Presents. NATEv th Annual Event of NATHEALTH. Reinvent-->Empower-->Heal

Transcription

1 A special NATEv 2018 edition Presents NATEv th Annual Event of NATHEALTH MINISTRY OF HEALTH & FAMILY WELFARE Reinvent-->Empower-->Heal Ball Room, 1st Floor, Shangri-La s-eros Hotel, New Delhi 16th March 2018 Industry Voices Dr. Harsh Mahajan Mr. Gautam Khanna Dr. Shakti Gupta Dr. Shravan Subramanyam Probir Das Inside the Sessions Chosen panelists give an insight into the relevance of various sessions at the event Speakers A listing of all the speakers participating in NATEv 2018 with a quick look into their profiles Opening Note by Mr. Anjan Bose, Secretary General - NATHEALTH The President s Word An in-depth interview with (Brig.) Dr. Arvind Lal, President - NATHEALTH

2 08.30 am to am -Registration & Networking Tea am to am Inaugural session NATHEALTH Audio-Visual - Our Journey so far and way ahead Welcome address by NATHEALTH Update by President, NATHEALTH Guest of Honour address by Additional Secretary and DG (CGHS), Department of Health & Family Welfare, Ministry of Health & Family Welfare, Government of India Chief Guest Address Vote of Thanks by Secretary General, NATHEALTH AGENDA Mr. Sushobhan Dasgupta (Honorary) Brig. Dr. Arvind Lal Shri Dr. R K Vats Minister of State (Health)* Mr. Anjan Bose am to 11:15 am Networking & Fellowship tea/coffee am to pm Top clinicians: Concerns and Challenges in today s Healthcare Today there is significant trust deficit between patients/ families and healthcare professionals. This is against a backdrop of easily accessible, even if questionable, information about diseases and treatment methods online and some high profile and publicised missteps by professionals. This leads to a number of critical aspects around informed consent, the cost and efficacy of different treatment paths/ choices, time starved professionals and (credible) information starved patients, medical liability and how these need to come together for a productive relationship between the healthcare professional and the patient/ family. This session on Top Clinicians is perfectly aligned with our theme Heal as it focuses on enhancing quality, access and affordability of healthcare services in India. Heal is the primary concern for all stakeholders of the sector including Governments. Moderator: Mr. Parijat Ghosh Partner, Bain & Co. (Knowledge Partner of NATHEALTH) Panelists: Dr. Ashok Rajgopal Dr. Pradeep Chowbey Dr. BK Rao Dr. Smita Sharma Dr. Jacob Chacko Korula Dr Yash Gulati pm to pm Release of NATHEALTH-Bain &Co-Knowledge Paper by Chief Guest, Hon ble Minister of State, Health & Family Welfare, Government of India, Shri Ashwini Kumar Choubey Impact of Operational Excellence in Healthcare Release of NATHEALTH-PricewaterhouseCoopers Private Limited-Knowledge Paper by Chief Guest, Hon ble Minister of State, Health & Family Welfare, Government of India, Shri Ashwini Kumar Choubey Financing and Funding Indian Healthcare : Navigating the Turbulent Tide pm to pm Chief Guest Address by Hon ble Minister of State, Health & Family Welfare, Government of India, Shri Ashwini Kumar Choubey pm to 1.15 pm Healthcare Financing & Funding Is India s Healthcare challenge still an opportunity for investors? Will stricter regulations lead to spurt in M&A and faster growth for organisa tion players? Will UHC become a reality and act as a game changer for the sector? Emerging Trends: Growth of venture capital and private equity The success of IPOs (Initial public offerings) Growth of Patient Capital and Global health Players Adoption of innovative payments models: Enhancing Health Insurance Penetration High FDI investments into the sector since the last 4 years: What do we need to do attract the next USD 5 bn? This session on Financing and Funding will achieve the goal of Empower as the sector faces acute financial crunch to meet the growing need in terms of health infrastructure. Moderator: Dr. Rana Mehta Partner Healthcare Leader, Pricewaterhouse Coopers (Concept Partner- NATHEALTH) Panelists: Mr. Ramesh Krishnan Mr. Vishal Bali Mr. Rajit Mehta Mr. Sunil Thakur Mr. Antony Jacob Dr. Om P Manchanda Mr. Vivek Kanade 1.15pm to 2.00 pm Fellowship Lunch 2.00 pm to 2.45 pm Medical Tourism Medical Value Travel/Medical Tourism: An unfulfilled potential for India Some Relevant Points Medical tourism globally is a US$17 billion market and is expected to cross US$40 billion by CAGR-17%. India along with countries like Thailand, Malaysia, Singapore, Mexico etc. plays a key role in shaping this market opportunity. Enabling ecosystem for medical tourism (covering aspects such as: ease in getting medical visas, accommodation for attendants near hospitals, forex conversion, language barrier, etc) Shifting India s positioning to value based instead of low cost Emphasis on high quality and good clinical outcomes Being able to service people from developed markets too Which will include exploring high-level agreements with medicare/medicaid and equivalent payers in addition to appealing only to the uninsured there This session on Medical Tourism will explore India s aspirations to reinvent itself as a high-quality destination for medical and wellness travel, and discuss the enabling factors needed to achieve this- both within and outside the realm of medical service delivery Moderator: Ms. Charu Sehgal Heads the Strategy and Operations Consulting practice at Deloitte India and is the National Leader for the Life Sciences and Healthcare Vertical. (Concept Partner- NATHEALTH) Guest of Honour: Ms. Rashmi Verma*, Hon. Secretary, Ministry of Tourism, Government of India Panelists: Mr. Probir Das Mr. Gautam Khanna Prof. Dr. Anupam Sibal Dr. Harsh Mahajan Mr. Harish Pillai Dr. Ahmad Mecklai 2.45 pm to 3.30 pm Primary care: Health and Beyond...Strategies for a better India 1. Government spending in India is around 1% of GDP 2. Healthcare outcomes are still short of MDG/SDG goals, often by large margin 3. Primary healthcare is the back-bone of public health; it is the last mile of delivery 4. India s Primary Healthcare system needs very significant improvement 5. What is the path forward for Primary Healthcare transformation? 6. How does National Health Protection Scheme (NHPS) impact the path going forward? What might be the way to convert the 1,50,000 sub-centres to Health and Wellness Centres? This session is aligned with our theme Heal and Empower because primary health care is the backbone of healthy India and NHP 2017 also emphasises on improving primary healthcare. Moderator: Ms. Priyanka Aggarwal Partner, Healthcare Practice, BCG India (Concept Partner- NATHEALTH) Guest of Honour: Mr. Alok Kumar, Hon. Adviser, (Administration/Health/FR/ Nutrition, WCD, Industry), NITI Aayog Panelists: Dr. Shakti Kumar Gupta Ms. Prachi Shukla Dr. Shubnum Singh Mr. Amit Mookim Dr. Shravan Subramanyam 3.30 pm to 4.15 pm Global perspective on Indian Healthcare and its evolution India has a fast-growing economy as well as an ever-expanding, ever-urbanized population. Healthcare is one of India s largest sectors in terms of revenue and employment. The sector is growing at a tremendous pace owing to its strengthening coverage, services and increasing expenditure by public as well private players. Between , the market is expected to grow at a CAGR of 12-15% and the total industry size is expected to touch USD billion by India simultaneously faces a huge challenge when it comes to providing quality and affordable healthcare to its large population. Sustainable health insurance, enabling regulations, collaborative private-public sector engagement, managing the dual burden of CDs and NCDs among others are all key imperatives and the need of the hour. The evolution of the healthcare sector is at the cross-road and a lot needs to be done to realize the full potential. This session will Reinvent India s healthcare sector from global perspective. Moderator: Mr. Karan Singh Managing Director of Bain & Company s India offices. He is a leader in Bain s Healthcare practice. (Knowledge Partner - NATHEALTH) Panelists: Dr. Jitendar Sharma Dr. Jack Langenbrunner Mr. Sushobhan Dasgupta Ms. Elisabeth Staudinger-Leibrecht Dr. Sudarshan Ballal Mr. Prabal Chakraborty Mr. Nalinikant Gollagunta 4.15 pm to 4.30 pm Networking & Fellowship tea/coffee 4.30 pm to 5.30 pm Valedictory session: National Health Protection Scheme (NHPS)- A path-breaking game changer and the way forward The provision of Rs 5 lakh per family per year for medical reimbursement under National Health Protection Scheme- Aayushman Bharat will go a long way to achieve the goals of Universal Health Coverage. The world s largest government-funded health insurance programme would help both the patients and the providers. To ensure universal healthcare access and augment healthcare-related infrastructure capacity, the emphasis was on introduction of mandatory health insurance. NATHEALH had recommended making health insurance mandatory and National Health Protection Scheme should significantly cover the insurance needs of the country. However, there are some other critical needs which have to be looked at- eg. according National Priority Sector Status to healthcare. During the recent Budget, Government announced that there will be provision of up to Rs 5 lakh per family per year for medical reimbursement be it for secondary or tertiary care hospitalisation. What are the challenges and possibilities ahead for healthcare insurers and providers? What would be the steps to implement this visionary scheme effectively? What are the potential roadblocks to such a scheme? What would the government need to do to ensure that the scheme is successful? How important is it to accord National Priority Sector status to healthcare? What would be the role of Digital Health and technology in general for enabling the success of NHPS? Moderator: Ms. Fatima Mahdi Karan, Consulting Editor, BTVI (Principal Media Partner- NATHEALTH) Guest of Honour and Introductory Remarks on NHPS: Shri Manoj Jhalani, Hon ble Additional Secretary, MOHFW & MD (NHM), Mission Director, Ayushman Bharat (NHPS), Ministry of Health & Family Welfare, Government of India Guest of Honour and NITI Aayog Perspectives: Mr. Alok Kumar, Hon. Adviser, (Administration/Health/FR/Nutrition, WCD, Industry), NITI Aayog Esteemed Participants in Deliberations: Dr. K K Aggarwal, President, HCFI (Heart Care Foundation of India) and Immediate Past National President, IMA(Indian Medical Association)(Honorary) Brig. Dr. Arvind Lal Honorary) Brig. Dr. Arvind Lal Mr. Daljit Singh Ms. Terri Bresenham Vote of Thanks: Wrapping up by MC 2 NATHEALTH March 2018

