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15

• Health Insurance is another potential area for investment

• A growing middle class and changing demography

posits a great opportunity in non-essential services like

cosmetic surgery and wellness

• Technology and Medical equipment manufacture is

another lucrative area for investment since it can help

counter the uncertainties from international market and

has higher potential for sustenance

Challenge of expanding access to healthcare

• Another opportunity for innovation lies in the increased

distribution of health care through telemedicine, a

process that enables doctors to monitor and diagnose

patients remotely. With 72 percent of Indian specialist

physicians living in urban areas, and 700 million

Indians living in rural areas that lack such specialists,

telemedicine has quickly become a US $500 million

market – and growing. 

• Several major hospital networks across India already have

telemedicine programs, including Apollo, AIIMS, and

Aravind Hospitals. The sector’s growth is being driven by

technological advances and increased pressure on health

care resources due to a growing population. But though

India has already established recommended guidelines

and standards for the use of telemedicine, the adoption of

this concept is positively correlated with regional income,

and some rural areas continue to lack the infrastructure to

facilitate data transfer. 

• As India’s health care industry continues to evolve, it is

clear that opportunities exist for entrepreneurs, investors

and experts to have a positive impact on people living

in low-income areas. Public/private partnerships will

remain important, and innovations will be needed –

funded by development agencies, incubators, private

investment funds and foundations. 

• Accelerators such as Ennovent will continue to move

innovations from concept to scale, working with the

organizations mentioned above and others. Ennovent

envisions a sustainable future for those living in low-

income markets – and true sustainability requires access

to quality, accessible and affordable he alth care

Newer Opportunities

• Two areas critical to a robust and efficient medical care

system are Emergency and Specialist medical care.

• Emergency care is still in a very nascent stage all across

India. With the Medical Council of India accepting

Emergency Medicine as one of the specialty, there are

huge opportunities for personnel in this area especially

Nurses, Paramedics, Technicians, and Emergency

medicine specialized doctors.

Key Players in the Healthcare Segment:

The government’s share in the healthcare delivery market

is 20% while 80% is with the private sector. Private players

have made significant investments in setting up state-of-

the-art private hospitals in cities like Mumbai, New Delhi,

Chennai, and Hyderabad. The following are the major

private healthcare providers in India

Apollo Hospitals:

Apollo Hospitals has emerged as the

single largest private hospital group in South Asia. It

operates hospitals, dispensaries, clinics, and laboratories. It

manages a network of approximately 41 specialty hospitals

and clinics with a bed capacity of over 9,000 across the

country and abroad. It has tied up with insurers like BUPA

(UK), Vanbreda (Belgium) and Mondial (France) It has a joint

venture with Singapore based Parkway Group Healthcare

PTE Ltd.

The Escorts Group:

This has a presence in specialized

cardiac treatment and multi-specialty care hospitals

providing a whole gamut of specialized medical services.

Escorts operate ten hospitals across India. The group is

also reputed for tertiary care services such as neurology,

neurosurgery, plastic surgery, and urology. Escorts Heart

Institute and Research Centre (EHIRC) has a 325-bed tertiary

care institute, with 9 operation theatres, 5 cath labs, 2 heart

command centers and world class facilities. It has carried

out over 80,000 angiographies and 43,000 cardiac surgeries

over the past fifteen years – which is a world record

Fortis Healthcare:

This is a company founded by the

promoters of the Indianpharmaceutical major, Ranbaxy

Laboratories, that started operations in 2001. It has 12

hospitals with more than 1,900 beds.It has operations

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18.00%

16.00%

14.00%

12.00%

10.00%

8.00%

6.00%

4.00%

2.00%

0.00%

90.00%

80.00%

70.00%

60.00%

50.00%

40.00%

30.00%

20.00%

10.00%

0.00%

4.30%

44.70%

45.50%

41.60%

40.40%

26.20%

56.30%

54.50%

58.40%

59.60%

73.00%

8.40%

8.40%

9.70%

4.10%

15.70%

China

Brazil

India

USA

UK

Global

China

Brazil

India

USA

UK

Global

Spending as a % of GDP

Comparison of Healthcare Spend