Foreign direct investment (FDI) or foreign investment refers to the net inflows of investment to acquire a lasting management

interest (10 percent or more of ownership) in an

enterprise operating in an economy other than

that of the investor.

WHO CAN INVEST ?

A foreign direct investor may be classified in any sector of the economy and could be any one of the following:
an individual; a group of related individuals; an incorporated or unincorporated entity; a public company or private company; a group of related enterprises; a government body; an trust or other social institution; or any combination of the above.

A striking feature of Indias healthcare system is the significant and growing role of the private sector in healthcare delivery and total healthcare expenditures.
Indias healthcare sector, however, falls well below international benchmarks for physical infrastructure and manpower, and even falls below the standards existing in comparable developing countries.

FDI is permitted up to 100 percent under the

automatic route in hospitals in India. In the initial stage There are only three or hospitals which according to industry persons, qualify as FDI hospitals in India.

Political Considerations Infrastructure Government Policies Labour Laws Corruption & Bureaucracy

Hospitals are likely to focus on more advanced procedures and specialty areas. They are more likely to focus on curative and intervention oriented treatment than on preventive and long-term kind of treatment. They are likely to employ a higher ratio of technology to personnel in their healthcare delivery and thus involve a substitution of human resources with technology and equipment.

Such hospitals tend to have better systems and processes and usage of IT, which creates a more efficient and professional work environment.

They are more likely to attract overseas doctors

and specialists than other hospitals. They are more likely to be accredited domestically and/or internationally.

Their costs are likely to be comparable to or slightly higher than those of non foreign funded large hospitals.

There could be positive externalities in other areas, some of which could further drive foreign investment in hospitals

Infrastructure development Upgrading and investment in technology Increased availability of high end.

Improved systems and processes

Integration of information technology in

healthcare delivery

Improved standards and focus on accreditation

Improved work environment Increased employment opportunities at all levels Greater emphasis on medical research and training Greater opportunities for knowledge transfer due to tie ups with overseas hospitals and collaborative ventures Increased insurance penetration

Higher costs of medical care Unnecessary tests and procedures violating medical ethics

Squeezing out of the poor from the market to

low quality players

Greater competition for manpower, higher

manpower costs, attrition and poaching.

Pull on resources from smaller players in the private sector and from public sector hospitals Greater divide between the public and private sector in terms of availability and quality of healthcare and wages Crowding out of local patients for high value foreign patients

The Government contributes 20% to the total healthcare expenditure in India, the remaining 80% comes from the private sector

India has one of the highest private spending in

healthcare as compared to other countries

The Healthcare industry is India is estimated

to achieve a market size of $ 77 billion by 2012

Wockhardt collaborated with Medical International Inc. USA Fortis Healthcare

Harvard with

collaborated

Partners Healthcare System, USA

Birla Heart & collaborated with Foundation, USA

Research Centre Cleveland Clinic

Max Healthcare and Singapore General Hospital (SGH) have entered into collaboration for medical practice, research, training and education in healthcare services. Apollo-Gleneagles Hospitals Ltd. is a 50:50 joint venture between Apollo Hospitals Ltd and Parkway Group of Singapore

The US-based Atlas Medical Software, which specializes in developing software solutions for the healthcare industry, has set up its operations in India. Bayer Diagnostics, one of the largest diagnostic businesses in the world. GE-BEL, a joint venture between General Electricals and Bharat Electronics Limited is the only manufacturer of X-ray and CT tubes in South Asia. UK-based Isoft Group plc (iSOFT), one of the worlds leading suppliers of application systems for hospitals and healthcare organizations.

Phillip sells about US$ 43-49 million worth of medical

systems in India.

The US-based healthcare products major, Proton Health Care is making an entry into India with its range of digital health monitoring devices.

Siemens is a leading manufacturer of medical equipment

with a market share of more than 30 per cent in India.

Wipro GE Medical Systems, a joint venture between GE Medical Systems and Wipro Corporation, is Indias largest medical systems sales and service provider.

Medical Tourism: Telemedicine: Medical infrastructure:

Indian hospitals are fast becoming the first choice for an increasing number of foreign tourists. The medical tourism market in India is worth US$ 333 million, with about 100,000 foreign patients coming in every year. The medical tourism market in India is worth US$ 333 million, with about 100,000 foreign patients coming in every year. It is estimated that revenues from this segment could touch US$ 2.2 billion by 2012, from the current figure of US$ 333 million.

It is estimated that revenues from this segment could touch US$ 2.2 billion by 2012, from the current figure of US$ 333 million. Moreover, Patents are expected to save 60% 95% of the total treatment costs in India. Government has created special visas for medical tourism. Indias capability to provide quality healthcare at a greatly reduced cost.

This is another opportunity which allows even the interiors to access quality healthcare and at the same time significantly improve the productivity of medical personnel. It is one such innovative technology, if used effectively can double utilization of scarce human resources. Today there are approximately 120 telemedicine centres throughout India.

The Indian Space Research Organization (ISRO)

plans to establish 100 telemedicine centers across the

country.

while India has yet to pass legislation on telemedicine

related issues.

The Ministry of Information Technology has developed Recommended Guidelines & Standards for Practice of Telemedicine in India.

As per the current statistics (2006) bed per thousand population ratio for India stands at 1.03 as against an average 4.3 of comparable countries like China, Korea and Thailand.

With less than 10 per cent of the Indian population having some sort of health Insurance. The potential market for health insurance is huge. The Indian health insurance business is fast growing at 50 per cent and is expected to continue growing at this pace.