Category Archives: Reports,Features, Statistics

Healthcare financing in India – A challenging terrain

Health financing is beyond just figures on national policy documents. Ample and proper allocation of funds is crucial for strong infrastructure and delivery systems. India, despite emerging as a leading medical tourism hub, cuts a sorry figure in terms of meeting the twin challenges at home – access and affordability. It is supplemented by shortage of workforce and lack of infrastructure. The scene turns grim in rural areas , as against organised private infrastructure in metropolitan or Tier I cities. The doctor patient ratio in rural areas is 1:20,000, while the urban ratio is 1:2,000 against the statutory 1:250 ratio from WHO for which India requires 6 lakh doctors.

The Indian government has been making efforts to expand the reach, improve quality, reduce costs and remove socio-economic disparity apart from spreading awareness on health. There are schemes like the National Rural Health Mission and the Rashtriya Swasthya Bima Yojana – a national social health insurance scheme – which have significantly improved the system.

Yet, India’s expenditure on health as a per cent of GDP is very low compared to many emerging countries. Its private sector spending on health as a percentage of GDP is higher than that of public. The total expenditure on health as a percentage of GDP is much lower and the lowest among BRICS (Brazil, Russia, India, China and South Africa) countries.

The Government of India has decided to increase healthcare expenditure to 2.5 per cent of GDP by the end of the 12th Five Year Plan from the current 1.4 per cent.

To set the political economy of the public health expenditure right, India has to at least double its health spending and focus on its proper allocations. As the Indian challenges are unique and vast, the government alone cannot meet them. The scenario demands a consolidated effort by various stakeholders. This is imperative for new technological advancements, effective drug introduction, lowering costs, increasing awareness and preventive measures and strengthening healthcare financing.

Healthcare sector in India  is expected to witness an estimated annual growth rate of 19 per cent to touch USD 280 billion by 2020.  Over the last decade, the private sector has went on to become the major provider of healthcare services. As per NSSO 2008, the private sector accounted for 60 per cent of all in-patient admissions and 78 per cent of out-patient consultations. At the same time, private diagnostics market is growing at 20 per cent and the pharmaceuticals market at around 15 per cent per annum.

Collaboration among the various stakeholders can result in wide-range benefits to consumers. The country is scaling new heights and the boom in healthcare has increased the demand for hospital equipment, which attracts new players to the markets. The penetration of medical devices is also low and inadequate due to barriers.

Today, imports constitute around 75 per cent of the medical technology market with key items including imaging equipment, pacemakers, orthopaedic and prosthetic appliances, breathing and respiration apparatus and dental equipment.

India needs to bring down the import dependency to achieve its goal of quality healthcare for all by 2020. Modern healthcare can be made affordable and accessible through indigenous medical technological innovations. GE Healthcare has developed low cost ECG and ultrasound machines for  the Indian market. Such initiatives, when incentivised by the government, create a favourable environment for large-scale R&D/manufacturing initiatives.

As medical costs in India are cheaper compared to other developing nations, the medical tourism industry is flourishing. This has driven private healthcare providers to upgrade their infrastructure and provide world-class facilities. GE Healthcare Financial Services, offers healthcare equipment loans and leases that help medical practitioners, diagnostic centres, private clinics and super-specialty hospitals deliver better healthcare solutions.

Considering the increase in lifestyle diseases and lower per capita spending on healthcare, the demand for the sector’s expansion is sure to boost. Thus, healthcare providers need to maximise their capital budgets when acquiring the capabilities they need. GE Healthcare Financial Services partners with health-care providers and has helped over 5,000 providers through financing their capital equipment needs. It offers flexible financial solutions to help acquire a wide array of healthcare equipment.

The company, with its healthcare industry expertise, crafts financial solutions to help make latest technology accessible. Its rich experience and deep insights into the Indian healthcare industry help in quick evaluation of the underlying opportunities while maintaining budgetary goals.

To match fast-paced technological advancements, health-care providers need to constantly upgrade their existing set up. As medical equipment is expensive, GE Capital is also a preferred name which provides flexible finance options. It enables the stakeholders to meet challenges and also helps manage budget requirements, optimise cash resources and provide a solution for equipment obsolescence.

Know more about GE Capital – HFS

source: http://www.moneycontrol.com / MoneyControl.com / Home> GE Step Ahead

Medical tourism proves lucrative source of income for UK’s Health Service

Medical tourism is a lucrative source of income for the UK’s National Health Service (NHS), according to a major new study that contradicts many of the assumptions behind the government’s announcement that it will clamp down on foreigners abusing the health service.

The research flies in the face of assertions by Jeremy Hunt, the health secretary, that medical tourists cost the health service money.

Image via starmedical.co.uk

Image via starmedical.co.uk

Eighteen hospitals – those deemed most likely to be making money from overseas patients – earned £42 m in 2010, according to researchers from the London School of Hygiene and Tropical Medicine and York University. Medical tourists spent an estimated £219 m on hotels, restaurants, shopping and transport in the UK.

The researchers also found that more people leave the UK seeking medical treatment abroad than arrive in this country for care: about 63,000 people from the country travelled to hospitals and clinics abroad in 2010, while considerably fewer, about 52,000 people, came here.

The research flies in the face of assertions by Jeremy Hunt, the health secretary, that the tourists cost the health service money.

He said on Tuesday: “It’s time for action to ensure the NHS is a national health service – not an international one. With the NHS already under pressure from an ageing population, it cannot be right that large amounts of taxpayers’ money is being lost through treating people who should be paying from foreign countries.”

But the lead author of the new study, Johanna Hanefeld, from the faculty of public health and policy at the LSHTM, said the government-commissioned research published on Tuesday was “much more across the government immigration agenda than anything to do with health.”