3 OPENING NOTE It is commendable for NATHEALTH to get so many multi-segment stakeholders together on a collaborative platform in such a short period with the objective to make Indian Healthcare move to the next level. India s population is evolving and ageing, with the geriatric age group expected to constitute a 11% share by Increasing urbanization has led to an explosion of non-communicable diseases (NCDs) and India now carries a dual burden of communicable diseases (CDs) and NCDs. India s NCD burden continues to expand and is responsible for around 60% of deaths in the country. Our Public-Private partnership (PPP) team has worked on developing model documentation on PPP draft concession agreement for brownfield and greenfield hospitals and also on developing ToRs/T&Cs for District Level PPPs for addressing select NCDs like CV, Cancer, Pulmonary etc. In Health for All Leveraging Digital India initiative, significant progress has been made as part of the NATHEALTH- NASSCOM MoU implementation, with BCG as the thought partner. It aligns well with the government s vision of Digital interventions for the nation s health as articulated in the National Health Policy NATHEALTH endorses the government s focus on Promoting tele-consultation linking tertiary care institutions, National Knowledge Network for Tele-education/Tele-CME and the Introduction of Electronic Health Record (EHR). NATHEALTH also supports the articulated objective of developing the National Digital Health Authority to regulate, develop and deploy digital health. In the Preventive and Wellness initiative, the team is working on preparing a clear road map through a pilot initiative in a state on integration of available data. Approximately, 63 million people fall into poverty each year due to lack of financial protection for their healthcare needs. Preventive and promotive focus with pluralistic choice is a key goal of NHP 2017 and NATHEALTH fully endorses it. NATHEALTH appreciates the goal of Interventions from early detection of issues in childhood to prevention of chronic illness, as mentioned in NHP NATHEALTH s Make in India initiative has gained momentum through the preparation of Deloitte supported Make in India concept paper, which was launched at the 3rd Annual event held in New Delhi in March The detailed policy paper focuses on addressing issues around demand, regulation, infrastructure and financing. NATHEALTH will continue to work on supporting the government s mission and help in finding out the optimum enablers to accelerate this. Through NATHEALTH, the private sector participants seek ways to collaborate with the government to provide expertise and support and thereby help in moving towards the desired goal of achieving Health for All. NATHEALTH thinks that the National Health Protection Scheme (NHPS) is a path-breaking game changer for Indian Healthcare. The provision of Rs. 5 lakh per family per year for medical reimbursement under National Health Protection Scheme - Aayushman Bharat should go a long way to achieve the goals of Universal Health Coverage. The world s largest government-funded health insurance programme would help both the patients and the providers. There is a significant scope of collaborative PPP for effective implementation of NHPS. Indian Healthcare is uniquely placed at this point of time. The positive and negatives are at constant interplay. At one end, we have taken giant strides to establish ourselves as a highly skilled medical ecosystem with excellent clinical outcomes and a very good value proposition, at the other end, our country has a massive disease burden that is compounded by significant delivery challenges of talent shortage and inadequate infrastructure. Addressing these challenges is our immediate priority and will require the joint commitment of all healthcare stakeholders. We need to continue working together in a collaborative spirit in order to achieve NATHEALTH s vision to Be the credible and unified voice in improving access and quality of healthcare. Mr. Anjan Bose Secretary General, Healthcare Federation of India (NATHEALTH) March 2018 NATHEALTH 3

4 THE PRESIDENT S WORD The Indian healthcare industry is on a high growth trajectory having evolved significantly in the last decade. However, healthcare provision remains inequitable and challenges in access to quality, affordable healthcare persist in large parts of the country. The need for innovation in healthcare in India is immense. There are multiple areas where innovators can come in to address access, cost or quality related need gaps. India s healthcare aspiration of a nation, where citizens are health aware and engaged and have equitable access to affordable health coverage with a focus on prevention, early diagnosis and assured minimum quality of care, offered by a vibrant and sustainable ecosystem of public and private players is possible through the combined efforts of the government and private sector. NATHEALTH stands for this convergence, and to deliberate more on the vision, (Hon.) Brig. Dr. Arvind Lal, President, NATHEALTH, speaks on the National Health Protection Scheme announced by the government, unfavourable policy decisions, challenges faced by our country and the role played by NATHEALTH in the healthcare ecosystem. Give us an insight into the idea behind this year s theme - Reinvent-->Empower-->Heal? Resources are one of the major problems faced by our country today; we are highly short of funds, good hospitals, doctors, nurses, and in addition of the means to implement. Thus, we have to constantly work on reinventing and innovating ourselves to give better quality and at the same time there is a need to look after the market in our country with respect to the price points, so as to provide affordable healthcare to one and all. So, this explains the idea behind this year s theme of the conference Reinvent-->Empower-->Heal. We are still seeing the industry struggling with not getting very favourable policy decisions or tax incentives. Do you think a change in the mindset is required for a better atmosphere for the private healthcare players? Government, population and media need to understand one thing that our healthcare system is one of the finest that we can produce, and today we are seeing increasingly more patients visiting our country for medical/health tourism. That is because they trust the healthcare facilities in India. Other important thing that needs to be highlighted is the availability of tertiary care in our country. Tertiary care facilities in India are not enough and in such a scenario, the government sector cannot do justice to patients, which is why they fall into the habit of going to the private players. As far as the healthcare industry is concerned, our country has the best standards in the world and one or two outliers can happen in any sector, but these things should not change the way people look at the healthcare industry, which as mentioned earlier, is extremely efficient in India. When we speak about tax incentives i.e. GST, healthcare industry is expecting that GST on healthcare services (which is waived off right now) should be at least 0% to 5% as at present the industry is not getting the input credit. Healthcare facilities have to pay tax while buying materials from suppliers and this tax cannot be recovered from the patients. Hence, at the moment, this hitch is on the healthcare provider. What are your comments with regards to the implementation of National Health Protection Scheme (NHPS)? We appreciate the NHPS as our country is in need of such a scheme. While the private players take the burden of 70% of the work load of all the patients in India, the government and its constitution are supposed to provide healthcare for all i.e. Universal Healthcare, for which they have launched this initiative, and the industry lauds it. 4 NATHEALTH March 2018

5 This step by the PM is extremely commendable, as the scheme will empower 10 crore families and 50 crore people at large. The scheme is being discussed at the highest level and is expected to be rolled out anytime between 15th August and 2nd of October this year. Currently, the scheme is only an announcement and things will become clearer as time passes by. The private healthcare & insurance sector would also be a part of this to a large extent and we can work shoulder to shoulder with the government to achieve the set vision. Indian healthcare delivery is heavily dependent on the private sector. How can the government play a more supportive role in such a scenario? Private healthcare sector looks after 70% burden of the country s health and some words of encouragement from the government would certainly play a very supportive role for the industry. Also, there is no denying that private healthcare costs have zoomed up but there has to be a sort of give and take with the government where we should be able to explain and tell them our cost points and how much our minimum affordable charges are going to be. There is a need for constant interaction with the government to explain certain costs such as, the cost of the hospital that has to be recovered, cost of the bed, cost of a highly a trained doctor, and more. Thus, the private healthcare industry and the government of India have to have a continuous dialogue to catch hold of this monster called the cost of healthcare in India. Slowly and steadily this has to come around, but with due respect for each other, so that private and public sector face one another in a spirit of co-operation and not confrontation. Reach is another challenge that our nation faces. How can all stakeholders come together and work toward this? Reach is the accessibility part of healthcare and the government needs to work on infrastructure of roads, electricity, education, and more in this entire gamut to improve accessibility. For example, if there is a patient in a rural area who has to be transported, first of all immediate treatment has to be given at a primary health centre level. For this to happen, the government has to tighten up the provision of primary care in the country by reinforcing the concept of primary health centres, which is expected to be a part of the NHPS. Second of all, if a patient meets with an accident and needs to be operated with an urgent requirement of blood transfusion, treatment must be given in the golden hour. The ambulance should work like a mini ICU with necessary equipments, trained personnel to resuscitate the patient and keep the patient alive till he/she reaches the centre. Furthermore, these specialized centres should be within the reach of patients as the golden hour would be over if a patient is unable to reach these centres in time. The centres should have a well-equipped operation theatre, surgeon, anaesthetist, a blood bank and when all these things are given to the population, the number of untimely deaths that we see around will be contained. If healthcare management at the peripheral level was to improve, we would save a lot many more of our countrymen. Management is a part of the entire ecosystem and has to come up by leaps and bounds so as to serve every single patient every single day! NATHEALTH has been working extensively since day one to bring about a change in the industry. How successful have been the efforts? NATHEALTH has been elementary successful in putting forth the healthcare industry across all the segments of the society, whether it is the population of India or the media or the government. NATHEALTH is consistently working towards creating awareness about the problems faced by the healthcare industry and is in constant touch with the government, the Prime Minister s office, Ministry of Health, and more, to understand different ways to extend help in every possible way. March 2018 NATHEALTH 5

