Benefits of Value-Based Healthcare

  • Patients will not have to spend unnecessarily

As the number of chronic diseases is rising, it becomes difficult to manage such conditions. The value-based healthcare model helps in recovering from initial illness more quickly and avoid chronic diseases. In this model, doctors ensure that their patients are 100% fit. On the whole, patients spend less money for access to better health.

  • Insurance companies/providers achieve efficiencies

As this model focuses on quality rather than quantity, the providers will spend lesser time on chronic disease management. Quality provided to the patient improves with better customer satisfaction. Moreover, providers will not face financial risks that come with capitated payments.

  • Suppliers can leverage on patient health outcomes

Suppliers will be able to reduce prices and services with a positive patient impact. Also, payers can bundle payments by full care. These payments could make the stakeholders in the healthcare industry to match their prices so that the drugs are affordable.

In value-based healthcare models, medical care does not exist in silos. Various departments are integrated and thus it is called a patient-centric model. The transition into this model would be time taking but would greatly improve services in the Indian healthcare sector.

How the IoT shapes the future of the Medical Industry

With emerging technologies, improved data services and enhanced digital devices in the medical industry, the gap has been bridged.

IoT is helping the medical industry with remote surgical procedures, drug delivery management, booking ambulance online, etc. This is said to be the beginning of IoT in the healthcare industry. Advancements in artificial intelligence, technologies like virtual and augmented reality will be extensively used in future.

To provide comfort and satisfaction to patients, medical startups like Practo provide online consultation to people who are busy yet wish to visit the doctor or individuals who prefer to maintain the privacy of their medical discussion.

Technological advancements such as Google Glass enable paramedics to live stream the condition of the patient to the doctors in hospitals. This streaming allows physicians to be ready with the necessary equipment for the treatment. Streaming make procedure faster. Upfront planning using such technology helps save time.

Using IoT, people communicate directly with doctors for advice. Doctors monitor and provide required medication to patients who prefer receiving ICU at home. Even diagnostic centres are finding ways to go digital. For example, they send blood/urine testing kits to patients who are under critical care at home. These kits collect the samples and result is sent to the patient for further observation digitally. There are many cases where companies use technology to aid disabled people. These technologies are used to send signals from the body to the brain so that the product/material/organ attached to the body functions normally. Advancements in cloud-based technology enable medical devices to work and operate using broad sets of data.

Technology has taken its initial steps in the healthcare sector. It will undoubtedly take time to improve but, enhancing the human workforce by technology is the ultimate achievable goal. Using IoT, medical practitioners can learn about their patients and approach the treatment with a personal touch and empathy.

Internet of Things is not just transforming lives but emerging into various industries including the healthcare industry to evolve and serve the people more efficiently. We can expect that the future of healthcare relies on IoT until feedback from the patients and result are positive.

Air Ambulance: The Next Big Thing in Indian Healthcare?

Healthcare in India has evolved over the years. Technology has improved diagnostics and ensured better healthcare facilities for the citizens. Considering chronic diseases and availability of medical services across India, air ambulance can help in saving lives. Air ambulance is an air transport used for medical emergencies. It provides air transportation for patients who need immediate medical attention.

Medical facilities have to be improved. Though the Government has started ambulance services through a call, there are chances of delay due to traffic and other reasons. Ambulance service in metro cities face this problem owing to the population. To tackle such issues, MedTech startups like Medulance have collaborated to give details about the nearest ambulance available. Also, these startups have made their mark in the emergency ambulance market and they save lives.

As medical facilities in metros and a few districts are at par, people could use them to save the lives of their loved ones. In this case, the air ambulance is preferred as they are a faster, reliable and a safe mode of transport. Air ambulance services in Delhi and other metro cities have improved. To attend medical emergencies, the government and startups like Medulance are trying to be of great assistance. Providing immediate assistance to medical emergencies can save lives.

Currently, the government is supporting and identifying regions where helicopters could be used as air ambulances to provide emergency medical help. Many hospitals have started air ambulance services to cater to medical emergencies and assist during the golden hour and platinum minute of a patient’s life. Air ambulance has medical provisions to help during the interim medical care.

