http://www.ibef.org/industry/healthcare.aspx
Please refer to excerpts from recent study by Technopak advisors.
Healthcare, which is a US$ 35 billion industry in India, is expected to reach over US$ 75 billion by 2012 and US$ 150 billion by 2017, according to Technopak Advisors in their report – ‘India Healthcare Trends 2008’.
The sector offers immense potential to healthcare players as the country witnesses a rise in the incidence of lifestyle-related and other diseases. A growing elderly population and rise in income levels are also pushing for better facilities in the country.
To meet this growing demand, the country needs US$ 50 billion annually for the next 20 years, says a Confederation of Indian Industry (CII) study. India needs to add 3.1 million beds by 2018 to the existing 1.1 million, and requires immediate investments of US$ 82 billion, as per the Technopak Advisors report.
Monday, June 29, 2009
Tuesday, June 23, 2009
Future of Healthcare IT Outsouring
Please refer to my recent publication on Express Healthcare Management website
http://www.expresshealthcaremgmt.com/200906/it@healthcare02.shtml
http://www.expresshealthcaremgmt.com/200906/it@healthcare02.shtml
Monday, February 2, 2009
My problem with PHR
PHR seems to be the new panacea for all healthcare ills... vendors and consultants are in a frenzy pitching this new solution that would fix the healthcare system... the noise is huge...
To me though, there are various challenges, the definition of PHR being the first. NAHIT had to spend several hours and meeting with several groups representing different interests to get the definitions right(?) http://www.healthnewsdirect.com/?p=329.
I agree that the patient should have the right to information, but the RIGHT information.
This is where the google concept of letting patients update their clinical information becomes tricky to me.
My key concern is that, though the patient should have access to the information, when it comes to entering /editing clinical/medication/procedure info, that should NOT be left to the patient .
It's nice to have the enduser centric view of the world,but once patients tinker with their prescriptions/procedures etc, we lose the integrity of the data. The physicians cannot use this info as a source of truth and face the legal implications.
Here's my thinking on what a patient would like to see on her PHR.
Clinical& Demographic information
»Demographics
»Social/Family History
»Allergies/Alerts/Immunizations
»Clinical Information
•Diagnoses
•Lab/imaging results
•Rx history
•Inputs from home monitoring devices
•Discharge summary/
Financial
»HSA related information
»Benefits -Co-payments/deductibles etc
»User friendly statements (Explanation of Benefits)
»Medical expense management
Other
»Provider information
»Plan information
»Calendar/Schedule management
In a market place crowded with niche product vendors, each owning a piece of the data,collating all the information and displaying in a standard format is a challenge.However if major vendors,payers and providers collaborate ( which is easier said than done) this can happen.
Some of the providers provide online access to medical records to their patients. I think all providers should do the same, might be a good start.
For more, please view my ppt on role of PHR in an integrated clinical engagement model at http://www.linkedin.com/in/sajisalam
Monday, December 8, 2008
The Future of Outsourcing - Part 2 : Education and Immigration reform
To keep the US growth engine in top gear it is imperative that we find folks in the productive age group to work and to contribute towards taxes and social programs such as Social Security and Medicare.
Of course the economy has to create jobs; however a critical mass of educated workforce is also required to take on those jobs. Education and immigration reform need to be addressed head on with the talent war in perspective.
Making college education affordable is a basic first step towards creating this talent pool.
Readers would be surprised that my family spent less than US $300 (yes, three hundred dollars) for my entire medical education in India. Every year, in my home state, 100,000 students take a competitive exam to qualify for those 700 spots of almost free medical education. This is the case with several state sponsored medical schools in India. Same is the case with top notch state sponsored business and technology schools in India, where a merit based system prevails.
Guys, there is nothing wrong with “socialized” education as your politicians may have you believe!!! We all turned out just fine. It is heartening to note that several Ivy League Universities in the United States have stepped up to provide various financial incentives to attract lower income students.
If generating/mass producing homegrown talent is not working well, then the immigration policy has to streamlined to facilitate smoother flow of labor to the country.
Europe, UK and Australia are attempting to attract Indian talent with various immigration programs to fast track their economies. Labor mobility will increase in the coming years and jobs would go to where the talent resides irrespective of boundaries. Medical tourism though in its infancy is an indication that services (in this case surgery) can travel to where talent resides, even in healthcare.