6 INDUSTRY VOICES Mr. Gautam Khanna Secretary, NATHEALTH CEO, P.D. Hinduja Hospital and Medical Research Centre Having worked on both ends (medical device & hospitals), how do you think can these 2 sides join hands for a better empowerment of the industry? Medical devices and hospitals need to shift from a manufacturer-buyer transaction to a strategic partnership. With the growing stress on treatment quality and outcomes, patient safety and affordability of treatment, hospitals need appropriate technology, which can provide the best treatment at an optimal cost. Medical devices and hospitals should collaborate more to understand the hospital s needs and the patient profile for appropriate equipment as per local needs. They should help hospitals to increase utilization of the equipment for better productivity and efficiency. Healthcare is getting digitized and the internet of things (IoT) has entered healthcare too. Today s medical equipment have advanced features like recording and storage of patients medical data, machine learning and decision making. It s imperative that all devices need to be connected or be able to communicate with each other so that a patient s data from all possible sources is collated, analyzed and better decisions suggested. Medical device companies and hospitals could collaborate with each other to generate and data analysis for developing better technology. You have been associated with NATHEALTH since long. Which positive results have been the best stand-out from the work done by NATHEALTH till date? Ever since its inception in 2012, NATHEALTH has been doing a noteworthy job in representing the Indian healthcare sector. From time to time, NATHEALTH has continuously provided inputs from healthcare players, for the government s policymaking. NATHEALTH s regular sessions are a very good platform for sharing knowledge and best practices from national and international arena. NATHEALTH has also collaborated with NASSCOM for developing a roadmap for digital healthcare in India. It has collaborated with experts like Bain and Co., BCG etc. for publishing extensive research reports and white papers on Indian healthcare, which are being used extensively by the industry for more informed decision making and developing a suitable model for Indian healthcare. What is different about this year s NATEv as compared to all the previous editions? This year, I am excited to learn that clinicians will also present their perspective and all the members of the healthcare industry will interact and present a comprehensive holistic picture for the future of healthcare. 6 NATHEALTH March 2018

7 Dr. Harsh Mahajan Treasurer, NATHEALTH Founder and Chief Radiologist, Mahajan Imaging Why did you choose to become a part of NATHEALTH? It is absolutely important that the healthcare industry unites to leverage each other s competencies to succeed in today s world where both, quality and affordability go hand in hand. When NATHEALTH was conceptualised, it was for this very purpose, and hence it was obvious that anyone who cares about healthcare, and wants to do a good job, becomes a part of it. How can the industry work more in tandem to elevate its status further? Collaboration is at the core. We are all so dependent on each other and NATHEALTH enables us to, for the first time, speak to each other in an open forum, where client-vendor relationships don t exist. When all, payers (insurance companies), providers (hospitals, diagnostic centres) and producers (device companies, pharma companies) come together and sit in the same room, one realises that the nature of problems faced by all are the same, and the solution also generally lies with one of them. What kind of policy changes has NATHEALTH been able to influence in the last few years? NATHEALTH started talking about preventive care and wellness a couple of years ago, and just last month the government announced 1.5 lakh wellness clinics. Also, NATHEALTH has been talking about the importance of insurance for many years, and again the government announces healthcare insurance for 50 crore people. That said, I strongly believe that this is just the beginning. Mr. Probir Das Vice President, NATHEALTH MD, Terumo India Pvt. Ltd With many associations already present, how does NATHEALTH stand out? NATHEALTH is the only association which represents the entire bandwidth of healthcare in India, encompassing all its elements such as medical education, insurance, providers, home health, medical technology, health IT and health financing stakeholders/members. Therefore, NATHEALTH plays a deep strategic role in addressing India s healthcare progress end to end. How is your organisation working with NATHEALTH to address the issues of the industry? Given its unique platform, we work with NATHEALTH on 2 key fronts (a) at a more focused medical technology level where we focus on sub-sectorial matters of policy, regulatory, etc. and (b) at a broader eco-system level where we focus on more comprehensive solutions. How can the government re-invent the wheel on indigenous manufacturing of medical devices? The process has started with addressing the biggest concern to date, that of a comparatively small per capita market size/consumption. With Ayushman Bharat, we expect the Indian healthcare market to significantly scale, while better focus of quality through standard treatment guidelines, outcome registries, etc. are mandated. At the same time, if the government is able to encourage new and innovative products/therapies to be brought in by global key players, especially around those disease states, which are long term risks to the nation, there will be an increased adoption, which when combined with scale will create near market manufacturing. March 2018 NATHEALTH 7

8 Dr. Shakti Kumar Gupta Medical Superintendent, AIIMS (Dr RP Centre), New Delhi How important is it for a government-led organisation like AIIMS to be a part of NATHEALTH? Indian healthcare canvas is metamorphosing rapidly encompassing the changing paradigms of healthcare delivery, introducing quality as a major benchmark and ensuring outreach care for our populace. NATHEALTH has been created with the Vision to Be the credible and unified voice in improving access and quality of healthcare. Thus, it is gradually evolving as one of the major think tanks for healthcare policies. All India Institute of Medical Sciences was established as an institution of national importance by an Act of Parliament. It is heartening to note that the government is striving hard to expand the quality of care rendered by AIIMS to various states. This is a welcome move as this will help to decongest AIIMS in Delhi and will also help in providing more time to each referral case. The Government of India has formulated the National Health Policy The policy informs and prioritizes the role of the government in shaping health systems in all its dimensions investment in health, organization and financing of healthcare services, prevention of diseases and promotion of good health through cross-sectoral action, access to technologies, developing human resources, encouraging medical pluralism, building the knowledge base required for better health, financial protection strategies and regulation and progressive assurance for health. The policy is definitely focussed on patients and also has deliverables. AIIMS is undoubtedly the best tertiary care healthcare organisation and it surely is an enabler for ensuring quality healthcare. Government-led organisations can facilitate various constructive objectives and can provide the platform for realising the vision of NATHEALTH and hence it is vital for us to be a part of the association. As a veteran of the industry, tell us about how the industry has re-invented itself in the last one decade. The healthcare sector is the most dynamic and evolving field in the country today. It is progressing in both public as well as private sector. The industry has many facets to it, but certain trends are growing at a much faster rate, important amidst them are healthcare technology, nanotechnology, quality issues, public private partnership, patient safety, emergency medical services and facility management. Technology is the key to providing affordable health care. Some innovative technologies like RFID, barcode, smart cards, dictaphones and speech-to-text software have been the driving forces of innovations in healthcare. Nano technology is gradually becoming the order of the day and it can be utilized for improved imaging of the human (or any) body using nano probes (miniature machines) that can attach themselves to particles in the body (e.g., antibodies) and emit a magnetic field. Also, today, hospitals and healthcare institutions have increasingly realised the importance of IT. Ironically, Indian healthcare industry is still struggling with automation. The future holds augmented reality and Artificial Intelligence to deliver predictable intelligent solutions to preventive and curative care. Unlike legacy technologies that are only algorithms/tools that complement a human, AI today can truly augment human activity. Additionally, accreditation of healthcare delivery places like hospitals and laboratories are helping in medical tourism. Patient Safety too is a new health discipline that emphasizes the reporting, analysis, and prevention of medical error that often leads to adverse healthcare events. Lastly, hospitals of tomorrow should be IT-enabled, flexible, paperless, film less and green hospitals. Healing architecture and aesthetic design will make hospitals more a temple of healing than a corporate structure. 8 NATHEALTH March 2018

9 Dr. Shravan Subramanyam Member, NATHEALTH Managing Director India & Neighbouring Markets, Roche Diagnostics India Pvt. Ltd. NATHEALTH s initiatives are targeted towards bringing about a change. What is that one change you would like to see in the industry? I would like the invitro-diagnostics industry to partner with the government in making its vision of preventive healthcare become a reality very soon. Diagnostics play a critical role in protecting the health of the nation literally. While on the one hand, it enables people to understand their exact health status, on the other hand it reduces the burden of treatment and hospitalisation costs for the government. What can India learn from its neighbouring countries to elevate the nation s healthcare status? The one common thread that binds almost all countries that are advanced in healthcare management is keeping patients at the centre of every initiative and policy. While developing new initiatives and policies is important, there is a crucial need to ensure that the last mile execution brings benefit to patients and that there are methods established to check on that periodically. Some of our neighbouring countries have great examples of public-private partnerships to address specific healthcare needs. Their focus on continuous development of healthcare infrastructure and being early adopters of global technology, in addition to enhancing investments in healthcare manufacturing and R&D are some learnings from these markets that Indian can benefit from. Specifically, the government mandate of NAT (Nucleic Acid Amplification Technology) testing for blood screening in Thailand and the cervical cancer screening programme in Vietnam bring the focus back to patient benefit and preventive healthcare, both of which are relevant for the Indian healthcare industry. Looking within, we are a diverse and geographically large country; it is important that different states learn from each other on how they have been able to address key healthcare needs of their people, and in the process build capabilities that take their system higher up in the evolution cycle. What steps can be taken to make the diagnostics industry more organised? The diagnostics industry in India can play a pivotal role in enabling access to quality healthcare through remote testing with point-of-care solutions and digital pathology, while the logistics excellence of lab chains is bringing labs to the homes of people. Such access also ensures affordability and ease of testing. With concerted efforts on building access and affordability in diagnostics, this industry can be better integrated into the continuum of care across screening, diagnosis, prognosis and monitoring of diseases. In the specific instance of personalised healthcare, the diagnostics industry has a crucial role to play in partnership with the pharmaceutical business, in management of diseases like cancer. While the IVD industry is beginning to discuss the value of diagnostics amongst patients, policy makers and other healthcare companies in general, synchronised efforts by all players in the industry to promote the value of diagnostics to Indian healthcare will go a long way in efficient use of healthcare budgets, time and effort. March 2018 NATHEALTH 9

