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ECONOMICS OF INDIAN
 MEDICAL TOURISM
Heath Tourism is to provide World Class Health treatment at competitive affordable prices”.



    “One of the hottest sectors in India”                             (Public Health Foundation of India)




                   “A multibillion dollar industry”

             “India a International medical tourisms hub”




                                                                           Dental Surgery

Joint Replacement Surgery
                                                                                                            2
Concept of Medical Value Tourism

 Is it a new concept ?  -     No
     Dates back > thousands of years.
     Greek pilgrims travelled in Saronic Gulf
 called Epidauria, sanctuary of the healing
 god Asclepius

 Yes. Marketing of Medical Value Tourism is
  relatively new concept.

                                                3
Economics of tourism
 Tourism third largest net earner of foreign
   exchange
 India’s share in International Tourist arrival –
       2002 - 0.34 percent
       2005 - 0.49 percent – total 3.92 million
 The World Travel Tourism Council - “India as
  one of the foremost growth centre in the world in
  coming yrs”.
 Travel & Tourism sector creates more jobs per
  million rupees of investment plan, than any other
  sector of the economy.
                                                      4
Can we have similar Map for Medical
        Tourism for India ?




                                      5
 India has world class corporate hospitals and
  excellent treatment Centers in the world.
 Hospital infrastructure & technology on par with
  USA, UK & other European countries
 No waiting period
 Success rate – India -- 98.7%
                -- US – 97.5%
 Immediate attention / treatment / surgery
 Best Nursing Care with compassion
 Language no barrier – English speaking staff

 Low cost (1/10th), high quality, affordable best
  healthcare
                                                     6
Growth of International Standard Hospitals




Apollo Hospital Hyderabad   Max Hospital Delhi      Fortis Hospital, Delhi




 Jaslok Hospital, Mumbai
                            Breach Candy Hospital   Wokhardt Hospital
                                                    Bangalore
                                                                      7
Macro Economics
       of
 Medical Tourism




                   8
Confederation of Indian Industry (C II) sponsored Mc
Kinsey & Co. study.–“Healthcare in India : The Road
Ahead” report:-

 1.3 million medical tourists visit Asia / year


 Nos. of US patients seeking cheaper care
  abroad - grew to 7,10,000 / year


 Over 1, 50000 medical tourists travelled to India in
 2002 bringing in earnings of $ 300 million.
 2006-07 > 3,00000
                                                   9
 The size of Indian Medical Tourism sector estimated in
  2002 to be min 1,00000 to 1,50,000 foreign patients per
  year (Medical Tourists) .

 The annual growth rate of Medical Tourism in India
                  2000 – 15% per year

                  2007 – 30% per year

 Kerala      - > 8000 patients annually.
                Cardiac, Ortho & Ayurveda treatment
              - KIMS (2007) – 40,000 medical tourism patients

 Hospital ‘A’ in Bangalore - reported 900 medical tourists
  per year.
                                                              10
   “India’s Tourist Industry could yield from $ 1.2
    billion presently to $ 2.2 billion annually by 2012 .

 The growth rate of Medical Tourism Industry @
    12% in 2002 will go to @ 30% annually by 2012 .

 Up market private care in India to be worth from
    Rs.15000 crores to Rs. 30,000 crores by 2012

 Medical Tourism revenue can potentially rise
    from Rs. 5000 crores to Rs.10,000 crores per
    year.

                                                        11
 $ 17 billion Indian Healthcare Industry contributes
  about 4% -5% of GDP. It is expected to grow @ 13%
  annually in next 5 yrs.

 Health care spending in India will increase from Rs.
  86,000 crores in 2000-2001 to over Rs. 200,000
  crores by 2012.

 Private Health care share will form the largest of this
  @ Rs.156,000 crores and growth will be driven by
  rising life style diseases.


                                                        12
Anatomy of Medical Value Travel – (Eonomic
                    Potential)
 Travel tourism
       +
     pleasure, physical & mental relaxation
            +
        value addition of medical
       treatment at lowest cost

               Medical Tourism
                                            13
Advantage India
Unique medical value services to foreign
 patients that supersedes the competition :
  Yoga
   Meditation /Spiritualism
   Ayurveda healing

 “India offers a unique basket of services to an
  individual that is difficult to match by other
  countries” (CII)

 Less regulatory & legal problems
                                                   14
Economic Crisis, Credit Crisis & Recession in
 USA - Will it affect Medical Tourism market
                   in India ?

