Maharashtra Airport Development Company Ltd A Health Care City At The Centre Of India

Features of the Healthcare City To be spread across 50 Hectares of Land 2000 Bed Multi / Super Speciality Hospital Adjacent to existing Airport Uninterrupted water supply Uninterrupted & Cheap power supply through CPP

8 – 10 Superspeciality hospitals of world class Urology Oncology Orthopedics Neurology & Neuro Surgery Physiotherapy Transplant Centres Nephrology Ophthalmology, etc… Features of the Healthcare City

World class infrastructure Excellent connectivity through IT, Telecom etc. Star & Economy hotels for relatives/companions etc Common Diagnostic Centre / facilities Common Waste Disposal facilities Features of the Healthcare City

Indian system of medicine Medical outsourcing centre Telemedicine centre R & D hub Features of the Healthcare City

Formation of SPV PSP may choose to implement one / more super speciality MADC’s equity contribution – Value of developed land Open mind about alternate options MADC’s role – Facilitator / Coordinator Options

Uniqueness Tie-up with international travel agents health brokers insurance companies TPA Pickup and drop Travel arrangements – combination with a tour of “Incredible India”

Translators Cuisine to suit, all International connectivity Air, road, rail connectivity, Nationally Nursing Institute Ancillary Institute Uniqueness

Location in MIHAN Project

A view of Healthcare City

Facilities for Medical Personnel Classy residential accommodation International school Clubs / Golf course / Multiplexes etc Other economic activity nearby

Why a hospital project ? Healthcare - World’s largest industry worth $3 tn National health policy – treating of foreign patients, legal CII McKinsey estimates – Rs.2320 bn to Rs.3200 bn market in India by 2012 Medical tourism business could bring $1.1bn - $2.2bn into India by 2012 Medical tourism in India growing by 30% a year

Why a project based on Medical Tourism? As health care costs skyrocket, patients in the developed world are looking overseas for medical treatment. India is capitalizing on its low costs and highly trained doctors to appeal to these "medical tourists." Even with airfare, the cost of going to India for surgery can be markedly cheaper, and the quality of services is often better than that found in the United States and UK. Indeed, many patients are pleased at the prospect of combining their tummy tucks with a trip to the Taj Mahal.

Present Indian Scenario 2 million Indians are covered under Medical Insurance 75% population under Medical Insurance plan in USA. Current growth of Health care industry 17% p.a. 11% family income in India spent on Health care Middle class are willing to pay more for treatments

Present Indian Scenario In India - 94 beds per lakhs population As per WHO bed per lakhs population In India beds per Thousands In China, Brazil & Thailand beds per Thousand Demand for multi super specialty beds in India Expected investment Rs billion next decade - 80% would come from private sector

Global Medical TourismCountry No. of foreigners treated From Revenue US $ in MN Thailand 6.00 Lakhs US, UK 470 Jordan 1.25 Lakhs Middle East 600 India 1.00 Lakh Middle East Bangladesh UK developing countries N.A. Malaysia 0.85 Lakhs US Japan developing countries 40 South Africa 0.50 Lakhs US UK N.A.

Major players in Indian Medical Tourism IndustryGroupBeds Revenue in Rs. % Revenue from International patients MarketEscorts SAARC East African countries Apollo Middle East Hinduja African and SAARC countries Jaslok US Japan Middle East

Comparative analysis: Cost Nature of Treatment Cost in India ($) Cost in other destinations ($) Open heart surgery 4500>18000 Facial Surgery 4300>13000 Neuro Surgery 6500>21000 Complex Spine Surgery 4300>13000 Simple Spine Surgery 2100>6500 Brain Tumor BiopsySurgery >4300>10000 Parkinsons (DBS) 17000>26000 Hip Replacement 4300>13000

Comparative analysis: CostProcedure Cost USA in ($) Cost India in ($) Bone Marrow Transplant 2,50,00069,000 Liver Transplant 3,00,00069,000 Heart Surgery 30,0008,000 Orthopedic Surgery 20,0006,000 Catract Surgery 2,0001,000 Root Canal Treatment

Waiting Period Nature of Treatment Waiting period in USA/UK in Months Open heart surgery 9-11 Facial Surgery 6-8 Neuro Surgery Complex Spine Surgery 9-11 Simple Spine Surgery 9-11 Brain Tumor BiopsySurgery Hip Replacement 9-11

MIHAN Beijing Tokyo Cairo Dubai Abu dhabi Johannesburg Colombo Canberra Singapore Hong kong Moscow London Advantage: India Price 1/5th or 1/10th charged vis-à-vis developed countries No waiting time for treatments Leading doctors in many parts of world are Indians Success rates are at par with the US/UK etc Technology edge Success of Kerala in ‘niche medical tourism’

CompetitorsCOUNTRYSTRENGTHThailand Cosmetic Surgery, Organ transplant, Dental treatment, Joint replacements Jordan Organ transplant, fertility treatment, cardiac care India Joint replacement Lasik, Cardiac Care Malaysia Cosmetic Surgery South Africa - do-

Caveats International accreditation and standardization All hospitals must conform to code of ethics Handling of medico-legal cases Tie up with tourism department Faster regulatory clearances

Caveats Visa processing Flight connectivity Shortage of qualified nurses / admin & paramedics Facility for credit payment Uniform price band for health insurance majors

Why Healthcare City in S.E.Z area ? Duty & tax concessions Free movement of medical tourists Connectivity

Shortage of Standardized Hospitals in Central India Availability of land Low cost of living Catchment area – 500 Kms Why Healthcare City in Nagpur ?

Conclusion Total Project Cost - Rs.561 Crores Project has potential from both within and outside the country Economically sound concept Key force driving the national economy, next only to IT. Thank you