10 MILESTONES NATHEALTH MedTech Forum With 35 of global and India s leading companies joining NATHEALTH, we could provide a powerful voice to this critical segment. With this objective, NATHEALTH MedTech Forum had been created. This forum s objectives were to enable Business-to Government (B2G) advocacy and use the unique single-platform Provider-MedTech convergence for aligned action towards meeting common industry goals. Currently, MedTech Forum is chaired by Mr. Probir Das, Vice President, NATHEALTH and MD, Terumo India Private Ltd. Various advocacy work on relevant matters like Medical Technology Rules, NLEM/ Stent Pricing, UCPMP, Customs Duty, have been addressed. NATHEALTH Roundtable The session in Mumbai last June witnessed excellent participation and useful deliberations on relevant topics such as current healthcare scenario in Maharashtra opportunities for Public-Private collaboration with active participation of Dr. Deepak Sawant, Hon ble Minister of Public Health and Family Welfare, Government of Maharashtra. The session also witnessed discussions on input for Central and State Governments, healthcare challenges and opportunities in Western India. 4th NATHEALTH Annual Event - NATEv2017 Held in New Delhi on 24th March 2017, the event turned out to be a benchmark for healthcare in India and truly corroborated the collaborative spirit that NATHEALTH stands for. We again had full-house participation, comprising of NATHEALTH Members and other colleagues from healthcare, IT and other sectors, senior officials from the government, colleagues from esteemed industry associations like NASSCOM, CII and FICCI, from across and outside India and representing diverse segments. Many more shared the day with us through live webcast and social media. The highlights of the day were the launch of an update based on Funding Indian Healthcare Catalysing the next wave of growth in partnership with PriceWaterhouseCoopers and also an update based on Aarogya Bharat 2025-Whitepaper in partnership with Bain & Co. The day ended with an outstanding valedictory session Big Debate: Indian Healthcare a - sleeping giant? moderated by Ms. Shereen Bhan, Managing Editor, CNBC- TV18. It was led by our esteemed Guest of Honour Mr. C K Mishra, Hon ble Secretary, Ministry of Health & Family Welfare, Government of India. Interactions with Government Officials NATHEALTH represented to the Government on key issues for Provider, Medtech, Diagnostic and Insurance segments. Pricing, UCPMP, NLEM, Medical Technology Rules, CGHS Pricing, and more. Also, there was detailed advocacy work on GST, Budget too. NATHEALTH submitted Advocacy Note to Government departments including PMO, with suggestions on cost reduction, innovation and Digital Health, among others, which were appreciated Budget Recommendations/ GST Proposal Compiled NATHEALTH Pre- Budget/GST recommendations had been submitted to various ministries and follow-up meetings held. These have been made possible through excellent collaborative teamwork amongst various NATHEALTH Member companies. NATHEALTH s recommendations for making health insurance mandatory found its consideration in the National Health Protection Scheme (NHPS) recently announced in Union Budget 10 NATHEALTH March 2018

11 MILESTONES NATHEALTH on International Platform During Australia-India Digital Health Dialogue held in New Delhi on 29th August 2017 arranged by Australian Trade and Investment Commission (Austrade) Australian Government where Secretary General, NATHEALTH presented the overview of the sector, technology companies and gaps in the market through his keynote address and participation in panel discussions. Fellow panelists were Australian and Indian delegates Mr Vikram Thaploo, CEO, Apollo Telehealth Services, Mr Tim Kelsey, CEO, Australian Digital Health Agency, Mr Satyaprakash Dash, Head- Strategic Partnerships, BIRAC, Dr Shubnum Singh, Director-Medical Education, Medical Research & Advisor- Healthcare Framework, Max Healthcare Institute Ltd, Ms Browny Evas, Chairperson, MTP Connect and Dr Yogi, CSIRO. NATHEALTH CSR NATHEALTH took the initiative of showcasing its member companies CSR (Corporate Social Responsibility) activities. This has been put in NATHEALTH website as well as binders are distributed. NATHEALTH as a partner Network 18 invited NATHEALTH Secretary General Mr. Anjan Bose to be in its jury panel for Healers of India Awards on 7th Feb NATHEALTH Secretary General was invited to be part of townhall panel discussion on Universal Health Coverage in India enabled by Emerging Technologies by CNN News 18 on 19th January NATHEALTH participated in India Health & Wellness Summit and Awards in New Delhi on 14th December, 2017, as Event Partner. NATHEALTH participated as Association Partner for the 5th Edition Healthscape Summit- India 2017 in Bangalore on 30th November and 1st December NATHEALTH participated in BMJ South Asia Awards 2017 in New Delhi on 18th November 2017, as Event Partner. Business World (BW) 4th Healthcare Summit and Awards held in New Delhi on 24th August 2017 where (Hony.) Brig Dr. Arvind Lal, President, NATHEALTH and Chairman & MD, Dr. Lal PathLabs Ltd and Mr. Anjan Bose, Secretary General, NATHEALTH were in the session Medical Devices Media Coverage & Advocacy NATHEALTH, in the last few years, has positioned itself as a thought-leader of the sector and its recommendations have been found valuable by the policymakers, media and the general public. NATHEALTH s press releases and authored articles have gained widespread coverages and appreciation. Some of NATHEALTH s recommendations have found their places in the National Health Policy-2017 and Budget NATHEALTH Forums and Chapters NATHEALTH s uniqueness as the apex, collaborative, inclusive body in Indian healthcare is best reflected in representation of various segments. Accordingly, NATHEALTH has provided a highly-appreciated common platform through creation of Providers Forum, Medtech Forum, Diagnostics Forum, Insurance Forum, Home Healthcare Forum, Western Chapter and Eastern Chapter. These have given the healthcare sector and NATHEALTH Member companies a unique opportunity for continued meaningful deliberations on relevant issues and have helped in creating various roadmaps March 2018 NATHEALTH 11

12 SPEAKERS Shri Ashwini Kumar Choubey Minister of State for Health & Family Welfare Elected to the Bihar Legislative Assembly for five consecutive terms, he coined the slogan Ghar-ghar me ho shouchalaya ka nirman, tabhi hoga ladli bitiya ka kanyadaan and helped in constructing 11,000 toilets for Mahadalit families. He represents Bihars Buxar in the Lok Sabha and was a member of the Parliamentary Committee on Estimates, Standing Committee on Energy and Consultative Committee on Health and Family Welfare. He is also a member of Central Silk Board. Shri Choubey held portfolios such as Urban Development, PHED and Health both in NDA I ( ) and NDA II ( ). A Bachelors in Zoology from Science College, Patna University, he has also authored a book - Kedarnath Trasadi based on the 2013 deluge in Uttarakhand. He, along with his family, had escaped the Kedarnath floods. Shri Alok Kumar Adviser, (Administration/Health/FR/Nutrition, WCD, Industry), NITI Aayog He is a U.P Cadre IAS Officer of the 1993 Batch. He has a B Tech degree in Electrical Engineering from IIT Delhi and a Masters degree in Public Policy form the Woodrow Wilson School, Princeton University. He is currently working as Adviser (Health & Nutrition) at the NITI Aayog - the apex policy think tank for the Government of India. NITI Aayog has been designated by the Government of India to be the nodal body for the monitoring of the implementation of the SDGs. Previously, he has held several senior positions in the Government, including a stint at the Staff College training Senior Civil Servants in India. Shri Alok Kumar has abiding interest in issues related to health policy. Dr. RK Vats Additional Secretary and DG (CGHS), Department of Health & Family Welfare, Ministry of Health & Family Welfare, Government of India He has been the Principal Secretary to Government with the Statistics & Programme Implementation Department. Dr. Vats has also served as a Director at Housing and Urban Development Corporation Ltd. He also was the Director of Hindustan Prefab Ltd. and the National Buildings Construction Corporation Ltd., until November 30, Dr. Vats has also been the Project Director Joint Secretary at the Health & Family Welfare Dept., Medical Services Corpn Ltd West Bengal. Mr. Satyajeet Rajan IAS Director General, Government of India, Ministry of Tourism The IAS 1987 Kerala cadre official was previously Principal Secretary of Personnel & Administrative Reforms Government of Kerala; Managing Director of Kerala State Industrial Development Corporation (KSIDC) and has been associated with the Ministry of Defence and the National Disaster Management Authority (NDMA) in the past. Mr. Manoj Jhalani Additional Secretary, MOHFW & MD (NHM), Mission Director, Ayushman Bharat (NHPS) Ministry of Health & Family Welfare, Government of India An MBA in Public Service from the University of Birmingham, U.K., Mr. Jhalani is also a B. Tech. in Electrical Engineering from I.I.T., Kanpur. He is an MP cadre IAS officer of 1987 batch. He has had an extremely rich and wide experience in leading, co-ordinating, and monitoring the design and implementation of policies and programmes of social and economic development at national, state, district and sub-district level. He is presently Additional Secretary & Mission Director of NHM and Mission Director, Ayushmaan Bharat the two flagship programms of the Ministry of Health. 12 NATHEALTH March 2018