The significant advantages of air ambulances are:

  • It is more comfortable than road journeys. The transfer doesn’t cause discomfort to the patient.
  • Air ambulance is usually equipped with trained aeromedical assistants to assist the patient.
  • Air ambulance supports and saves lives in the golden hours.
  • It provides better and reliable health care, promptly.

Overall, the healthcare facilities need to develop across the country. At the same time, these services should be economical considering the income strata of the country.

Healthcare Insurance in India: Rising or falling

In the last half a decade, medical insurance has gained immense popularity amongst the Indians. Lifestyle changes in the citizens are making them more prone and vulnerable to a variety of healthcare issues. These unwanted health-related problems burden an average person with extra expenses which come in as a stressful life since the treatment costs are also not low. In such circumstances, health insurance plan comes as a saviour. While insurance companies serve with a portfolio of different schemes and policies, people look out for the best one within their budget and which can offer comprehensive coverage simultaneously.

Medi-claims in Indian scenario:

Indian Brand Equity Foundation (IBEF) Annual Report 2017 reported that 85-90% of life insurance frauds fall in the sum assured bracket of Rs.1 Lakh to Rs.10 Lakh. An estimated 10-12 % of the claims are found to be fraudulent or suspected ones. 80 districts across the country have excelled in fraudulent claims over the last decade. And around Rs.10,000 crore was the estimated cost of frauds that were led by fake certificates and other related organised crimes.

 

Furthermore, per Bloombergquint article, only 18 % of urban Indians and 14.1 % of those in rural areas have any health insurance coverage. Out of that, many are reliant on corporate insurance plans, which come with their own set of conditions and, more importantly, have a low sum insured.                                                                                                                                                                                                                  

 

Government Initiatives:

The central government has launched its one of the ambitious projects for upgrading Indian healthcare system – the National Health Protection Scheme (NHPS). The scheme has been referred as the world’s most massive health insurance plan. The plan aims at covering ten crore families which amount to approximately 50 crore beneficiaries at large. The coverage amount will be Rs.5 lakh per family per year for secondary and tertiary healthcare. In coming years, the scheme is expected to merge with the existing plan such as Rashtriya Swasthya Bima Yojana (RSBY), along with other state insurance schemes. This cover amount is significantly higher than any other central or state government schemes.

 

These measures are government’s latest attempt at reforming India’s healthcare system and moving towards making India a healthy nation without any shortage of hospitals, doctors and financial aids to the needy. Moreover, in recent times, the government has also regulated prices of critical drugs and medical equipment to make it available for the public at large at a minimum cost. Few other plans also have a roadmap of setting up government medical colleges and hospitals to combat the dismal health situation of the nation.

 

Although the mega project seems to be highly ambitious one, it will be no easy job for all the parties involved, i.e., government, insurers, doctors, and the citizens. While challenges are bound to be there and will a tough job to face them, the Indian healthcare industry will be going to have countless opportunities to flourish in the coming future.

Modernisation and Trends in Indian healthcare

Since independence, advancements in healthcare has become one of India’s largest sectors both concerning revenue & employment.

The sector is growing at a considerable pace and increasing its coverage over the nation. Healthcare comprises hospitals, telemedicine, medical tourism, health insurance and technological advancement in the pharmaceutical sector.

In recent years, medical researchers are talking about the latest terms of healthcare industry such as IOT in healthcare, e-health, m-health, app-based diagnosis, online ambulance booking, big data analytics on the EMRs, promoting generic drugs, and so on.

 

Modernisation of Indian healthcare:

Increase in purchasing power of the citizens, an aging population, growing health awareness had helped them to change their attitude towards a healthy life and this leads to more substantial demand for preventive health care. Here are few of the trends that are aiding Indian healthcare:

 

Affordability and quality:

  • There is an increase in availability of trained medical professionals across the nation who are helping the system to make healthcare more affordable and accessible.
  • Cost effective yet high-quality medical services and medical equipment manufacturing had placed India at a competitive place for its peers in the West and the remaining Asian countries.

