPITAL & RESEARCH CENTRE
 FORTIS HEALTHCARE LTD.
 BOMBAY HOSPITAL
Some Very Common Diseases
 Brain Tumour: A benign or malignant growth in the brain.
 Symptoms: Headache, Nausea, Seizures, Fatigue, Personality
changes
 TYPES :-
1. Meningioma
2. Lymphoma
3. Acoustic Neuroma
4. Medulloblastoma
TREATMENT METHODS:
Surgery-Radiotherapy-Chemotherapy-Targeted therapy-Tumor Treating Fields
Melanoma
(Malignant Melanoma)
Type of cancer that develops from the pigment-containing cells
known as melanocytes.
Types of Melanoma
1.Superficial spreading melanoma
2.Nodular melanoma
3.Lentigo maligna melanoma
4.Acral lentiginous melanoma
5.Amelanotic melanoma
Treatments
1.Surgery
2.Radiotherapy for melanoma
3.Chemotherapy for melanoma
Sarcoma
 A cancer that arises from transformed cells of
mesenchymal origin .
TYPES
 Soft tissue sarcoma
 Bone sarcoma
TREATMENT
 Surgery
 Radiotherapy
HODGKIN’S LYMPHOMA
 Type of lymphoma, a cancer that starts in white blood cells
(lymphocytes).
TYPES
 Classical Types
 Nodular lymphocyte predominant type
TREATMENT
 Chemotherapy
 Radiotherapy
 Steroid medication
Indian Healthcare
Infrastructure
 As on December 2014, about 335 medical colleges were
recognized by the Indian Medical Council.
 As on 2001, a total of 53,900 MBBS doctors were
registered.
 The current doctor population ratio - 1:1800.
 At present approximately 50000 doctors are being
produced annually in the nation, but the number needs to
go up.
 By 2020, the Indian healthcare industry is estimated to be worth
US$ 275.6 billion.
 Currently, 8 per cent of India’s GDP.
 Requirement : US$ 80 billion more in the next five years to meet
targets
(According to Mr Pradipta K Mohapatra, Chairman, Executive &
Business Coaching Foundation India Ltd and Past Chairman,
Confederation of Indian Industry (CII), Southern Region. )
Survey Analysis on Infrastructure
 51% of the surveyed population believes that there is
considerable difference between performances of
hospitals in their region.
 39% : quality of govt. hospitals is bad
 35% : Govt. hospitals are average.
 18% : govt. hospitals are very bad.
 Only 8% believes that quality of govt. hospitals are good.
 57% : Quality of private hospitals is good and
 22% : Quality is just an average.
 21% : Quality of private hospitals is very good.
 83% : Cost of private hospital is quite expensive.
Measures Taken to Improve
 Skill upgradation and recertification of Medical
practitioners every five years.
 Upgradation of medical knowledge.
 Setting up of Medical Grants Commission for funding
new Government Medical and Dental colleges.
 Encouragement of all States to establish University of
Health Sciences (UHS).
Telemedicine
 Telemedicine is the ability to provide
interactive healthcare utilizing modern
technology and telecommunications.
 Various telemedicine usage models:
 Store and Forward (asynchronous):
 Home Health Telemedicine
 Realtime
Recommendations
 More medical colleges
 Attract more FDI investment
 Student exchange programmes
 More special medical schemes
 Branding Healthcare Industry
 Preserve and promote Ayurvedic Medical System
 Telemarketing and social marketing
 Seminars and workshop (build awareness; stop corruption)

The Health Insurance
Market of India
Need of Health Insurance
 Government Hospitals: Inadequate facilities
 Expensive Medicines: Diagnostic charges are
beyond common man’s reach.
 High cost of Specialists.
 Tax benefit under section 80 D of the Income Tax
Act
Standard Health Insurance: Features
 Room and boarding expenses provided by the hospital
 Nursing expenses
 Diagnostic and medicine expenses
 Other Services: Surgeon, Anesthetist, Medical
Practitioner, Consultants, Specialist fees, Anesthesia,
blood, oxygen, operation theatre expenses, cost of
surgical appliances, medicines and drugs and similar
expenses.
Companies Category
 Non-Life Insurance:
 Public: Companies like Oriental, National Insurance, United India, etc.
 Private: Companies like ICICI Lombard, Reliance, Bajaj Allianz, etc.
• Specialized Health Insurance Companies:
Offers Core Health Insurance services & Products only.
