Organized by

Knowledge Partner

About Us

Started in 2002

With the aim of providing multiple services to companies wishing to engage in any business expansion.

Team Strength

Dedicated team of over 35 employees and 15 freelancers, with rich industry experience and domain expertise.

Global Presence

Well equipped offices in India and Dubai, also present in 20 countries and 5 cities in India through channel partners.

Sectors Served

Provide actionable insights to companies across a range of industries such as Healthcare, Energy, Retail among others.

One-Stop-Shop

Services

Business Consulting Services

• Strategic and Product Marketing

• Market Entry Strategies

• Pre-testing and post launch evaluation

• Concept and Product Testing

• Identifying potential clients

• Competitive Intelligence Services

Offices

Indian Healthcare : A Snapshot

2.9 2.6

0.7

US China India

Hospital Beds/1000 Population Ratio (2013) There is only one doctor per 1,700 citizens in India India would additionally need about 4 Lakh doctors by

2020 There is a severe shortage of hospital beds and medical

facilities Approximately one Million Indians die every year due to

inadequate healthcare facilities Nearly 700 Million people have no access to specialist care

3.31

1.53

0.59

US China India

Doctors/1000 Population Ratio (2013)

Source: World Bank

Source: World Bank

In comparison US and China, spend nearly 46% and 56%, respectively

Healthcare Spending Per Capita (US$)

9559

373

78.2

US China India

2009 2010 2011 2012 2013 2014

US China India

CAGR of Healthcare Spending Per Capita (2009-2014)

3.78%

17.07%

7.57%

Indian Healthcare : A Snapshot

Source: EIU

India spends a trivial 4% of GDP on healthcare

Government spending share out of the total 4% is a meager 33%

There’s a stark lack of awareness, accessibility & affordability in Tier 2-3 cities/rural areas

Disease burden in India is soaring due to inadequate hygiene & sanitation conditions

Source: EIU

Healthcare PPPs: Overcoming the Hurdles

PPP in Healthcare

A Public Private Partnership in healthcare is defined as a legal arrangement between a governmental and a private sector entity with health promotion as the aim of all health providers

Benchmarked Performance

Capitalization of Expertise and Strengths

Synergy and Innovation

Private Sector Expansion

Target Achievement with Limited investments

PPP: Key Deliverables

Delivery of Quality Results

Types of PPP Models

PPP Models in Healthcare Segment

Build Operate Transfer (BOT)

Operation and Management

Concessions Lease

Joint Venture

Others (94%)

Healthcare (6%)

Source: Department of Economic Affairs, Ministry of Finance, GOI

1821 PPP Projects in India, as of March 31st, 2014 114 Healthcare PPP Projects by Status, as of March 31st, 2014

Pipeline, 40%

Operational, 39%

Bidding , 12%

Construction, 9%

Source: Department of Economic Affairs, Ministry of Finance, GOI

Healthcare PPP Scenario

*Others include PPP projects of construction, logistics etc.

The present share of PPPs in the healthcare sector is

very low, with only 114 projects

Healthcare PPP Scenario

Karnataka, 35%

Uttarakhand, 22%

Maharashtra, 14%

Andhra Pradesh, 10%

Assam, 6%

Punjab, 5%

Rajasthan, 3%

Madhya Pradesh, 3% Tamil Nadu, 1%

Orissa, 1%

Healthcare PPP Projects by State, as of March 31st, 2014

Source: Department of Economic Affairs, Ministry of Finance, GOI

Uttarakhand (25), Maharashtra (16) and Andhra

Pradesh (11) projects

The maximum number of projects are in Karnataka,

amounting to 40

Most of the PPP projects are based on O&M Model

In Karnataka, most of the healthcare PPP projects are in Operational phase (20 projects)

Healthcare PPP Scenario

Source: Department of Economic Affairs, Ministry of Finance, GOI

Operational, 50.0%

Pipeline, 42.5%

Construction, 7.5%

41 Healthcare PPP Projects in Karnataka by Status, as of March 31st, 2014

Majority of these projects are for Mobile Health Clinics (MHC)

MHCs benefit the poor, remote, hilly, forest and inaccessible areas

Healthcare PPP Scenario

Diagnostics, 53%

Elderly Care, 18%

Dialysis Centers, 18%

Hospital Management,

12%

Pipeline Healthcare PPP Projects in Karnataka as of March 31st, 2014

Source: Department of Economic Affairs, Ministry of Finance, GOI

Case Studies

Rajiv Aarogyasari Community Health Insurance Scheme (RAS)

Launch Year: 2007 PPP Type: O&M Private Player: Network of private and government hospitals Public Player: Government of Andhra Pradesh Objective: Improvement of access to medical care of diseases involving hospitalization through a network of health care providers for poor families Outcome: The insurance claims paid through scheme crossed INR 750 crore mark. The project covered more than 46 lakh BPL families in the 5th phase.

Operation and Management of Mobile Health Vans

Launch Year: 2009

PPP Type: O&M Private Player: Rajbhara Medicare, Jain video Public Player : Government of Uttarakhand

Objective: Aimed at increasing accessibility of preventive, diagnostic and curative services in rural areas Outcome: Rajbhara Medicare served over 49,000 patients and set up nearly 900 camps in 2 districts, while Jain Video, in 11 districts served over 3,50,000 patients and set up more than 4500 camps.

Yeshasvini Co-operative Farmers Health Care Scheme (YCFHS)

Launch Year: 2002 PPP Type: O&M Private Player: Narayana Hrudayalaya Super Specialty Hospital and Network hospitals Public Player: Department of Cooperatives, Government of Karnataka Objective: Aimed at providing medical services to a clustered and organized group of middle to low income people with poor access to healthcare. Outcome: Free outpatient treatments at hospitals totaled nearly 36,000

Management of Primary Health Centers (PHCs)

Launch Year: 1996 PPP Type: O&M Private Player : Karuna Trust Public Player : Government of Karnataka Objective: To provide comprehensive Primary Health Care with innovative initiatives of integrating vision centres, mainstreaming traditional medicine, telemedicine, emergency medical services, and mobile dental care among others Outcome: The number of PHCs in Karnataka rose to 30 in 2012-13 with the number of patient registrations in these PHCs breaching 12,000 mark

Challenges

Lack of State Governments’ directives

Exclusion of private sector in the PPP governing body

Negligible involvement of people at the grass root level

No qualitative/quantitative benchmarks

Non utilization of Unspent Budget

The Road Ahead

Draft State-specific PPP Laws/Bylaws

Incentivize Private Sector

Innovation in Health Insurance

Build Capacity for Medical Education

SHUSHMUL MAHESHWARI CEO

RNCOS E mail: shushmul@rncos.com

Website: www.rncos.com Phone: +91 120 4224700 /01 / 02/ 03

Address: B 129, Sector 6, Noida, Uttar Pradesh

India - 201301

Contact

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