 

Governmental policies:

  • With the aim of making India as a global healthcare hub, the government provides policy support in the form of a reduced tax levy.
  • Creating and providing infrastructural aid such as building new drug testing laboratories and strengthening existing state laboratories.

The shift to lifestyle diseases:

  • With increasing urbanisation and problems belonging to modern-day living in the urban culture, there has been an increment in the demand for specialised care.
  • High cholesterol, high blood pressure, obesity, poor diet and alcohol intake causes most lifestyle diseases.                                                                                                                                                                                                                                                                                

Telemedicine:

  • Telemedicine one of the fast-emerging sector in India with the involvement of significant hospitals such as Apollo,  AIIMS, etc.
  • As of  FY16, telemedicine market in India was valued at US$  15 million and is expected to rise at a CAGR of 20 percent during FY16-20 to reach US$ 32 million by 2020.
  • With telemedicine, we can see growth concerning medical facilities in rural areas. It will aid support in low-cost consultation and diagnosis facilities to the remote areas through high-speed internet connectivity.                                                                                                                                                                                                                             

Mobile-based health delivery:

  • Robust mobile technology infrastructure and 4G connectivity are driving mobile health initiatives in the country.
  • Medulance aims to reach the emergency situations throughout the nation with its app-based model for booking an ambulance and other emergency services.
  • In India, the mobile health industry is expected to reach US$ 0.6 billion by 2017.

It was the youth who played a significant role in explaining the importance and understanding of wellness in India amongst their parents and loved ones and made them value health more than any other material thing. Relatively low medical cost and clinical research, a rise in medical tourism, recognition of Indian healthcare at the global level are few factors that are attracting patients from across the world. It is making India a desirable and developed nation for advanced medical treatment and other technological developments in the healthcare sector.

To conclude, the opportunities are prominent in the Indian healthcare segment which will create a highly efficient healthcare system for the country as well global healthcare economy in the coming years.

How startups are disrupting medical industry in India?

The Indian healthcare market is rising with technological advancements, demanding more quality healthcare and thus opening up an avenue for tech companies and startups to fulfill the astounding demand.

As per the reports of India Brand Equity Foundation (IBEF), Indian healthcare sector is advancing at a CAGR of 17 per cent. While the industry is touted as one of the fastest growing ones, it is expected to reach US$ 250 BN during 2008–20.

While the internet is also penetrating at a rapid pace, startup ecosystem is not leaving any stone unturned to disrupt the healthcare sector with their inputs and innovation.

Here are some of the health-tech startups that are trying to make a difference in redefining Indian healthcare system and bridging the gap between the patients, doctors and other healthcare service providers:

Mobile-based health emergency services by Medulance:

Growing road mishaps, multiple emergency situations, and calamities – both natural and man-made had given rising demand for emergency services in India such as ambulance services, emergency trained medical technicians, first responder and so on. With robust mobile technology infrastructure and nationwide coverage of 4G network helped Medulance to evolve as an app based emergency service providers.

Medulance aims to reach out the patients and needy at the emergency spot with the help of a request via their app. One only need to book ambulance online with Medulance app and their team of medical experts will reach the emergency scene at the earliest.

Stack up your medical records with DocTalk:

DocTalk, a cloud-based platform, allows its users to save all their medical records on the cloud safely. Using this AI-based, on-demand virtual assistant app, patients can access their medical files on-the-go, interact with the doctors, update their medical history and also get the prescriptions online from the doctors.  

Healthcare industry’s one stop shop – Practo

Started in 2007 as a SaaS platform, this Bengaluru based startup is disrupting the Indian healthcare industry at its best. From online appointments, reaching out to nearby and available doctors, and ordering medicines online, Practo has evolved as a one-stop shop in 10 long years. The health tech is currently active in almost 40 Indian cities.

Doctors and medical practitioners at the patient’s doorstep – Portea

Portea, another Bengaluru-based start-up is offering doorstep services for the patients who are staying at remote locations or those who can’t travel to hospitals in quick time. The users can have home visits of doctors, nurses, physiotherapists, and technicians. Using remote diagnostics, point-of-care devices, and other monitoring equipment; doctors and medical professionals can diagnose and prescribe the medications to the patients remotely.