Their work, published in the open access journal Public Library of Science (PLoS) One, looks at incoming and outgoing medical tourists. Those flying in to the UK include expat Britons living in countries such as Spain which have tightened up their own rules on access to healthcare, they say.

Some NHS hospitals earn substantial sums of money from medical tourists and others could join them in doing so, say Hanefeld and colleagues.

They used freedom of information requests to obtain figures from 18 hospitals. Great Ormond Street children’s hospital earned £20.7 m from foreign patients in 2010-11; Kings earned £7.9 m and the Royal Brompton earned £7.4 m.

People from the UK traveled abroad for procedures they could not get on the NHS or where the waiting lists were too long. The study looked at those travelling for fertility treatment, bariatric surgery (to reduce the stomach size in obese patients) and cosmetic surgery.

On Tuesday, Hunt published estimates of the amount of money that non-paying health tourism costs the NHS. This included notional sums for visitors working or studying in the UK, totaling £1.4 bn. He announced that in future there would be a charge of £150 for foreign students and £200 for temporary migrants, which would generate £200 m a year.

The government documents also attempted to put a figure on the cost of healthcare for what they admitted were the “very uncertain” numbers of “irregular migrants,” whom they estimated cost the NHS £0.3 bn. The third category was “health tourists” who had travelled with the intention of getting free treatment, said to cost the NHS between £70 m and £300 m.

But this approach takes no account of the increasing global mobility of patients, some of whom are lucrative paying customers and others who are saving the NHS money by going abroad, says Hanefeld.

“If we really want to address the issues around health tourism or patient mobility, we can’t do it as one country,” she said. “We would need international mechanisms.”

The NHS is not set up even to count the numbers of paying and non-paying health tourists, she said. “It would require a sea change in the NHS to begin challenging or following them up,” she said. Nobody had calculated how much it would cost the NHS to set up such a system.

Source: The Guardian
source: http://www.eturbonews.com / eTN Global Travel Industry News / December 20th, 2013

Apollo Hospitals Founder to explore Trichy’s potential for Medical Tourism

Dr Prathap C Reddy, Founder, Apollo Hospitals, said that he would take healthcare to the next level while exploring the potential of Tiruchirappalli (Trichy), Tamil Nadu in international Medical Tourism. He was on a visit to Apollo Speciality Hospital in Trichy early this week, Harish Murali reported in The Times of India.

“The recognition that the Apollo Hospitals receive worldover encouraged us to expand our healthcare endeavour a step further by launching Apollo Specialty Hospitals in Trichy,” Dr Reddy said. The facilities provided at Trichy Apollo are equivalent to the best available in the world. Continuing innovation by the Apollo team by leveraging modern technology has brought down the cost of medical expenditure significantly, he added.

The 225-bed hospital in Trichy was unveiled on November 7 by chief minister J Jayalalithaa through videoconferencing from Chennai. The plan for the facility was finalised in February 2011.

source: http://www.travelbizmonitor.com / TravelBizMonitor.com / Home / by TBM Staff, Mumbai / Wednesday – December 25th, 2013

Medical Tourism Booming In Baja California

Medical tourism to Baja California has risen nearly 18 percent since 2010, Mexico’s Frontera newspaper reports.

The head of Baja California’s medical tourism cluster, Karim Chalita Rodríguez, told Frontera that more than 500,000 visitors have sought medical or dental care in Baja California this year.

Photo by Jude Joffe-Block / Above: Walt Michaels of Las Vegas receives an eye exam in a Mexicali ophthalmology office.

Photo by Jude Joffe-Block /
Above: Walt Michaels of Las Vegas receives an eye exam in a Mexicali ophthalmology office.

Most medical tourists are from California, but Mexican border cities are making a big push to attract visitors from inland states as well. As we’ve reported, a van service  drives people from Las Vegas to Mexicali monthly for medical services.

The trip, at just $30 round-trip, is subsidized by the Mexicali tourism board. Authorities have even managed to get around the long border waits that might scare people off by offering special lanes to speed medical tourists back to the U.S.

More and more Latin American countries are trying to get in on the medical tourism boom. As we recently reported, a Nicaraguan hospital  is advertising to the Latino population in the U.S., hoping to lure them to the Central American country for cheaper hip replacements and artificial knees.

But these countries might soon face a new challenge in the Affordable Care Act. If it works as planned, insurance companies should cover many of these procedures for U.S. residents. If so, Latin America’s plastic surgeons and others offering purely esthetic procedures may be getting the bulk of American medical tourists in the future.

source: http://www.kpbs.org / KPBS / Home> Border> Health / by Jill Replogle / Monday – December 16th, 2013

Turkey aims to reach over $5 bln income in medical tourism

Turkey is one of the few tourism destinations which has experienced growth in recent years in the worldwide medical tourism market, says Turkish Minister of Health. 

TurkeyCT25dec2013

Turkish Minister of Health Mehmet Muezzinoglu said on Sunday that Turkey was one of the few tourism destinations which recorded growth in recent years in the worldwide medical tourism market.

Stating that Russia and the Turkic republics were the leading countries that prefer Turkey for the medical tourism, Muezzinoglu said, “There is currently an income of $2.5 billion, we aim to increase this figure over $5 billion.”

Muezzinoglu, indicating that there was a population of 1 billion living in the nearby geography of Turkey, said “Turkey is one of the few tourism destinations which has experienced growth in recent years in the worldwide medical tourism market.”

“The position that Turkey has reached today in the healthcare sector could not have been foreseen 10 years ago. Turkey, rising rapidly in a globalizing world, has further developments in health tourism which is already showing an upward slope in increasing numbers” Turkish minister added.

source: http://www.worldbulletin.net / World Bulletin / Home> Family & Health / by News Desk / December 15th, 2013