  No
  There are almost 50 million Americans
  with no health insurance
  Canada - > 700000 patients waiting for
  procedures/surgery for > 6 months- 1yr
  It can have a very positive impact on
  tourism industry in India for hospital &
  allied healthcare industry who position
  themselves in the right direction .
17
18
Planning Commission Report -

 Govt will provide ‘M’ Visa to Medical   Tourists
  on priority.
 Most patients visit from SAARC + US &UK
 Lowest cost -
o Heart Bypass Surgery -
   India       Thailand Singapore    US / UK
  $ 6000       $ 7894     $ 23,983    $19,700
o Heart Valve Replacement Surgery
  $ 8000 $ 10,000 $ 12500         US $ 20000
                                  UK & 90,000
                                                     19
Micro Economics - Comparative Cost Analysis
Metal Free Dental Bridge
 India –       US
 $ 500       $ 5500

Bone Marrow Transplant
India            US                      UK
$ 30,000    $ 250,000- $40,000        $ 150,000

Cosmetic Surgery
India       Thailand      US         Singapore
$ 2000      $ 35,00      $ 10,000        -

Spinal Fusion
$ 5500        $ 7000      $ 62,000     $ 9000
                                                  20
Need of the hour :
  INDIA NEEDS PROACTIVE GLOBAL MEDICAL
      TOURISM MARKETING STRATEGIES




                                         21
Marketing strategies to maximize
            economic potential
  Aggressive marketing & awareness programs
  globally
 Publish details of Indian Corporate Hospitals with
  core competencies – eg Cardiac Surgery – J R
  Surgery, IVF, Cosmetic Surgery, Dental Surgery

 Advertise - rates of all procedures in all
 International / International Magazines, journals,
 magazines & News Papers of the World
 Web sites – List, details, Tele & E mail ID of
 Hospitals & Executives dealing with medical
 tourism
                                                       22
 Medical Tourism Companies /Facilitator’s
 address, ISDN, E mails

 Establishment of “Indian Medical Tourism
 Corporation” :
   - International Branches
   - Liaison cell with all Indian & Foreign
     Missions
   - Brochures giving details & pictures of
   - Indian Corporate Hospitals, specialties,
      Consultant’s detail, procedure rates ,
                                             23
 Special attractive treatment, travel &
 tourism packages at competitive rates
 Package medical tourism through Travel &
  Tourism Cos.
 Health Insurance for treatment in India
 Regular Chartered Medical Tourism
  International Inbound Flights with all
  peripheral arrangements – in-flight
  medical care - Car/ ambulance transfer
  - Hotel – Hospital / Hotel – Wellness
  tourism-Return to home country– follow up
                                             24
Word of mouth business          to change to
media driven business -on line directory for
                      -
medical tourism

Need for India International MT Media
 Marketing international hospital cannot succeed
without Internet – Branding IMT must
Transparency & no intra hospital competition -
proper patient centered approach
Facilitator –Promote hospital & partners on their
Web sites.
Regular updating of web site, content & rates
                                                    25
Form Corporate Hospitals Medical Tourism
Consortium with front offices in UK, USA, Canada,
Middle East, South East Asian countries -

Medical Tourism Facility Managers - in Europe,
Middle East, South East Asia - for networking with
foreign hospitals & Consultants for patient
reference – on profit sharing per patient basis.

Form Medical Tourism Association (India)- for laying
down MT business ethics, rates, wellness tourism
policies, procedures etc.
Medical Tourism Regulatory Body /Ethics
Committee
Special Insurance Packages                      26
Collect Data base of Uninsured patients –USA,
UK, Canada & other countries – patient
segmentation

Collect Data base of patients waiting in Canada,
UK, USA other European & third world countries

Motivate Indian/International Insurance Cos for
providing low cost Procedure Covers for overseas
patients.
Approach Govt – Tax benefits for Medical Tourism
sector
                                                   27
Training Needs -for exponential economic
growth & sustainable Indian Medical Tourism

 Institutional Training – University courses
Structured courses – tailor made syllabus
Training in Tourism Marketing – Tourism Dept,
Travelling industry, Hospitality & Hotel Industry
Training modules in soft skills – MT staff
Modular Short Training Courses for Specialists/
Hospital Executives in Customer Care
Management - International Patients
Training of Spa/Wellness Institution staff
                                                    28
AHMEDABAD   BANGALORE     DELHI   HYDERABAD   MUMBAI