 

 

Smart medical reports with LiveHealth:

LiveHealth is yet another startup that works as a Management Information System (MIS) for healthcare providers. From collecting samples, managing patient records, and diagnosing them to generating reports and invoices, the startup attempts to make the healthcare processing smarter and efficient. With its AI integrated system, it also assists doctors with a better diagnosis and decision making.

While the Indian startup ecosystem is leading from the front for the progress of Indian healthcare segment, we can expect much larger trends to emerge in healthcare and emergency services in the near future.

What is value-based healthcare and how it will benefit the consumers?

Healthcare industry is revolutionizing with doctors, pharma and drug manufacturers coming together to upscale and benefit the people with the right prescription for their better and healthy life. They’re partnering with the members of the industry to make sure majority of patients, needy and every other people who need medical support and treatment receive the right care at the right the right time. And such responsibility is leading to a model called as ‘value-based health care.’

 

What is value-based healthcare?

Real improvement in healthcare requires restructuring of care delivery system. To enable a high-value delivery system, partnering with doctors, healthcare service providers, government bodies, and associations are crucial. Hence, value-based healthcare can be referred as a healthcare delivery model in which providers, including doctors, hospitals, and pharma experts, are paid based on the results of patient’s health. The healthcare providers and physicians help in improving patients’ health, reduce the effects and incidence of chronic disease.

 

In a value-based model, healthcare providers are paid based on the number of healthcare services they deliver and specific performance measures of the outcome of the service. To simplify, a patient pays for the quality of value-based care against the quantity.

Value based-healthcare in India

Although India is facing a transformational challenge when it comes to its healthcare system, the same can addressable if the medical community comes and grow together. It needs to focus primarily on preventing and treating the life-long, acute and proactive chronic care encompassed across India’s burgeoning middle class.

For a country with more than a billion people, creating a healthcare system to cater this humongous population is no easy job. And to move from fee-for-service to a fee-for-value model will take time, and the transition would be a difficult task. As Indian healthcare landscape continues to evolve and providers increase their adoption of value-based care models, they may face a low in short-term finances before hitting the long-term decline in costs. Since the costs attached are enormous, the government is also lending its helping hand with various initiatives, workshops, and financial grants. Such aids and assistance by the government are motivating enterprises, physicians and healthcare service providers to come along and make India a healthy nation. Hence, this model could be the best method for lowering healthcare costs while increasing quality in healthcare and helping people with healthier lives.

Medulance, an app based ambulance booking service in New Delhi also aims to deliver value-based services to the patients and the one in needs with its constant quality and the expert team of medical respondents.

Furthermore, the value-based healthcare movement will be possible only with the collaboration of people, organizations, and governments that believe in delivering the essential health care to the citizens of the country.

Medical Tourism – a new growth factor for India’s Healthcare Sector

Medical tourism can be defined as travelling to another country to acquire a particular medical treatment. It is mainly due to the unavailability, cost difference, quality difference of specific curative therapy in a state.

Medical tourism – while the term may be slowly buzzing on Indian soil, it’s undoubtedly creating an impact at a global level. In layman terms, medical tourism means travelling from one country to another for the advanced medical treatment. It is mainly due to the unavailability or low-quality medical treatment in one country due to which people travel to developed nations for better and high-quality treatments.

 

Is India fit for medical tourism?

Health crisis is one the major concerns for any developing, and hence, medicinal aid plays a significant role in such countries both regarding economic development and for a being a healthy state.

In recent years, India is not only contributing abundantly in trading, manufacturing, and R&D of pharma and drugs industry but is also one of the leading exporters around the globe.

As per Indian Brand Equity Foundation (IBEF) Annual Report 2017, the market size of the medical tourism market in India has reached US$3.0 BN as of April 2017 and expected to reach US$ 6 billion by the closure of 2018. And when it comes to medical tourism and attraction, the number of foreign tourists coming to India for medical purposes rose by almost 50 percent to 201,333 in 2016 from 134,344 in 2015. During 2013-16, India’s medical tourism grew at a CAGR of 27 percent.

