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Innovation in Healthcare- Focus on market access to healthcare in emerging markets

Innovation in Healthcare- Focus on market access to healthcare in emerging markets. Mukul Bagga Business Head - Novartis. Innovation. Improvement : Unmet need/Challenge The power of observation Idea Implementation. Healthcare Innovation. Innovation in Healthcare. The Unmet need

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Innovation in Healthcare- Focus on market access to healthcare in emerging markets

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  1. Innovation in Healthcare- Focus on market access to healthcare in emerging markets MukulBagga Business Head - Novartis

  2. Innovation • Improvement : Unmet need/Challenge • The power of observation • Idea • Implementation

  3. Healthcare Innovation

  4. Innovation in Healthcare • The Unmet need • Are western Healthcare models sustainable in a developing economy like India ? • India's expenditure on healthcare is 4% of GDP vs other countries average of 10% • Percapita healthcare expenditure is Rs1500/ • Govt expense on healthcare was 28% in 2008 – the rest is private expenditure out of which 90% is out of pocket • Health insurance covers approx 15% of the population

  5. Opportunities for innovation in healthcare- The ideas? • Funding • Technology • Delivery

  6. Opportunities for innovation in healthcare- The ideas? • Funding • Technology • Delivery

  7. Innovation in Healthcare : Funding • Public /Private partnerships : the microinsurance solution • RashtriyaSwasthyaBimaYogna (RSBY) • April 2008 • 727 surgical procedures • Cashless • Monthly premium of Rs 30 per family of 5 • Total cover of approx 1 lakh • Tie up with private insurance company/Hospitals for delivery • 25 Mn BPL population covered

  8. Opportunities for innovation in healthcare- The ideas? • Funding • Technology • Delivery

  9. Innovation in Health care : Technology • Innovation= research = high Cost ? • Applicability to India • Cost • Infrastructure etc • “Frugal engineering” • Low cost • Limited training • Local sourcing

  10. Innovation in healthcare: Technology • The Appaswamy /Aurolabs revolution : IOLs & ophthalmic equipments • Serum Institute of India

  11. Different m- Health products

  12. Novartis Innovation to improve Patient Adherence with Technology • Glow Caps • Ingestible microchips • Vaxtrac • CML earth • Molecular diagnostics

  13. Opportunities for innovation in healthcare- The ideas? • Funding • Technology • Delivery

  14. Innovation in Healthcare :Delivery • What is the issue ? • Infrastructure ? • West : • Fully qualified staff • How to improve productivity? • The anti VEGF revolution • India : • Dr/patient ratio: 1:2000 • Rural population: Issue of access

  15. Non adherence is a global problem Where are we now? In developed countries adherence to long-term therapies in the general population isaround 50% and is much lower in developing countries WHO, Adherence to long-term therapies report | AMAC Spring Summit 2011 | Aunia Grogan | May 19th | Business Use Only

  16. Innovation in Healthcare : Delivery • 2 Mn RMPs – poorly trained but servicing rural areas • Use of telemedicine :Sky is the limit • World health partners (WHP) sets up a franchise called Sky clinics • Pilot project at UP • Basic clinic : “Sky care”: training for basic ailments • Set up fee of Rs 40,000 • 40-60% increase in turnoover • 1200 clics setup • Next level : ‘sky health center – connceted by PC /internet : 120 centers ; advanced diagnostics etc • Reaching 3.6 Mn population • Expanding to Bihar • 70Mn by 2014 • Future : “Sky diagnostics”, “Sky generics”

  17. Thank You!

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