Though the US continues to be the destination of choice for most immigrants, several first generation immigrants from emerging economies are making a beeline to return o their home countries to be part of the exciting growth stories there. The shape and form of immigration system in the US will have to change dramatically to retain talent.
Of course the economy has to create jobs; however a critical mass of educated workforce is also required to take on those jobs. Education and immigration reform need to be addressed head on with the talent war in perspective.
Making college education affordable is a basic first step towards creating this talent pool.
Readers would be surprised that my family spent less than US $300 (yes, three hundred dollars) for my entire medical education in India. Every year, in my home state, 100,000 students take a competitive exam to qualify for those 700 spots of almost free medical education. This is the case with several state sponsored medical schools in India. Same is the case with top notch state sponsored business and technology schools in India, where a merit based system prevails.
Guys, there is nothing wrong with “socialized” education as your politicians may have you believe!!! We all turned out just fine. It is heartening to note that several Ivy League Universities in the United States have stepped up to provide various financial incentives to attract lower income students.
If generating/mass producing homegrown talent is not working well, then the immigration policy has to streamlined to facilitate smoother flow of labor to the country.
Europe, UK and Australia are attempting to attract Indian talent with various immigration programs to fast track their economies. Labor mobility will increase in the coming years and jobs would go to where the talent resides irrespective of boundaries. Medical tourism though in its infancy is an indication that services (in this case surgery) can travel to where talent resides, even in healthcare.
Though the US continues to be the destination of choice for most immigrants, several first generation immigrants from emerging economies are making a beeline to return o their home countries to be part of the exciting growth stories there. The shape and form of immigration system in the US will have to change dramatically to retain talent.
Thursday, November 20, 2008
The Future of Outsourcing: (Part -1) who will win the talent war?
I was planning to do a comprehensive piece on this subject for quite some time ( for the last 3-4 months!!!) does not look like I'll get it all done, so here I am posting in pieces...
The United States is changing, the change was visible to any one watching the young and vibrant Obama rallies vs the monochromatic Republican rallies(?) with older citizens. This demographic shift in the make up of America, would have implications for outsourcing.
One of the challenges that US,Europe Japan and China face today is the changing demographics, especially the increase in the graying population. To maintain an aging population these economies need a critical mass of young educated work force. The critical question then becomes, where is this educated talent pool?
IT demand and supply: a hard look at the numbers
According to new data from the Computing Research Association, (an association of more than 200 North American academic departments of computer science, computer engineering, and related fields) in the fall of 2006, new computer science enrollments were at 7,840, and new enrollments are at 7,915 for the fall of 2007. Compare this with India and the contrast is stark.
Per NASSCOM, (India’s National Association of Software and Services Companies) India produced 575,000 engineers in 2007, of which 193,000 were Computer Science graduates. Despite debates on quality of the education, the sheer numbers do point to the magnitude of the talent gap.
The Professional services sector in US is expected to create 5 million jobs by 2016 a growth of 16.7percenatge.Computer and mathematical science occupations are projected to add 822,000 jobs by 2016 —at 24.8 percent growth, the fastest growing segment among professional subgroups.( http://www.bls.gov/)
To keep the US growth engine growing it is imperative that we find folks in the productive age group to work and to contribute towards taxes and social programs such as Social Security and Medicare.
The economy has to create jobs; however a critical mass of educated workforce is also required to take on those jobs. Education and immigration reform in US need to be addressed with the talent war in perspective.
I will be discussing how Education and Global Immigration Reform would play a role in addressing the talent shortage and the future of outsourcing.
The United States is changing, the change was visible to any one watching the young and vibrant Obama rallies vs the monochromatic Republican rallies(?) with older citizens. This demographic shift in the make up of America, would have implications for outsourcing.
One of the challenges that US,Europe Japan and China face today is the changing demographics, especially the increase in the graying population. To maintain an aging population these economies need a critical mass of young educated work force. The critical question then becomes, where is this educated talent pool?