13 Top Clinicians: Concerns and Challenges in today s Healthcare Dr. Jacob Chacko Korula, Former Prof. & HOD, CMC Vellore & currently attached to Mission Hospital, Bangalore What are the major causes of trust deficit in Indian healthcare right now? The institution of a family doctor is fast vanishing. This person was someone who knew the entire family, and he or she was in turn trusted by the whole family, often for several generations. Currently, the situation most often is that a person picks a doctor, clinic or hospital according to the need of the hour, there is hence no continuity of care and very likely no time to build up a relationship. There is also a tendency for patients to seek information from Dr Google. The information though factually correct can never give the whole picture as management of a condition is often dictated also by the situation. There are also frequent exposes of wrongdoing by the medical community, which could be perceived as unethical practice, or accumulation of huge wealth. Due to the detection of crores of rupees having been paid to doctors by diagnostic centers, patients tend to generalise and paint all doctors with the same brush. The patients feel that doctors are ordering unnecessary tests to obtain kick backs from laboratories. The tendency to litigate forces doctors to practice defensive medicine, which makes them order a lot more investigations, which in turn makes the patients suspicious. The cost of medical education can be very expensive in some of the private medical schools and graduates feel that they need to recoup their investment in a hurry and may overcharge, adding another point of discontent. How can this relationship be made stronger? This is a long drawn out process and involves both parties. From the doctors side, they have to be absolutely honest in explaining to the patients condition to all concerned, the line of investigations to pursue, likely costs of investigations, treatment options and costs involved, and expected outcome. It is imperative to communicate in a language that all concerned comprehend, use an interpreter if required. Keeping the lines of communication open is vital. More importantly from the patient and family s point, it is essential that they trust the doctor to practice what is drilled into any medical doctor: primum et nocere i.e. above all, do no harm. What is the biggest challenge to overcome? There has to be a commitment from the medical fraternity to ensure that ethical care of the highest order will be provided. They need to keep the patient and family appraised of each new development; if necessary, meeting them more than once a day to brief about the situation. This is a huge commitment of time but is essential and in the long run avoids much recrimination and litigation. Resolve not to accept freebies. This will help in convincing the patient that the caregiver will not order non essential investigations or medications. How can all stakeholders join hands to ensure more affordability to patients? Remember that every worker is worthy of his wages, be reasonable in tariff charged for consultations, procedures and any other service provided. In case of medications, prosthesis, disposables there is often a large mark up between supply price and MRP. Keep in mind that the M stands for maximum and not minimum. Rationalise charges and automatically the cost of medical care will come down. March 2018 NATHEALTH 13

14 Dr. Pradeep Chowbey Executive Vice-Chairman Max Healthcare Institute Ltd. He is Honorary Surgeon to the President of India, Honorary Surgeon to the Armed Forces Medical Services (AFMS) and Surgeon to His Holiness the Dalai Lama. He was awarded the Padma Shri in 2002 for his dedication and service in the field of Minimal Access Surgery by the President of India. Dr. Chowbey has served various associations as President. Dr. Chowbey in association with his team in the Institute has performed more than 75,000 minimal access surgeries from 1990 to 2017 and features in Limca Book of Records in consecutive editions Dr. Chakko Korula Jacob Current President Indian Society of Nephrology & previously Professor and HoD-Nephrology, Christian Medical College Vellore He has four decades of experience in the field of nephrology. Dr. Jacob has had advanced training in nephrology dialysis and transplantation at the University of Alberta Edmonton Canada and at the Queen Elizabeth Hospital South Australia. He has also worked as a specialist in Nephrology for the government of Brunei. He has over 120 publications in peer reviewed journals of nephrology and transplantation and has contributed chapters for text books of general medicine as well as nephrology. Dr. B K Rao Chairman, Dept. of Critical care and Emergency Medicine, Sir Ganga Ram Hospital, New Delhi Padma Bhushan Dr. Rao is an alumnus of Maulana Azad Medical College, Delhi, completed his medical graduation in 1975 and post-graduation in Anaesthesiology in He is a post graduate teacher, researcher, and a pioneer in setting up the critical care medicine specialty in India. Dr. Rao has over 30 publications including journal articles, research papers and book chapters. He is also the Chairman of ASSOCHAM National Committee on Hospitals and Healthcare. Dr. Rao is former Chairman, Board of Management, Sir Ganga Ram Hospital; and Member, Board of Governors, Medical Council of India. Dr. Yash Gulati Senior Consultant-Joint Replacement and Spine Surgeon, Apollo Hospitals, Delhi and Advisor, Orthopedics Apollo Group of Hospitals & Visiting Senior Specialist RAK Hospital, UAE Dr Gulati is a specialist in knee and hip replacement, key hole spine surgery and sports injuries. He has received the Padma Shri, Dr. BC Roy National Medical Award, was the Hon. Surgeon to President of India, Hon Consultant, Indian Armed Forces, Hon. Consultant, Border Security Force; and he is the only one in the country to have all above five honours. He has popularized gyroscope-based computer navigation for knee replacement in India. Ms. Prachi Shukla Founding Member & Country Director for India, World Health Partners She oversees all operations in the country and serves as a liaison between the state offices in India, donors, development partners and government. She has over 17 years work experience of leading and managing large social sector programs aimed at improving health of the poor in partnership with communities, government, development agencies and private sector. Her core expertise is in strategy development, establishing innovative service delivery platforms and developing value driven high performing organization culture. 14 NATHEALTH March 2018

15 Healthcare Financing & Funding Mr. Sunil Thakur Director & COO, Quadria Capital Investment Advisors Pvt. Ltd. What makes Indian healthcare attractive for investors? It is the sheer size of the demand and the deficiency in supply. On a large population base of 1.2 billion, >40% of the population does not have access to essential medicines and over 400 million people do not have access to basic healthcare. This is in a market that has a GDP of over USD 2.2 trillion, growing at 7% plus rate, is home to the best global engineering, IT and medical talent pool, and is a leading global player in generic pharma. While this seems paradoxical, it is here where one spots the opportunity. In spite of the increase in investments, the Indian healthcare industry is grappling to meet the demand. Why? Most of the investments that happen in the private sector are heavily concentrated around urban centers and mainly for secondary and tertiary care models. Whereas the big need, the inroad to bridge the demand gap, is to set up infrastructure in the rural sector with strong emphasis on primary care. There is a heavy imbalance in the eco-system, as >75% of the doctors cater to just about 30% of the population and 60% of the hospital infrastructure lies in urban centres. So, while Delhi has 22 beds/10,000 pop, states like Jharkhand and Bihar will have 3 beds/10,000 pop. There are a lot of talks about possible M&As on the anvil. Do you think this is a trend where the future is headed? Yes, I believe so. Since a lot of capacities have come up in the urban centres, I feel that the deep pocketed regional, national and international players may start consolidating these assetsand that could lead to M&A. Also, the recent buyouts carried out by PEs have set the tone for an increasing M&A activity in this sector. How will the recent Budget announcement on insurance coverage empower the industry, especially as there will be a focussed effort on it now? It looks very positive at the outset. The sheer size of coverage both in terms of population and amount seems attractive, both to the insured and to the providers. It will bring in more than 250 million population, who till now were not covered through any form of insurance. Also, the fact the providers will now have to deal with single and uniform system of payment mechanism, will make life easy for them. But the challenge will lie in the effective implementation of the model. While we hear the government has thought about most of the critical aspects, we will have to wait and see how it gets implemented. That said, we are hopeful that it will augur well for the industry. March 2018 NATHEALTH 15