Examples: Star Health & Allied Insurance, Apollo DKV Insurance
Life Insurance Companies:
Addresses following needs:
 Saving
 Pension
 Retirement
 Investment
Players are LIC and other private players
Target Customers
 Working Class Individuals
 Working Professionals with Family.
 Students
 Senior Citizens
 Small and Medium Enterprises/ Corporate
Houses
NUTRACEUTICALS MARKET
 Dietary
supplements
 To fill nutritional
deficiencies in food
Types
Functional foods
Functional beverages
Mineral supplements
Challenges
 Lack of awareness
 Lack of Trust among People
 Lack of regulations
 Expensive Products
Leading Nutraceutical Companies
 Amway India-NUTRILITE
 Herbalife
Distribution channel: Multi-level Marketing or Direct Selling

MEDICAL TOURISM
MEDICAL TOURISM
INTRODUCTION
Travelling from less developed to more developed regions
for medical services
MEDICAL TOURISM IN INDIA
 30% growth rate
 9500 crores by 2015
 Health capital of India
ADVANTAGES OF MEDICAL TOURISM IN
INDIA
 Quality and experience of doctors and surgeons
 Most doctors and nurses are fluent in English
 Latest medical equipment
 Low cost
COMPETITION
 Thailand, Singapore, Malaysia and Philippines are
the major competitors
 Thailand is more popular for cosmetic surgery.
 In complex procedures Singapore has a
technology advantage.
 Cost in Thailand is also less than Singapore
 The Malaysian government is aggressively
promoting medical tourism.
SOURCE MARKET
SOURCE OF FINANCIAL
SUPPORT
AYURVEDA
INTRODUCTION
 Increasing popularity in Western Countries
 Availability of good infrastructure
HERBAL TOURISM IN KERALA
 Kerala is becoming one of the major destination of herbal tourism
 Kerala has an excellent network of hospitals
 International standard of facilities
Kerela is known for its
Ayurvedic Treatment
•The Indian pharmaceutical industry is the world's second-
largest by volume.
•India's bio-tech industry clocked a 17 percent growth with
revenues of Rs.137 billion ($3 billion) in the 2013-14 financial
year .
•Bio-Pharmaceutical was the biggest contributor generating 60
percent of the industry's growth at Rs. 8,829/- crore, followed
by bio-services at Rs.2,639/- crore and bio-agri at Rs.1,936
crore.
Pharmaceuticals in India
Pharmaceutical Facts
The first pharmaceutical company : Bengal
Chemicals and Pharmaceutical Works, formed
in Calcutta in 1903.
 Purely Indian pharmaceutical companies is fairly
low.
 Mainly operated, controlled by dominant foreign
companies having subsidiaries in India.
Most of the business is done by SMEs (Small &
Medium Enterprises).
 Pharmaceutical companies operating in India, even the
multinationals, employ Indians at all levels.
 Ownership usually passes from father to son & the founding
family holds a majority share.
 Home grown pharmaceuticals, are often a mix of public &
private enterprise.
 Globally, India currently holds a modest 1-2% share, growing at
around 10% per year.
 There are 74 U.S. FDA-approved manufacturing facilities in India.
 More than in any other country outside the U.S.A.
 In 2005, almost 20% of all Abbreviated New Drug Applications
(ANDA) to the FDA were filed by Indian companies.
Top 10 Pharmaceutical Companies in India, as of
2014.
Rank Company Revenue 2014 (Rs crore) Revenue 2014 (Rs billion)
1 Sun Pharmaceuticals 4,198.96 41.989
2 Lupin Ltd. 4,162.25 41.622
3 Dr. Reddy's Laboratories 3,763.72 37.637
4 Cipla 2,463.59 24.635
5 Aurobindo Pharmaceutical 2,215.52 22.155
6 Cadila Healthcare 2,081.19 20.801
7 GlaxoSmithKline 1,773.41 17.734
8 Glenmark Pvt. Ltd. 1,613 16.13
9 Aventis Pharmaceutical 983.80 9.838
10 Ipca Laboratories 980.44 9.8044
Patents Act 1970 helped in encouraging the
industry and people in R & D.
Process patents were shortened to 5 to 7 years.
This act also made foreign countries lose interest
here & their place was taken by Indian Companies.
This increased their business both in India and
Government’s Role
Product development
 Huge growth in past 20 years.
 Firms have made their ways into the global market,
 Both generic as well as patented products
 Also taken stand to challenge various patents.
 Another step: started Research & Development
 Initial investment, but greater profits & recognition in the
long run.
Challenges
 Inadequate regulation and large quantities of false drugs.
