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Healthcare An Unprecedented Opportunity

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Page 1: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

HealthcareAn Unprecedented

Opportunity

Page 2: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Healthcare

India - An Overview

Market and Growth Potential

Players

Opportunities

Why India?

Contact in India

Page 3: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

India - An Introduction

Population

States/UTs

Geographical Area

Languages recognised

Business language

Per Capita Income**

GDP**

Over 1 bn

35

3.3 mn sq kms

22

English

US$ 534

US$ 650 bn**(at factor cost & at current prices)

1USD=43.54 INR (as on July 4, 2005)

Source:CSO Statistics

Page 4: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

India - Fast pace Growth

Largest democracy

4th largest economy by PPP index

6th largest energy consumer

ForEx reserves skyrocket from US$ 42 bn (2001) to

US$ 133 bn (February, 2005)

GDP growth to continue between 6-8%

3rd largest economy by 2050: Goldman Sachs

Leading in IT & BPO

Oil & Gas and Biotechnology sunrise industries

Page 5: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

India - Leading the world

Hero Honda - largest manufacturer of motorcycles

Moser Baer - among the top three media manufacturers

in the world

Pharmaceutical Industry - 4th largest in world

Walmart, GAP, Hilfiger sources more than

USD 1bn worth apparel from India

100 Fortune 500 have set R&D facilities in India

including GE, Delphi, Eli Lilly, HP, Heinz and Daimler

Chrysler

Page 6: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Healthcare

India - An Overview

Market and Growth Potential

Players

Opportunities

Why India?

Contact in India

Page 7: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Million, 2000-2001 Per cent, 2000-2001

4.0

5.3

1.0

1.2

1.6

0.8

1.7

0.4

5.2

4.8

3.5

3.0

1.8

1.4

0.9

1.7

Healthcare

Education

Retail banking

Power

Railways

Telecom

Hotels, restaurants

IT

Healthcare Delivery Market

Revenues Largest service industry Employment Second largest after education

Sector Direct employment Revenues/GDP

Source: National Accounts Statistics, 2001; Manpower profile; CBHI; McKinsey analysis

Page 8: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Growing at 13% p.aExpected to grow at 15% over next 4-5 years

Healthcare Delivery Market Size

2000-01US$ 18.7 bn

5.2% of GDP

US$ 45 bn

8.5% of GDP

2012 (projected)*

* Source: CII – McKinsey

Page 9: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

2,437 12,327

14,760

5.2% of GDP

Total Healthcare

market

Pharma market

Healthcare delivery market

India spent US$ 22.4 billion on healthcare (2001)

Rising Healthcare Spending

Page 10: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Out-of-pocketPrepayment

Two-thirds of healthcare spending is out-of-pocket

Household - Major Consumer

100% = USD 1,830 million

20

15 1

64Government’s spend

Private/social/ community insuranceEmployer’s

spend

Direct household

spend

2000-01

Source:NSSO;CMIE;NCAER;Annual Reports;Govt Budgets;Economic Survey 2000-01

Page 11: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Government & public employersPrivate providers

100% = USD 1,830 million

6337

In terms of delivery, private providers capture 63% of US$ 1,830 million spend

Healthcare - Private sector Dominates

Source: CII -McKinsey

Page 12: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Health Insurance in India

Liberalising insurance sector

Multinationals building local partnerships

Page 13: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Health Insurance in India

Growth of insurance cover 100% in last 2 years

Health insurance cover 3 - 4 % of

1 billion population

Page 14: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Healthcare

India - An Overview

Market and Growth Potential

Players

Opportunities

Why India?

Contact in India

Page 15: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

MNCs in India

Philips emerging as number two in Indian medical systems market

Siemens leading manufacturer of medical equipment

Proton Health entering India with digital health Care monitoring devices

Drager Medical joint venture between Dragerwerk AG AG and Siemens AG

Wipro GE largest medical systems sales &Medical Systems service provider in India

Page 16: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Healthcare

India - An Overview

Market and Growth Potential

Players

Opportunities

Why India?