16 Dr. John ( Jack ) Langenbrunner Senior Program Officer, Bill and Melinda Gates Foundation He is a Health Economist with both research and operations experience. He was most recently an Advisor for Social Health Insurance in Indonesia from 2013 until mid Previous to that, he was a Lead Health Economist for the World Bank in China and co-ordinated a Health Financing and Health Insurance Thematic Group within the Bank. Dr. Jack s most recent books are Health Financing and Universal Health Coverage in Indonesia: Policy Notes (2015) and Financing Health Care in East Asia and the Pacific: Best Practices and Remaining Challenges, (2012) coauthored with Aparnaa Somanathan. Dr. Shakti Kumar Gupta Medical Superintendent, AIIMS (Dr RP Centre), New Delhi He is an alumnus of Government Medical College, Jammu and commenced his medical career at grass-root levels as an Assistant Surgeon in J&K Health Services. He has mentored more than 45 postgraduate & PhD students, conducted 112 research studies, published more than 71 research papers published in several national and international journals of repute. He has also been the Principal Investigator of WHO projects on Public Hospital Governance: AIIMS-A case study. Mr. Ramesh Krishnan CEO, India Operations Division, Parkway Pantai Limited His areas of expertise include business leadership, P&L management, strategic planning, and post-merger integration, M&A, business development and key account management. Under his stewardship, Parkway Pantai has witnessed massive expansion in India and continues to be a thought leader in tertiary healthcare. Mr. Krishnan is an MBA in International Business from Indian Institute of Foreign Trade. Prior to Parkway Pantai, Krishnan was associated with pharma giants such as Fortis Healthcare, Piramal Healthcare and Aurobindo Pharma; where his key forte was to strategize and implement business growth both organically and inorganically. Ms. Fatima Mahdi Karan Consulting Editor, BTVI She has been a leading anchor and producer since She holds a Masters in Diplomacy, Law and Business as well as degrees in Economics and International Relations. Fatima anchors Lunch Money and Markets Rewind, together with Women Mean Business. Mr. Sushobhan Dasgupta Past President, NATHEALTH & Managing Director, Johnson & Johnson Medical India and Vice President, Orthopaedics, Johnson & Johnson Asia Pacific A gold medallist in Business Administration from Jadavpur University and a Master of Science degree in Human Physiology from Presidency College, Kolkata, Mr. Dasgupta joined Johnson & Johnson in April Over his 25-year career with J&J, he has lived and worked in several developed and emerging markets such as USA, UK, Germany, Singapore and Australia/New Zealand. He is the immediate Past Chairman of the FICCI Medical Devices Forum and currently Chair Finance, Healthcare Sector Skills Council. 16 NATHEALTH March 2018

17 Primary care: Health and Beyond... Strategies for a better India Ms. Prachi Shukla Country Director, India World Health Partners Quick 5 points on how India s broken primary healthcare segment can be made stronger Preventive and primary care are entry points: It is a truism in the health sector that the unwavering focus should be on preventing onset of illnesses and on ensuring that simple illnesses don t get serious and life threatening. A fifth of the ill in rural (and urban) areas deny themselves treatment. Since three fourths of India continues to live in its 680,000 villages, this crisis warrants a here and now response that strengthens existing processes and structures to address the health needs of the communities that inhabit them. Integrated approach: It is important to recognise that the formal private sector is barely existent in rural areas which are almost entirely dependent on a vast but dysfunctional public sector network for quality healthcare. Strategically, therefore, the first step is to realise the full potential of the medical and material resources in the public sector to deliver primary and preventive health and use the private sector to make up for the shortfall through remote digital systems. Technology: Healthcare has largely become digital but its adoption varies significantly between the public and private sectors. The use of technology will need to extend beyond provision of services to cover supply chain, real-time metrics and communication support to inform and empower the community. Framework for strengthening PPPs: The government needs to develop competence to engage with the private sector in order to harness all the national resources. WHP has successfully established a model in its Patna and Kolkata TB projects which will transition to the government in due course. Data analytics: The primary need for data analytics is to manage programs remotely in order to handle scale. This requires generation of real-time metrics that will enable program managers to identify trouble spots and initiate remedial steps. Digitisation is the magic wand that makes it possible. How can there be stronger monitoring & accountability? The poor quality of public healthcare services in India is linked primarily to the lack of adequate data and monitoring. Public-private partnerships can help monitor delivery of services. Going digital will help store all consultations and prescriptions on a server, which will allow one to centrally monitor all aspects of the consultation in real time or offline. Thereby, it will reduce instances of fudging. For example, WHP s intervention in Gorakhpur has a system that is tailored to generate real-time reports of availability and performance of personnel in the government facilities and to facilitate prompt release of incentives due for each ASHA. So far, within a span of two weeks, WHP has been able to consult over 300 patients. March 2018 NATHEALTH 17

18 Mr. Prabal Chakraborty NATHEALTH Senior Leader Vice President and Managing Director, Boston Scientific India He comes with a rich experience of over 20 years having held important leadership positions. His forte lies in providing direction to large teams, setting up and growing new businesses in a complex and fragmented market and developing the people capabilities. His previous assignment has been as Vice President and Member of the Indian Management Board, Johnson & Johnson Medical Devices & Diagnostics, India. Mr. Chakraborty holds a Bachelor of Electrical Engineering from Jadavpur University, Kolkata, India and an MBA from the Indian Institute of Management (IIM), Lucknow, India. Mr. Vishal Bali Executive Chairman, Asia Healthcare Holdings Pte., a TPG Growth healthcare delivery platform He brings with him 25 years of experience in building and leading global healthcare delivery organizations, scaling healthcare businesses in both developed and developing countries through a combination of organic and M&A driven strategic growth. He has worked with a highly talented multi-cultural global team based in Singapore, Australia, India, Hong Kong, Vietnam, Sri Lanka, Dubai and other countries. Mr. Bali is also Co-founder & Chair of Medwell Ventures. Prior to his current assignment Vishal was the Group CEO for Fortis Healthcare Limited. Ms. Terri Bresenham President & CEO, Sustainable Healthcare Solutions GE Healthcare Her role includes regional leadership of GE Healthcare s operations in India and South Asia, Africa and Southeast Asia, focusing on addressing customer needs across these regions and working with governments, clinicians, private operators and NGOs to support their complete healthcare system development; from start-up phase through to established healthcare infrastructure build out. In this role, Ms. Bresenham also leads GE Healthcare s investments in affordable technologies, including the major R&D centers in China and India. Ms. Elisabeth Staudinger President Asia-Pacific, Siemens Healthineers She leads the business for Siemens Healthineers in Asia Pacific since Ms. Staudinger has studied Chinese and economics in Vienna, Nanjing, and Beijing and holds master s degrees in both subjects. Elisabeth joined Siemens in 1988 and has worked in international management roles spanning from procurement to strategy, marketing, manufacturing, and business unit CEO, spending time both in Germany as well as Shanghai, China. Elisabeth is passionate about innovation. To enable access to healthcare it will not only take smart new technologies but also new business models. ( Hon.) Brig. Dr. Arvind Lal President, NATHEALTH & Chairman & Managing Director, Dr. Lal PathLabs Ltd. He is an alumnus of the Armed Forces Medical College (AFMC), Pune, and in 1977, Padma Shri Brig. Lal took charge of Dr Lal PathLabs, the medical diagnostics laboratory founded in 1949 by his late father. Dr. Lal has revolutionized laboratory medicine by introducing the maximum number of new tests, instruments and ICT (Information, Communications, Technology) systems in India. He is accredited to having the first PPP (Public Private Partnership) in the field of laboratory testing with the Govt. of Tripura since 2004 and later with Govt. of Gujarat for testing over 30,000 new born babies in NATHEALTH March 2018

19 Medical Tourism (Prof.) Dr. Anupam Sibal Group Medical Director, Apollo Hospitals Group How can India compete with countries like Thailand and Malaysia to attract more numbers? The Indian Medical Value Travel (MVT) sector has grown rapidly in the past decade. As per a recent report by the Home Ministry, in 2016, over 200,000 medical visas were issued to international patients. The absolute number and source countries themselves have shown an increasing trend over the past few years, which is a testament to the quality and outcomes offered by healthcare providers in our country. While India is today amongst the leading MVT providers, competitor countries like Thailand, Malaysia and Singapore have had an edge over us. Though these countries and others have enjoyed a head start, India is fast catching up with the government ushering in a series of reforms to help India lead the pack. The e-visa policy has eased the access to India, while a more concerted push by providers, industry bodies and our embassies and high commissions has helped increase MVT to the country. Going forth, uniform visa fees for medical visas, dedicated channels for immigration and customs, patient help-desks etc. can help improve access to India. Similarly, fiscal and non-fiscal benefits to providers will help boost numbers and revenues vis-a-vis MVT in India. How can India work on projecting itself as more value-based than being a low-cost provider? While costs had been an initial driver for patients seeking advanced medical treatment to India, over time, there has been a phase of maturation in the Indian MVT sector. Initially, patients were seeking the sharpest possible treatment irrespective of any other factor. India is offering a more holistic environment for patients that goes far beyond just costs. Indian culture and heritage, our hospitality and warmth towards travellers have all played a part in making India a more welcoming proposition. While accreditation helps Apollo ensure a safe environment, a focus on measuring and ensuring excellence outcomes helps meet expectations of patients. These twin propositions, highly quality outcomes and competitive costs, are both important for us as we increase MVT in India.While accreditation helps Apollo ensure a safe environment, a focus on measuring and ensuring excellence outcomes helps meet expectations of patients. These twin propositions, highly quality outcomes and competitive costs, are both important for us as we increase MVT in India. Going forth, we must invest in creating more awareness amongst potential MVT patients on these twin propositions along with the infrastructure and technology available at Indian hospitals. What roles can various stakeholders play to enhance medical value travel in India? All stakeholders must learn from competitor countries who have aligned all resources to expand MVT in their respective markets. A unified Medical Tourism Policy, incentives for providers, a push from Embassies and High Commissions will all go a long way. MVT was poised as the next-big-thing some years back; but we haven t been able to churn the best out of it. Why? I would not fully agree with the statement. India has been making progress in expanding MVT - the increase in Medical Visas is a testament to this. Also, while many steps are needed to act like a force multiplier for the sector, India is widely considered as amongst the leaders in MVT the world over. March 2018 NATHEALTH 19