IT demand and supply: a hard look at the numbers
According to new data from the Computing Research Association, (an association of more than 200 North American academic departments of computer science, computer engineering, and related fields) in the fall of 2006, new computer science enrollments were at 7,840, and new enrollments are at 7,915 for the fall of 2007. Compare this with India and the contrast is stark.
Per NASSCOM, (India’s National Association of Software and Services Companies) India produced 575,000 engineers in 2007, of which 193,000 were Computer Science graduates. Despite debates on quality of the education, the sheer numbers do point to the magnitude of the talent gap.
The Professional services sector in US is expected to create 5 million jobs by 2016 a growth of 16.7percenatge.Computer and mathematical science occupations are projected to add 822,000 jobs by 2016 —at 24.8 percent growth, the fastest growing segment among professional subgroups.( http://www.bls.gov/)
To keep the US growth engine growing it is imperative that we find folks in the productive age group to work and to contribute towards taxes and social programs such as Social Security and Medicare.
The economy has to create jobs; however a critical mass of educated workforce is also required to take on those jobs. Education and immigration reform in US need to be addressed with the talent war in perspective.
I will be discussing how Education and Global Immigration Reform would play a role in addressing the talent shortage and the future of outsourcing.
Sunday, November 25, 2007
Indian IT vendors gearing up to take on the provider market in US
Aggregated US provider and payer healthcare ICT spending was close to $26 billion in 2004 and will grow to over $34 billion by 2008, with a CAGR of 7%. By 2008 payer spending will amount to $7.5 billion and provider spending will be at $26.7 billion. (based on forecast from Research & Reports)
To gear up for this emerging trend, CSC made a $375 million acquisition of First Consulting Group along with increasing the offshore capabilities in India.The healthcare provider market currently is cornered by CSC, IBM, Accenture,EDS and Perot systems with billion dollar deals in the bag,spread over several years.
Indian IT companies have not been strong in the US provider market primarily due to the lack of availability of HL7 certified professionals in India. However, this is changing fast. In 2007 India produced the most number of HL7 certified professionals worldwide, (120) followed by US with 60 professionals.
As the Financial services sector in US continues to reel under the mortgage crisis, the healthcare market comes as a relief to the major IT outsourcing companies.
According to analysts, Syntel and TCS can capitalize on the growing healthcare provider market in US, primarily because of their extensive experience in HL7. HL7 (Health Level Seven) standards is the primary standard for data interchange in the healthcare provider market. TCS has experience working with the NHS-UK healthcare project while Syntel has deep domain expertise built from working with Mc Kesson.
To gear up for this emerging trend, CSC made a $375 million acquisition of First Consulting Group along with increasing the offshore capabilities in India.The healthcare provider market currently is cornered by CSC, IBM, Accenture,EDS and Perot systems with billion dollar deals in the bag,spread over several years.
Indian IT companies have not been strong in the US provider market primarily due to the lack of availability of HL7 certified professionals in India. However, this is changing fast. In 2007 India produced the most number of HL7 certified professionals worldwide, (120) followed by US with 60 professionals.
As the Financial services sector in US continues to reel under the mortgage crisis, the healthcare market comes as a relief to the major IT outsourcing companies.
According to analysts, Syntel and TCS can capitalize on the growing healthcare provider market in US, primarily because of their extensive experience in HL7. HL7 (Health Level Seven) standards is the primary standard for data interchange in the healthcare provider market. TCS has experience working with the NHS-UK healthcare project while Syntel has deep domain expertise built from working with Mc Kesson.
Wednesday, June 20, 2007
Non profit Pharma in developing countries to combat AIDS?
I do not claim to be an expert on non profit organizations centered around AIDS prevention or on deployment of funds by various charities.
What I come across is a flurry of activity to raise funds for AIDS awareness/prevention and debates centered around drug patents .A typical NGO seems to raise cash from the developed World and purchases patented drugs from Big Pharma. However the very fact drugs are purchased from Big Pharma at big pharma prices (probably at discount) beats the purpose.
I was wondering if there was a model where better return on capital can be achieved.
Wouldn't one be able to procure more generics from from a low cost provider based out of a low cost location ?
What if we raised funds to create a non profit pharmaceutical company in Africa/China/India that manufactures generic ARVs ( anti retrovirals) and ships drugs to the AIDS victims....
I should probably be sending a note to the Gates Foundation !!!
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