Contact in India

Page 17: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Invest in India

India requires

US$ 25 billion

in fresh investments

over the next 8-10 years

Source: Indian Healthcare Federation, CII

Page 18: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Service providers

Manpower training

Infrastructure

Insurance

Materials

Curative and preventive in

primary, secondary and

tertiary care; rehabilitative-

geriartric and others

Doctors, managers, nurses,

technicians

Medical equipments &

service equipments

Hospitalisation

Medicines disposables

Invest in India

Page 19: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Preventive and curative care

Rising demand for multi and super-speciality services

Shift from infectious to lifestyle diseases

85% of inpatient spend on five categories Cardiology, Oncology, Trauma, Acute Infections

and Maternity

Page 20: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Share of Health in Total Private Final Consumption Expenditure

3.50%

5.30%

1993-94 2001-02

In ten years between

1993-94 and 2001-02,

aggregate household

expenditure on health

services increased by an

annual compounded rate

of 9.3%

Rising demand for quality healthcare

Page 21: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Corporatisation of Indian healthcare

Corporate hospitals 150

Private hospital beds 32% of total hospital beds

Page 22: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Only 2.5 million or .25%

of population insured

315 million people in India can afford

insurance

Health Insurance - A vast untapped market

Page 23: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Projected insured base in India (mn)

30

160

2005 2010

Projected insurance base2005 30 million

2010 160 million

Health Insurance - A vast untapped market

Source: India Country Commercial Guide 2002

Page 24: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Addressable population for preventive

healthcare check-ups 160 million

Year - on - year growth more than 20-25%

over 2001-2003

Preventive healthcare

Page 25: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

By 2008 USD 4.5 billion opportunity employing 200,000 people*

Forms processing

Medical billing

Disease coding

Claims adjudication

Healthcare BPO - Promising dynamism

*Source: NASSCOM

Page 26: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Rural population of 650 million people

Telemedicine - Diversifying opportunity

Tap the large Indian landscape

Page 27: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

The Indian Biomedical Devices Market

Size US$ 1.5 billion

Growing demand for medical equipment

Page 28: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Healthcare

India - An Overview

Market and Growth Potential

Players

Opportunities

Why India?

Contact in India

Page 29: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Growingpopulation

2.5%annually

Expandingworking

population group65%

by 2020

Improvinglife

expectancy

Age 15-542001 55%2010 59%

Demographic Advantage

Page 30: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

23,000 Primary Health Centres132,000 Sub-centres

2,400 Community Health Centres

1500 urban health posts

1,200 ESI and PSU hospitals

117 tertiary medical colleges and hospitals

4,400 district hospitals

Urban

TertiaryCare

SecondaryCare

PrimaryCare

Rural

Infrastructure

Page 31: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Healthcare facilities - high quality at low cost

Edge in surgical treatment

Potential to earn USD 1 billion from medical travel

Medical Tourism

Page 32: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Cost of advanced surgeriesin India is attractively low compared to US

Cost Advantage

2,50,00030,000Bone Marrow Transplant

30,0005,000 - 7,000Heart surgery

5,00,00040,000Liver Transplant

IndiaTreatment

All figures in USD

US

Page 33: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Low in cost

High on quality

Quality Advantage

Services and facilities in India

Page 34: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Increase in 5% of GDP by 2010health spend

Increasing budgetary Over 20 % per annumallocation 2005

Union Budget Infrastructure status not conferred2005-06

Custom Tariff on Rates reduced from20% to 15%medical equipment

Policy Advantage

March 2005

Page 35: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Healthcare

India - An Overview

Market and Growth Potential

Players

Opportunities

Why India?

Contact in India

Page 36: Healthcare An Unprecedented Opportunity. Healthcare  India - An Overview  Market and Growth Potential  Players  Opportunities  Why India?  Contact

Indian Healthcare Federationc/o Confederation of Indian Industry

The Mantosh Sodhi Centre23, Institutional AreaLodi RoadNew Delhi - 110 003.

Tel 00 91 11 2462 9994-97Fax 00 91 11 2462 6149/2461 5693E mail [email protected]

Contact in India