20 Mr. Daljit Singh Senior Vice President, NATHEALTH & President-Fortis Healthcare Limited He has over 43 years of rich management experience in the corporate sector. A graduate from the IIT Delhi, Mr. Singh was a Commonwealth Scholar to the Senior Management Programme at the Manchester Business School. He has been a pivotal member of the top management team of Fortis Healthcare that conceptualized, formulated and implemented Fortis growth strategy to position it as India s leading healthcare delivery organization in a short span of almost 16 years. Mr. Probir Das Vice President, NATHEALTH & Managing Director Terumo India Pvt. Ltd. He has a medical technology industry experience of almost 3 decades and leads Terumo s businesses in India and South Asia for Cardiac & Vascular and Hospital Products segments. Mr. Das started with Terumo in mid-2012 and has been instrumental in setting up the Indian subsidiary organization from scratch. He is actively engaged as the Chair of NATHEALTH s Medical Technology Forum, Chair of Federation of Indian Commerce and Industry s (FICCI) Medical Device Forum, Director on Board for Medical Technology Association of India (MTaI), and India Executive Committee Member of AdvaMed. Mr. Gautam Khanna Secretary, NATHEALTH & CEO, P.D. Hinduja Hospital and Medical Research Centre He is also the Head of Hinduja College of Nursing. Prior to this role, Mr. Khanna was the Executive Director and Country Business Leader of the 3M Healthcare Businesses for South Asia region. He has around 28 years of industry experience internationally and in India. He has held the position of the Chairperson of FICCI Medical Device Forum, Co-Chairman of AMCHAM Medical Device Committee, Chairperson of India Working Group, Advamed and has been a Member of CII National Committee on Healthcare. Currently, he is the Vice President of AOH [Association of Hospitals, Maharashtra India] Dr. H. Sudarshan Ballal Governing Council Member, NATHEALTH Chairman Manipal Hospitals, Manipal Health Enterprises Pvt. Ltd. He has the rare distinction of being appointed as Professor of Medicine with St. Louis University School of Medicine (USA) and is also Adjunct Professor of Medicine at Manipal University. He was conferred the fellowship of the Royal College of Physicians, London for his contribution in Medicine. He was also awarded the prestigious Rajyotsava Award by the Government of Karnataka in 2005 for his contributions in the field of Medicine. He also has been bestowed with the prestigious Dr. B. C. Roy Award & the Namma Bengaluru. Mr. Rajit Mehta Governing Council Member, NATHEALTH & Managing Director & CEO, Max Healthcare He is also a Non-Executive Director at Max Life Insurance, Max Skill First and is a trustee of Max India Foundation the CSR arm for Max Group of Companies. In addition, he is the Chairman of CII Northern Region Committee on Healthcare, Member of CII Northern Regional Council & Member of CII National Healthcare Council for the year Mr. Mehta provides strong leadership in helping Max Healthcare in achieving its vision of being the most admired healthcare company in India known for clinical and service excellence. 20 NATHEALTH March 2018

21 Global perspective on Indian Healthcare and its evolution Dr. Jack Langenbrunner Senior Program Officer, Bill & Melinda Gates Foundation How can India work harder to be better placed on the global healthcare map? The countries that have moved up to the whole middle-income level, and India too has that potential, they really invested in human capital. It has got two aspects. One is the health aspect including nutrition and other health interventions to make sure that this young group of people develop their full physical and mental capacities. And then of course, education. India stands as a powerful example of how embracing a culture of innovation across sectors such as IT, R&D and finance can accelerate progress. India must harness its intellectual firepower in science, research and digital technology and unlock the potential of its large youth population, to deliver novel solutions for health, social development and poverty reduction. High-quality data and evidence are crucial for effective public decision-making. India needs a data-revolution if it is to develop and implement public policies and actions that will enable it to achieve its ambitious SDG targets in health.ost numbers and revenues vis-a-vis MVT in India. What are the 5 major impediments to our growth? The first is that the global economy is in flux. The assumption that global trade would continue to grow as a percentage of the world economy no longer appears to be true. In fact, global trade is recently declining somewhat and so to sustain a country level growth of 7-8%, India will have to both increase its share of global exports and take steps to expand its vast internal market, whether it s inefficiencies, land issues, labour issues, tariff and taxes, there is a lot that can be done. Another trend is what s going on in energy. We all realise today that both on a local and global basis, hydro carbon energy can create problems. Then we have the trend of climate change. Of course, that is connected to the world s energy system and it will have big implications for food security. Given that India has 55 to 60% of its crop area rain-fed, the climate change leading into higher rain forbear ability is a huge challenge. Next we have the change in burden of disease. India, like many developing nations, faces a twin set of epidemics. First, we still have communicable diseases. But already the rise of diabetes and neurological diseases are creating a burden for your health system. The last trend is what s going on in the digital arena. Here we have companies like Google and Microsoft and many academic universities rapidly changing artificial intelligence. That is a milestone that we only reached in the last few years. And so, as devices, you have seen that artificial intelligence get created it will really change the market India is a resource-rich nation. So, how do we fall behind in the implementation & utilisation? One of the most important questions in India today is, what will it take to trigger rapid economic growth in the years and decades to come the simple answer is that it will take investments in health and nutrition, or what economists call human capital. Research shows that investments in fundamentals like health and nutrition account for almost 40% of China s phenomenal growth since the late 1970s. Structural transformation, including the flow of capital investment into more productive, high-tech sectors, is also necessary. India has great potential in leveraging the new advances in science; taking technology, including digital technology, and using it for things that might seem surprising, like using it to make sure the government is always doing a great job. The scale of the challenge here in India is bigger than anywhere. What India is trying to do has never been done before, but it s a government that s very committed to solving these big problems. March 2018 NATHEALTH 21

22 Mr. Nalinikanth (Nal) Gollagunta Member, NATHEALTH & President & CEO, GE Healthcare India & South Asia region, and Managing Director of Wipro GE Healthcare He is responsible for driving Wipro GE s expansion plans, strategic growth objectives, and partnerships in the region. He champions the company s In India, for India and the world proposition of innovating disruptive technology and business solutions to enhance access to high-quality, affordable healthcare solutions. Prior to Wipro-GE, Mr. Gollagunta was with Cisco where he was the Country Head and Managing Director, Enterprise Sales India and SAARC region. Dr. Smita Sharma Member, NATHEALTH & President, Association of Medical Consultants She is a Consultant Anaesthetist attached to Bombay Hospital with special interest in Neuro and kidney transplant anaesthesia. She is also the Treasurer of Bombay Neurosciences Association. She has a keen interest in academics and has several academic presentations to her credit and takes regular lectures for the students of the CPS college in Mumbai. She has organised several national conferences, last one being ISNACC 2018 at Mumbai in January Dr. Ahmad Mecklai Member, NATHEALTH Founder & CEO, AAA+ Healthcare Consultancy Services Pvt. Ltd. He is a high achieving health management professional with over 19 years of experience in hospital administration, project planning and implementation, people management and dedicated to serving communities and contributing to humanitarian initiatives. He worked with Prince Aly Khan Hospital from During his tenure, he held various roles in the hospital including the Project Director of the hospital, the Project Director for the redevelopment and expansion of the hospital school and residential blocks from 2012 to Dr. Om P Manchanda Member, NATHEALTH & CEO, Dr Lal PathLabs Ltd. He has successfully led the transformation of Dr Lal PathLabs in last 12 years from a small business to a professionally run listed company. He has done MBA from IIM Ahmedabad and has nearly 28 years of work experience. Earlier, he has worked for Hindustan Unilever for nearly 10 years in various positions. Early 2003, he joined Ranbaxy Laboratory Limited in their Global Consumer Healthcare Division before joining Dr Lal PathLabs in October Dr. Shubnum Singh Member, NATHEALTH & Director-Medical Education, Medical Research & Advisor- Healthcare Framework Max Healthcare Institute Ltd. She is an alumnus of Lady Hardinge Medical College, Delhi and has 38 years of experience in the medical profession ranging from a Pathologist, Allergist, and Administrator to Health Care Policy Framework and Strategy. As CEO of Max Institute of Health Education & Research, she was actively engaged in developing the educational and skilling vertical for the group. Currently, as Advisor Healthcare Framework she provides strategic guidance to the group in various projects. She is a founder member of the Healthcare Sector Skill Council (HSSC) and Life Sciences Sector Skills Development Council. 22 NATHEALTH March 2018