 Global competitiveness
 Underdeveloped new molecule discovery program.
 Market leaders such as Ranbaxy spend only 5-10% of their
revenues on R&D.
 This makes research equipment more expensive.
 Lack of qualified scientists.
 No connection between curriculum & the industry: Lack of
academic collaboration.
Research & Development
The Indian government has recognized the value of R&D
for the growth of their pharmaceutical businesses.
 Tax deductions for expenses related to research &
development.
 Granted other concessions, such as reduced interest rates
for export financing
 Companies have access to IT industry that can partner
with them in R & D.
REFERENCES
 https://en.wikipedia.org/wiki/Health_care_industry
 www.tcs.com/industries/healthcare/Pages/default.aspx
 www.ibef.org/industry/healthcare-india.aspx
 www.wipro.com › Industries
 www.kpmg.com/in/en/industry/pages/healthcare.aspx
 www.medifee.com/
 www.ibef.org/industry/healthcare-india.aspx
 www.ibef.org/industry/healthcare-india/showcase
Thank You

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Market understanding of healthcare industry in 1 tier cities of india

  • 1. Training Report On “ Market Understanding of Healthcare Industry in 1 Tier Cities of India” From Nirvair Online Solutions Pvt. Ltd., Gurgaon Submitted by: Submitted to: Anjana, Priya, Naman, Deepak Ambala College of Engg. & Applied Research 2312402,2312404,2312410,2312411 Dept. of Biotechnology
  • 2. Objective  To collect the statistical data about current status of Healthcare Industry in India  To brainstorm its applications  To create awareness about medical services and common diseases.  To further improve the current status of this industry
  • 3. Contents  Medical Tourism  Ayurveda  Pharmaceuticals in India  Research and Development  Labour Force  Recommendations  Scientific Understanding of Medical Tests  Brief Overview on Indian HealthCare System  Scientific understanding of diseases  Indian healthcare infrastructure  Telemedicine  Health Insurance Market (India)  Nutraceuticals Market
  • 4. Brief Overview  The Healthcare Sector comprises of  Hospitals  Diagnostics  Pathology  Equipment and Supplies  Medical Tourism  Telemedicine, etc  It is one the prominent contributors to India’s GDP.  It attracts large number of domestic as well as international players  India has become an attractive destination for  Medical Tourism  Clinical Studies  Research and Development Programs
  • 5. List of Hospitals in NCRs  Total 168 hospitals studied in NCRs.  These regions included:  Delhi, Faridabad, Ghaziabad, Noida, Greater Noida, Gurgaon
  • 6.
  • 7. Diagnostic Tests  Studied about 150 diagnostic centers in about 15 cities  Compared the availability of various diagnostic tests and compared their costs  This creates awareness about every aspect like cost differences and quality of services.
  • 9. Some Facts  The HealthCare Industry is presently worth $50 billion.  Second largest service sector employer in the country.  Provides jobs for 4.5 million people directly or indirectly.  Some studies estimate doubling of size of the sector to $100 billion by the end of 2015
  • 10. Growth of Indian Healthcare Industry  A sudden paradigm shift in the last five years.  This shift has become visible only in the last two years.  A shift from an unorganized to an organized structure.  Apollo started the trend of corporate hospitals in India.
  • 11. Factors for the HealthCare growth in India  Strong Indian Economy  Increasing options for Healthcare Financing  Increasing Opportunities in Healthcare delivery  Better Profitability  Medical Tourism  Increasing demand from within the county
  • 13. Top Health Care Hospitals and Diagnostic Centres ALL INDIA INSTITUTE OFMEDICAL SCIENCES  APOLLO HOSPITAL  NATIONAL INSTITUTE OF MENTAL HEALTH AND NEUROSCIENCES  WIPRO GE HEALTHCARE  POST GRADUATE INSTITUTE OF MEDICAL SCIENCES & RESEARCH  TATA MEMORIAL HOSPITAL  LILAWATI HOSPITAL & RESEARCH CENTRE  FORTIS HEALTHCARE LTD.  BOMBAY HOSPITAL
  • 14. Some Very Common Diseases  Brain Tumour: A benign or malignant growth in the brain.  Symptoms: Headache, Nausea, Seizures, Fatigue, Personality changes  TYPES :- 1. Meningioma 2. Lymphoma 3. Acoustic Neuroma 4. Medulloblastoma TREATMENT METHODS: Surgery-Radiotherapy-Chemotherapy-Targeted therapy-Tumor Treating Fields
  • 15. Melanoma (Malignant Melanoma) Type of cancer that develops from the pigment-containing cells known as melanocytes. Types of Melanoma 1.Superficial spreading melanoma 2.Nodular melanoma 3.Lentigo maligna melanoma 4.Acral lentiginous melanoma 5.Amelanotic melanoma Treatments 1.Surgery 2.Radiotherapy for melanoma 3.Chemotherapy for melanoma
  • 16. Sarcoma  A cancer that arises from transformed cells of mesenchymal origin . TYPES  Soft tissue sarcoma  Bone sarcoma TREATMENT  Surgery  Radiotherapy
  • 17. HODGKIN’S LYMPHOMA  Type of lymphoma, a cancer that starts in white blood cells (lymphocytes). TYPES  Classical Types  Nodular lymphocyte predominant type TREATMENT  Chemotherapy  Radiotherapy  Steroid medication
  • 18. Indian Healthcare Infrastructure  As on December 2014, about 335 medical colleges were recognized by the Indian Medical Council.  As on 2001, a total of 53,900 MBBS doctors were registered.  The current doctor population ratio - 1:1800.  At present approximately 50000 doctors are being produced annually in the nation, but the number needs to go up.
  • 19.  By 2020, the Indian healthcare industry is estimated to be worth US$ 275.6 billion.  Currently, 8 per cent of India’s GDP.  Requirement : US$ 80 billion more in the next five years to meet targets (According to Mr Pradipta K Mohapatra, Chairman, Executive & Business Coaching Foundation India Ltd and Past Chairman, Confederation of Indian Industry (CII), Southern Region. )
  • 20. Survey Analysis on Infrastructure  51% of the surveyed population believes that there is considerable difference between performances of hospitals in their region.  39% : quality of govt. hospitals is bad  35% : Govt. hospitals are average.  18% : govt. hospitals are very bad.  Only 8% believes that quality of govt. hospitals are good.
  • 21.  57% : Quality of private hospitals is good and  22% : Quality is just an average.  21% : Quality of private hospitals is very good.  83% : Cost of private hospital is quite expensive.
  • 22. Measures Taken to Improve  Skill upgradation and recertification of Medical practitioners every five years.  Upgradation of medical knowledge.  Setting up of Medical Grants Commission for funding new Government Medical and Dental colleges.  Encouragement of all States to establish University of Health Sciences (UHS).
  • 23. Telemedicine  Telemedicine is the ability to provide interactive healthcare utilizing modern technology and telecommunications.  Various telemedicine usage models:  Store and Forward (asynchronous):  Home Health Telemedicine  Realtime
  • 24. Recommendations  More medical colleges  Attract more FDI investment  Student exchange programmes  More special medical schemes  Branding Healthcare Industry  Preserve and promote Ayurvedic Medical System  Telemarketing and social marketing  Seminars and workshop (build awareness; stop corruption)
  • 26. Need of Health Insurance  Government Hospitals: Inadequate facilities  Expensive Medicines: Diagnostic charges are beyond common man’s reach.  High cost of Specialists.  Tax benefit under section 80 D of the Income Tax Act
  • 27. Standard Health Insurance: Features  Room and boarding expenses provided by the hospital  Nursing expenses  Diagnostic and medicine expenses  Other Services: Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialist fees, Anesthesia, blood, oxygen, operation theatre expenses, cost of surgical appliances, medicines and drugs and similar expenses.
  • 28. Companies Category  Non-Life Insurance:  Public: Companies like Oriental, National Insurance, United India, etc.  Private: Companies like ICICI Lombard, Reliance, Bajaj Allianz, etc. • Specialized Health Insurance Companies: Offers Core Health Insurance services & Products only. Examples: Star Health & Allied Insurance, Apollo DKV Insurance Life Insurance Companies: Addresses following needs:  Saving  Pension  Retirement  Investment Players are LIC and other private players
  • 29. Target Customers  Working Class Individuals  Working Professionals with Family.  Students  Senior Citizens  Small and Medium Enterprises/ Corporate Houses
  • 30. NUTRACEUTICALS MARKET  Dietary supplements  To fill nutritional deficiencies in food
  • 32. Challenges  Lack of awareness  Lack of Trust among People  Lack of regulations  Expensive Products
  • 33. Leading Nutraceutical Companies  Amway India-NUTRILITE  Herbalife Distribution channel: Multi-level Marketing or Direct Selling
  • 35. MEDICAL TOURISM INTRODUCTION Travelling from less developed to more developed regions for medical services MEDICAL TOURISM IN INDIA  30% growth rate  9500 crores by 2015  Health capital of India
  • 36. ADVANTAGES OF MEDICAL TOURISM IN INDIA  Quality and experience of doctors and surgeons  Most doctors and nurses are fluent in English  Latest medical equipment  Low cost
  • 37. COMPETITION  Thailand, Singapore, Malaysia and Philippines are the major competitors  Thailand is more popular for cosmetic surgery.  In complex procedures Singapore has a technology advantage.  Cost in Thailand is also less than Singapore  The Malaysian government is aggressively promoting medical tourism.