        MB A (Health Care Management)
                     MBA (HCM)
Two years full time PG regular course with option
to specialize in final year either in Hospital
Operations Management (HOM) or Medical
Tourism (MT)

 Degree will be awarded by University recognised
by UGC                                              29
To India




UK, USA, Canada, Middle East, South East Asia Medical
Tourists
                                                    30
Thank You



            31

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Medical tourism

  • 1. ECONOMICS OF INDIAN MEDICAL TOURISM
  • 2. Heath Tourism is to provide World Class Health treatment at competitive affordable prices”. “One of the hottest sectors in India” (Public Health Foundation of India) “A multibillion dollar industry” “India a International medical tourisms hub” Dental Surgery Joint Replacement Surgery 2
  • 3. Concept of Medical Value Tourism  Is it a new concept ? - No Dates back > thousands of years. Greek pilgrims travelled in Saronic Gulf called Epidauria, sanctuary of the healing god Asclepius  Yes. Marketing of Medical Value Tourism is relatively new concept. 3
  • 4. Economics of tourism  Tourism third largest net earner of foreign exchange  India’s share in International Tourist arrival – 2002 - 0.34 percent 2005 - 0.49 percent – total 3.92 million  The World Travel Tourism Council - “India as one of the foremost growth centre in the world in coming yrs”.  Travel & Tourism sector creates more jobs per million rupees of investment plan, than any other sector of the economy. 4
  • 5. Can we have similar Map for Medical Tourism for India ? 5
  • 6.  India has world class corporate hospitals and excellent treatment Centers in the world.  Hospital infrastructure & technology on par with USA, UK & other European countries  No waiting period  Success rate – India -- 98.7% -- US – 97.5%  Immediate attention / treatment / surgery  Best Nursing Care with compassion  Language no barrier – English speaking staff  Low cost (1/10th), high quality, affordable best healthcare 6
  • 7. Growth of International Standard Hospitals Apollo Hospital Hyderabad Max Hospital Delhi Fortis Hospital, Delhi Jaslok Hospital, Mumbai Breach Candy Hospital Wokhardt Hospital Bangalore 7
  • 8. Macro Economics of Medical Tourism 8
  • 9. Confederation of Indian Industry (C II) sponsored Mc Kinsey & Co. study.–“Healthcare in India : The Road Ahead” report:-  1.3 million medical tourists visit Asia / year  Nos. of US patients seeking cheaper care abroad - grew to 7,10,000 / year  Over 1, 50000 medical tourists travelled to India in 2002 bringing in earnings of $ 300 million.  2006-07 > 3,00000 9
  • 10.  The size of Indian Medical Tourism sector estimated in 2002 to be min 1,00000 to 1,50,000 foreign patients per year (Medical Tourists) .  The annual growth rate of Medical Tourism in India 2000 – 15% per year 2007 – 30% per year  Kerala - > 8000 patients annually. Cardiac, Ortho & Ayurveda treatment - KIMS (2007) – 40,000 medical tourism patients  Hospital ‘A’ in Bangalore - reported 900 medical tourists per year. 10
  • 11. “India’s Tourist Industry could yield from $ 1.2 billion presently to $ 2.2 billion annually by 2012 .  The growth rate of Medical Tourism Industry @ 12% in 2002 will go to @ 30% annually by 2012 .  Up market private care in India to be worth from Rs.15000 crores to Rs. 30,000 crores by 2012  Medical Tourism revenue can potentially rise from Rs. 5000 crores to Rs.10,000 crores per year. 11
  • 12.  $ 17 billion Indian Healthcare Industry contributes about 4% -5% of GDP. It is expected to grow @ 13% annually in next 5 yrs.  Health care spending in India will increase from Rs. 86,000 crores in 2000-2001 to over Rs. 200,000 crores by 2012.  Private Health care share will form the largest of this @ Rs.156,000 crores and growth will be driven by rising life style diseases. 12
  • 13. Anatomy of Medical Value Travel – (Eonomic Potential)  Travel tourism +  pleasure, physical & mental relaxation +  value addition of medical treatment at lowest cost Medical Tourism 13
  • 14. Advantage India Unique medical value services to foreign patients that supersedes the competition : Yoga  Meditation /Spiritualism  Ayurveda healing “India offers a unique basket of services to an individual that is difficult to match by other countries” (CII)  Less regulatory & legal problems 14