23 Mr. Antony Jacob Governing Council Member, NATHEALTH CEO & Whole Time Director, Apollo Munich Health Insurance Co. Ltd. He spearheads Apollo Munich Health Insurance towards achieving the aim of Uncomplicating Health Insurance for its stakeholders. The company under Mr. Jacob s leadership, has also been rated as a Great Place to Work (GPTW) year on year, for the last 6 years in a row. He is the Executive Committee Member of General Insurance Council (GIC), Co-Chair Health Insurance Committee of Federation of Indian Chambers of Commerce & Industry (FICCI), Governing Council Member of Data & Technology Committee of Insurance Information Bureau of India (IIB), among others. Mr. Vivek Kanade Governing Council Member, NATHEALTH & Executive Director, Siemens Healthineers India He handles the business of Zone India comprising neighboring countries of Bangladesh, Nepal and Sri Lanka since March Before moving into this role, his last assignment was as Vice President of Global Sales and Marketing for the Refurbished Business, based out of Forchheim, Germany. Mr. Kanade holds a degree in Electronics from the NTTF Electronics Centre, Bangalore. He started his career with Hindustan Motors in During his association with Siemens for over 23 years, he has held various positions across diverse functions. Mr. Amit Mookim Governing Council Member, NATHEALTH & Managing Director South Asia (IMS Health & Quintiles are now) IQVIA He leads the commercial business for IQVIA across South Asia. Amit s responsibility is to leverage IQVIA s global information, analytics and technology assets and people in bringing cutting edge insight and advice to healthcare. Mr. Mookim was one of the youngest Partners in KPMG and helped the firm build and grow the Private Equity Advisory and Strategy business and also the Healthcare Practice for India and across Asia Pacific. He worked across 11 countries across India and Asia Pacific as part of this role. Mr. Sunil Thakur Member, NATHEALTH & Director & COO, Quadria Capital Investment Advisors Pvt. Ltd. He has an extensive healthcare investment and transaction experience across the Asia-Pacific market and has been involved in some of the landmark deals in the healthcare space. In his career spanning 17+ years, Mr. Thakur has led and executed deals worth over US$ 7 billion across M&A and Capital Raise. Prior to Quadria Capital, he has worked with Religare Capital Markets and PNB Gilts at various senior positions. He has a Masters Degree in International Business from Delhi School of Economics. Dr. Shravan Subramanyam Member, NATHEALTH & Managing Director, Roche Diagnostics India & Neighbouring Markets He has over 15 years of corporate & healthcare experience. His career spans leadership roles in global pharma/diagnostics organisations, including Novartis (USA, Hong Kong) and Siemens Healthcare Diagnostics (USA, India). In addition to a degree in medicine from Madras Medical College, Dr. Subramanyam also holds a Masters degree in Health Administration at Cornell University, where he served on the alumni board. At Roche Diagnostics India, he is keen to consistently bring alive Roche s global philosophy of Doing Now What Patients Need Next. March 2018 NATHEALTH 23

24 Dr. Harsh Mahajan Founder & Chief Radiologist, Mahajan Imaging He is a pioneer in the field of radiology and imaging, set up one of India s first privately run MRIs in 1991, and seven years later, was appointed as the Honorary Radiologist to the President of India, a post he continues to hold. Padma Shri Dr. Mahajan is the Past-President of the Indian Radiology & Imaging Association (IRIA), the Indian Society of Neuroradiology (ISNR) and is also consultant to the International Atomic Energy Association, Austria. In 1986, he was awarded a Rotary Foundation Fellowship at the MD Anderson Cancer Hospital & Research Institute in Houston, Texas where he developed an interest in Magnetic Resonance Imaging, following which he came back to India. Dr. KK Aggarwal President, HCFI (Heart Care Foundation of India) Recipient of Padma Shri, Vishwa Hindi Samman, National Science Communication Award and Dr B C Roy National Award, Dr. Agarwal is also a Gold Medallist Nagpur University. He is a Limca Book of Record Holder in CPR 10 and the Vice President Confederation of Medical Associations of Asia and Oceania. He is also the Group Editor in Chief IJCP Group and the Immediate Past National President IMA. Mr. Karan Singh Partner, Managing Director, Bain & Co. India He was one of the founding partners who helped establish Bain s India business in 2006 and has more than 20 years of management consulting experience across Asia, Europe and the United States. His expertise includes transformation, turnaround and growth strategy, mergers and acquisitions, performance management and change management. He has also been a member of committees of leading business chambers such as CII. Mr. Singh has earned an MBA from the Wharton School of Business at the University of Pennsylvania. Dr. Rana Mehta Partner and Leader Healthcare, PriceWaterhouseCoopers He has more than 19 years of experience in strategizing, planning, commissioning and operations of over 50 hospitals and healthcare systems in Asia. During a decade long stint with Apollo Hospitals, he was instrumental in commissioning and operating the group s hospitals in New Delhi and Colombo. His extensive experience with players in Asia, Middle East and Africa has allowed him to pioneer innovative solutions that improve quality and cost for all stakeholders in the delivery system patients, providers and payers. Dr. Mehta an MHA from Tata Institute of Social Sciences, Mumbai. Ms. Charu Sehgal Head-Strategy and Operations Consulting Practice & National Leader, Life Sciences and Healthcare Vertical Deloitte Touche Tohmatsu India Pvt. Ltd. In her consulting experience of 25 years, she has advised several global and Indian clients in the Life sciences and Healthcare Industry on strategy, growth and transformation. She has also worked in all the sphere of public health and contributed to the improvement of governance structures and Institutional strengthening. Her focus has included product & business model innovations to improve access of affordable, quality healthcare for all. Charu has been selected as one of the top 20 women achievers in Healthcare in India. 24 NATHEALTH March 2018

25 Mr. Harish Pillai Governing Council Member, NATHEALTH COO, Indus Health Plus Pvt. Ltd. He has been instrumental in expanding Indus operations effectively across the national and international markets. With overall industry knowledge of 23 years, his experience ranges from working with many multinational companies in various leadership positions. His repertoire includes companies such as BIDCO, Africa s largest FMCG Company, where he was in a leadership position. He also held CEO and other leadership position in companies such as Essel Group, Mahindra & Mahindra, and Alfa Laval among others. He chairs the NATHEALTH Prevention and Wellness Initiative. Dr. Ashok Rajgopal Chairman & Executive Director - Fortis Escorts Heart Institute He is a dedicated knee surgeon he has almost 30 years of experience in knee surgery. A prolific surgeon, he has several firsts to his credit he performed the first Bilateral Total Knee Replacement surgery in India in April 1987 and the first MIS Unicompartmental surgery in March A member of the Global Persona Developer Team, supported by Zimmer, he has been instrumental in the designing of the PERSONA Knee system. Padma Shri Dr. Rajgopal is also awarded with the Dr. B C Roy Award. (Prof.) Dr. Anupam Sibal Member, NATHEALTH & Group Medical Director, Apollo Hospitals He is an Honorary Clinical Professor at Macquarie University, Sydney, Australia. As a paediatric gastroenterologist and hepatologist, he helped set up the first successful liver transplant programme in India in Prof. Sibal served as the only Asian Joint Commission International (JCI) Physician Surveyor from January 2008 to He currently is a member, Asia - Pacific Advisory Council of JCI. He served as a member of the Institute Body (IB) of the Postgraduate Institute of Medical Education and Research, (PGIMER) Chandigarh from IB is the highest decision-making body of PGIMER headed by the Union Cabinet Minister for Health and Family Welfare.. Ms. Priyanka Aggarwal Member, NATHEALTH & Partner & Director, The Boston Consulting Group She has 17 years of consulting experience and has served clients across the healthcare spectrum. Ms. Aggarwal has worked across multiple geographies including India, US and SE Asia. She is the author of many articles in BCG Perspectives publication Power to the Patient, BCG-Mint collaboration on Health Systems Leapfrogging in India: A need and a possibility. She graduated from IIM Ahmedabad in 2000 as a Gold Medalist and completed her B.E. in Electronics & Communication from Delhi University (also a University Gold Medalist). Mr. Parijat Ghosh Partner, Bain & Co. He has 13+ years of experience in business unit, marketing and sales strategy formulation, innovation and strategy implementation for a variety of companies operating in India and the US both large Indian companies and MNCs. Mr. Ghosh has worked across the healthcare value chain in India including generic and innovator drug manufacturers, hospitals, diagnostics, retail chains, health insurance etc. He has a Bachelor in Technology (Honors) from IIT Kharagpur and a MBA from IIM, Ahmedabad. March 2018 NATHEALTH 25

26 Photo Gallery Fireside Chat at Healthcare Transformation Summit held on July 7, 2017 Dr. Arvind Lal, President, NATHEALTH at FICCI HEAL 2017 Inauguration of 4th NATEv th AGM of NATHEALTH Dr. Deepak Sawant, Minister of Public Health and Family Welfare, Government of Maharashtra at the NATHEALTH Western Roundtable (June 23, 2017) in Mumbai NATHEALTH Eastern Chapter meet (November 28, 2017) 26 NATHEALTH March 2018

27 NATHEALTH Governing Council meeting on June 23, 2017 in Mumbai Mr. Anjan Bose at the 7th MT India Awards & Medical Fair India, 2017 Mr. Anjan Bose representing NATHEALTH at the elets 7th Healthcare Leaders Forum held on June 30, 2017 NATHEALTH presence at the Business World 4th Healthcare Summit & Awards, August 24, 2017 NATHEALTH Governing Council meet on December 15, 2017 NATHEALTH Governing Council Meeting at Fortis Memorial Research Institute held on September 14, 2017 March 2018 NATHEALTH 27

28 Platinum Sponsors Gold Sponsors Silver Sponsors Bronze Sponsorship Principal Media Partner Badge Category Knowledge Partner and Concept Partner Media Partners Event Partners Vision Be the credible and unified voice in improving access and quality of healthcare Mission Enable the environment to fund long term growth. Help develop and optimise healthcare infrastructure. Help shape policy & regulations. Help bridge the skill & capacity gap. Encourage innovation. Support best practices & promote accreditation. For more details, contact Healthcare Federation of India 26, Okhla Phase 3, 1 st floor, New Delhi , T: , F: