1. MEDICAL TOURISM Dr. Sanjiv Malik, Chief Executive Max Health Care

2. Medical Travel People traveling across borders for healthcare needs
Only ambulatory care can be really linked to tourism.
Tourism is recreation linked . Is health recreation linked ??
Serious ailments e.g Heart Surgery , Joint replacements etc which can be treated in Indian Hospitals without any waiting can not be linked with Tourism

3. Concept of Medical Tourism / Treatment for Foreign Patients

4. Historical Perspective
Neolithic & Bronze Age
Mineral & Hot Spring visits
Middle Ages
Thermal Springs
16th century
“Fountain of Youth”
17th/18th century
Spa
19th century
Sea & Mountain Air (TB sanitarium)
20th century
“Health Farms” or “Fat Farms”

5. Healthcare Business Facts & Figures Worlds largest after retailing
Global healthcare revenue US$ 2.8 trillion
India’s healthcare industry worth US$ 17 billion; to grow by 13% per annum for next 6 years
In 2004,India treated 1.8 Lac patients.This is to grow substantially at the rate 25-30% in 2005
Contd..

6. Healthcare Business Facts & Figures
Medical tourism could account for 3-5% of the total healthcare delivery market.
India is rated amongst the world’s “must see top ten destination” by Conde Naste (international magazine)
A study by CII Mckinsey estimates that country could earn ,000 crore by 2012
Health procedures across world show % cost difference

7. Issues for Treatment in Different Countries
SAARC , AFRICAS, MIDDLE EAST
No advance care available e.g Afghanistan , Nepal and Bangladesh etc
Limited specialized care
WEST
Long waiting - UK
Insurance unaffordable leading to semi insured and uninsured population - US
Private hospitals very expensive

8. Advantage India (Core Competencies) Quality Comfort Level
“First World Treatment at Third World Costs”
Quality
Large pool of doctors, nurses & paramedics
Strength: - Over 650,000 doctors;
- Highly skilled experts, and
- Possess English speaking skills
Comfort Level
NRI doctors recognized as amongst best in adopted countries (First World)
Usage of English
Indian Nurses increasingly getting international exposure
Contd..

9. Advantage India (Core Competencies) Value Proposition
“First World Treatment at Third World Costs”
Value Proposition
Quality medical services at 1/10th costs:
Complicated surgical procedures possible at 1/10th the cost
Increase in use of Computerized Hospital Information Systems
Software technologists facilitating tech revolution in
healthcare
State-of-the-art medical establishments of great repute
Contd

10. Comparative Analysis in USD
Procedure US UK
Burmungrad Bangkok
Max Healthcare
Raffles
Singapore
Angioplasty
30000
5000
Angiography
2000
1100
400
800
Hip replacement
19000
6000
6600
Knee replacement
CABG
6400
9600
Lasik
750
(Note: all costs in us$)

11. Advantage India (Core Competencies) No waiting Tourist Interest:
“First World Treatment at Third World Costs”
Lower Medication cost:
Strong Pharma Sector and gaining world recognition
Fast emerging as major Drug R&D Center
Strong Generic drugs business
Low cost of drug development in India
No waiting
Tourist Interest:
5000 year old civilization
Renowned for Historical, Cultural and Religious diversity
Diverse geographical landmarks; vast coastline
Traditional arts and crafts
Vibrant democracy: Freedom for citizens; empowered women population
Contd..

12. Advantage India (Core Competencies) Alternative Medicine Proposition:
“First World Treatment at Third World Costs”
Alternative Medicine Proposition:
Ancient Ayurvedic stream of medicines
Rejuvenation alternatives: Kerala’s health retreats
Naturopathy and Yoga

13. Changing Consumer Patterns
Increased visibility & ease of access to leading hospitals, doctors and surgeons who post their skills & specialties, pricing etc on websites has made available a wide choice of treatment to the overseas patients
Media is showcasing India’s ability to treat overseas patients in a comparable environment

14. Insurance
India proactively talking to Foreign Insurance companies to treat their beneficiaries in India
Cashless benefits
Hassle Free

15. CONCERNS Consumer’s Point of View Hygiene/Unsanitary Pollution
Negative Perceptions
Hygiene/Unsanitary
Pollution
Backward &
Bureaucratic
Medical Insurance
Inadequate Cover
Underdeveloped
Insurance Frauds
No Global Players
Overseas Companies
Refuse
Reimbursements
Instability
Terrorism Prone
Communal Unrest
Connectivity
No Flights!!
Bad Roads
Backward
Accreditation
No Uniformity
ISO, CRISIL, ICRA
WEST: JCAHO

16. Industry Issues Doctors Nurses & Paramedical Service
Hygiene awareness in medical attendants
Unhygienic Food handling
Heterogeneous Pricing of services
Service
Standardized education in Medical Institutions
Strong regulatory mechanism to curb quacks
No communication and inter-personal skills teaching
Nurses &
Paramedical
Deficient Language skills
Lack of Standardization
Attrition

17. PATH FORWARD (Strategy Imperative) GOVERNMENT & INDUSTRY HAND-HOLDING:
APEX BODY +
POTENTIAL
IMPROVEMENTS
SUCCESS
GOVERNMENT & INDUSTRY HAND-HOLDING:
A MUST

18. (Potential + Improvements)
PATH FORWARD
(Potential + Improvements)
FUTURE FOCUS
POTENTIAL
Uniform Medical Education Standards
Industry Accreditation Standards
Mandatory Accreditation of all Colleges & Hospitals
Target-oriented Infrastructure Investment
More Medical, Nursing colleges and Hospitals
Regulatory Bodies with Teeth
Government soft loan to Private Players
Tax Holiday & Further Duty Roll Back
Apex Industry body under Union List
Greater Industry & Govt. Interaction
Medical Insurance Reforms
Seamless Single-Window Facility to Tourists
Govt. sell India as Medical Tourism Destination
Doctors & Paramedics
Expertise Recognized
Cost Advantage
Language Skills
Vibrant Industries
IT Strength
Management Skills
Pharmaceutical Industry
Tourism Potential
Service Industry Mindset

19. PATH FORWARD (For Success)
REALIZED POTENTIAL
SPIN-OFF
INDIA
EMERGES
AS MAJOR
MEDICAL
TOURISM
DESTINATION
GDP Growth
Employment in Healthcare Sector
Employment in Tourism Industry
Overall Growth in Commerce
Reversal & Arrest of Brain Drain
Stimulus to Pharmaceuticals Industry
Growth in Insurance Industry
Better medical facilities for larger population
Catalyzes India to the Club of Global Leaders

20. Summary
Opportunity India
Opportunity Max & Others
Need to Tap

21. Thank You