  • 15. Economic Crisis, Credit Crisis & Recession in USA - Will it affect Medical Tourism market in India ? No There are almost 50 million Americans with no health insurance Canada - > 700000 patients waiting for procedures/surgery for > 6 months- 1yr It can have a very positive impact on tourism industry in India for hospital & allied healthcare industry who position themselves in the right direction .
  • 16. 17
  • 17. 18
  • 18. Planning Commission Report -  Govt will provide ‘M’ Visa to Medical Tourists on priority.  Most patients visit from SAARC + US &UK  Lowest cost - o Heart Bypass Surgery - India Thailand Singapore US / UK $ 6000 $ 7894 $ 23,983 $19,700 o Heart Valve Replacement Surgery $ 8000 $ 10,000 $ 12500 US $ 20000 UK & 90,000 19
  • 19. Micro Economics - Comparative Cost Analysis Metal Free Dental Bridge India – US $ 500 $ 5500 Bone Marrow Transplant India US UK $ 30,000 $ 250,000- $40,000 $ 150,000 Cosmetic Surgery India Thailand US Singapore $ 2000 $ 35,00 $ 10,000 - Spinal Fusion $ 5500 $ 7000 $ 62,000 $ 9000 20
  • 20. Need of the hour : INDIA NEEDS PROACTIVE GLOBAL MEDICAL TOURISM MARKETING STRATEGIES 21
  • 21. Marketing strategies to maximize economic potential Aggressive marketing & awareness programs globally  Publish details of Indian Corporate Hospitals with core competencies – eg Cardiac Surgery – J R Surgery, IVF, Cosmetic Surgery, Dental Surgery  Advertise - rates of all procedures in all International / International Magazines, journals, magazines & News Papers of the World  Web sites – List, details, Tele & E mail ID of Hospitals & Executives dealing with medical tourism 22
  • 22.  Medical Tourism Companies /Facilitator’s address, ISDN, E mails  Establishment of “Indian Medical Tourism Corporation” : - International Branches - Liaison cell with all Indian & Foreign Missions - Brochures giving details & pictures of - Indian Corporate Hospitals, specialties, Consultant’s detail, procedure rates , 23
  • 23.  Special attractive treatment, travel & tourism packages at competitive rates  Package medical tourism through Travel & Tourism Cos.  Health Insurance for treatment in India  Regular Chartered Medical Tourism International Inbound Flights with all peripheral arrangements – in-flight medical care - Car/ ambulance transfer - Hotel – Hospital / Hotel – Wellness tourism-Return to home country– follow up 24
  • 24. Word of mouth business to change to media driven business -on line directory for - medical tourism Need for India International MT Media Marketing international hospital cannot succeed without Internet – Branding IMT must Transparency & no intra hospital competition - proper patient centered approach Facilitator –Promote hospital & partners on their Web sites. Regular updating of web site, content & rates 25
  • 25. Form Corporate Hospitals Medical Tourism Consortium with front offices in UK, USA, Canada, Middle East, South East Asian countries - Medical Tourism Facility Managers - in Europe, Middle East, South East Asia - for networking with foreign hospitals & Consultants for patient reference – on profit sharing per patient basis. Form Medical Tourism Association (India)- for laying down MT business ethics, rates, wellness tourism policies, procedures etc. Medical Tourism Regulatory Body /Ethics Committee Special Insurance Packages 26
  • 26. Collect Data base of Uninsured patients –USA, UK, Canada & other countries – patient segmentation Collect Data base of patients waiting in Canada, UK, USA other European & third world countries Motivate Indian/International Insurance Cos for providing low cost Procedure Covers for overseas patients. Approach Govt – Tax benefits for Medical Tourism sector 27
  • 27. Training Needs -for exponential economic growth & sustainable Indian Medical Tourism Institutional Training – University courses Structured courses – tailor made syllabus Training in Tourism Marketing – Tourism Dept, Travelling industry, Hospitality & Hotel Industry Training modules in soft skills – MT staff Modular Short Training Courses for Specialists/ Hospital Executives in Customer Care Management - International Patients Training of Spa/Wellness Institution staff 28
  • 28. AHMEDABAD BANGALORE DELHI HYDERABAD MUMBAI MB A (Health Care Management) MBA (HCM) Two years full time PG regular course with option to specialize in final year either in Hospital Operations Management (HOM) or Medical Tourism (MT) Degree will be awarded by University recognised by UGC 29
  • 29. To India UK, USA, Canada, Middle East, South East Asia Medical Tourists 30
  • 30. Thank You 31