  • 40. AYURVEDA INTRODUCTION  Increasing popularity in Western Countries  Availability of good infrastructure HERBAL TOURISM IN KERALA  Kerala is becoming one of the major destination of herbal tourism  Kerala has an excellent network of hospitals  International standard of facilities
  • 41. Kerela is known for its Ayurvedic Treatment
  • 42. •The Indian pharmaceutical industry is the world's second- largest by volume. •India's bio-tech industry clocked a 17 percent growth with revenues of Rs.137 billion ($3 billion) in the 2013-14 financial year . •Bio-Pharmaceutical was the biggest contributor generating 60 percent of the industry's growth at Rs. 8,829/- crore, followed by bio-services at Rs.2,639/- crore and bio-agri at Rs.1,936 crore. Pharmaceuticals in India
  • 43. Pharmaceutical Facts The first pharmaceutical company : Bengal Chemicals and Pharmaceutical Works, formed in Calcutta in 1903.
  • 44.  Purely Indian pharmaceutical companies is fairly low.  Mainly operated, controlled by dominant foreign companies having subsidiaries in India. Most of the business is done by SMEs (Small & Medium Enterprises).
  • 45.  Pharmaceutical companies operating in India, even the multinationals, employ Indians at all levels.  Ownership usually passes from father to son & the founding family holds a majority share.  Home grown pharmaceuticals, are often a mix of public & private enterprise.  Globally, India currently holds a modest 1-2% share, growing at around 10% per year.  There are 74 U.S. FDA-approved manufacturing facilities in India.  More than in any other country outside the U.S.A.  In 2005, almost 20% of all Abbreviated New Drug Applications (ANDA) to the FDA were filed by Indian companies.
  • 46. Top 10 Pharmaceutical Companies in India, as of 2014. Rank Company Revenue 2014 (Rs crore) Revenue 2014 (Rs billion) 1 Sun Pharmaceuticals 4,198.96 41.989 2 Lupin Ltd. 4,162.25 41.622 3 Dr. Reddy's Laboratories 3,763.72 37.637 4 Cipla 2,463.59 24.635 5 Aurobindo Pharmaceutical 2,215.52 22.155 6 Cadila Healthcare 2,081.19 20.801 7 GlaxoSmithKline 1,773.41 17.734 8 Glenmark Pvt. Ltd. 1,613 16.13 9 Aventis Pharmaceutical 983.80 9.838 10 Ipca Laboratories 980.44 9.8044
  • 47. Patents Act 1970 helped in encouraging the industry and people in R & D. Process patents were shortened to 5 to 7 years. This act also made foreign countries lose interest here & their place was taken by Indian Companies. This increased their business both in India and Government’s Role
  • 48. Product development  Huge growth in past 20 years.  Firms have made their ways into the global market,  Both generic as well as patented products  Also taken stand to challenge various patents.  Another step: started Research & Development  Initial investment, but greater profits & recognition in the long run.
  • 49. Challenges  Inadequate regulation and large quantities of false drugs.  Global competitiveness  Underdeveloped new molecule discovery program.  Market leaders such as Ranbaxy spend only 5-10% of their revenues on R&D.  This makes research equipment more expensive.  Lack of qualified scientists.  No connection between curriculum & the industry: Lack of academic collaboration.
  • 50. Research & Development The Indian government has recognized the value of R&D for the growth of their pharmaceutical businesses.  Tax deductions for expenses related to research & development.  Granted other concessions, such as reduced interest rates for export financing  Companies have access to IT industry that can partner with them in R & D.
  • 51. REFERENCES  https://en.wikipedia.org/wiki/Health_care_industry  www.tcs.com/industries/healthcare/Pages/default.aspx  www.ibef.org/industry/healthcare-india.aspx  www.wipro.com › Industries  www.kpmg.com/in/en/industry/pages/healthcare.aspx  www.medifee.com/  www.ibef.org/industry/healthcare-india.aspx  www.ibef.org/industry/healthcare-india/showcase