Furthermore, the Indian tourism ministry also offers financial support to accredited Medical, and Wellness Tourism Service Providers, Chambers of Commerce for organizing workshops, events, seminars and other medical tourism promotion shows.

 

As published in livemint.com in July 2017, the Confederation of Indian Industry (CII) report titled “India Services Sector—A Multi-trillion Dollar Opportunity for Global Symbiotic Growth 2017” stated that the presence of world-class hospitals and skilled medical professionals had strengthened India’s position as a preferred destination for medical tourism. Treatment for significant surgeries in India costs only a fraction—in some cases as low as 10% of that in developed countries.

The report also stated that the global medical economy is looking out for Indian pharma players, medical talent and know-how to help them in setting up advanced medical infrastructure, and assist in latest medical technology. Thus, it leads to growing demand for India’s pharmaceutical and healthcare expertise.

 

Innovation in India’s healthcare industry:

While multiple reports have stated about the growing demand and current market structure of India’s healthcare economy, some firms are contributing inside out for the progress and development of the country’s health. Health tech startups are one such who are driving the sector at a decent pace. Services offered by such health tech startups vary from air ambulance, online ambulance booking, healthcare and medical reports on mobile to even making a doctor’s appointment and receiving the diagnosis on the go. One such Delhi based startup – medulance deals in providing online ambulance services via a mobile app making it convenient for the patient or the family members to book ambulance, ask for first responders and other medical technicians. It performs as a handy feature for the citizens, especially of the national capital – Delhi, since its one of the densely populated cities of the country where pollution, road mishaps and other health concerns have been a significant problem.

In the bottom line, cost advantage and upcoming innovations in India’s healthcare system will significantly open doors to developed countries like the USA and is already a major destination for medical tourism for countries like Bangladesh, Afghanistan, Maldives, Pakistan, Bhutan, Sri Lanka and other the Middle East and African countries.

Need of Trained Emergency Medical Technicians

Emergency Medical Technicians (EMT) are trained healthcare professionals providing basic as well as advanced lifesaving procedures and pre-hospital care during an emergency.

They are an integral part of the healthcare system and associated with the emergency response management team of the city, especially the ambulance services and fire-fighting team.

These ambulance technicians are trained-healthcare professionals operating as part of an emergency medical service and provide preliminary care to the patients experiencing a severe injury or illness resulting in an emergency.

 

They work mobile and reach the emergency spot over a call with an ambulance since they often perform their duties out of an ambulance. EMT’s may also act as a liaison between the patient and hospitals to ensure they receive essential treatment at the facility center.

Although EMTs work closely with ambulances services, it should not be mistaken with ambulance drivers or attendants. The government, as well as private ambulance service providers like Medulance have their own team of EMTs working actively in case of an emergency.

Why are EMTs important?

EMTs respond to emergency calls to provide efficient and immediate facility and care at the emergency scene and transport the critically ill or injured person to a nearby medical facility for advanced treatment of the patient. Here are some of the most common medical tasks performed by an EMT at the emergency spot:

  • They provide life-saving medical care at the emergency site and transport patients to hospitals where they can receive adequate medical treatment.
  • They ensure that patients who’re in a remote or far away place from basic medical facilities receive essential treatment soon in order to survive the critical injury or ill-health.
  • Mostly, these clinicians work as volunteers at hospitals, and fire departments alongside other trained professionals.
  • EMTs act as intermediaries for patients dealing with medical emergencies and the hospitals.

Apart from above-mentioned tasks, EMTs also performs following functions such as:

  • Providing first aid
  • Applying splints
  • Performing basic airway management treatment
  • Conducting basic treatment such as checking pulsation, recording blood pressure, etc.
  • Performing CPR (cardiopulmonary resuscitation)
  • Using AED’s (automated external defibrillators)
  • Supplying basic medications to the patient such as aspirin, glucose etc.
  • Monitoring patient’s vital behavior

Bottomline:

EMT’s are among those individuals who responsibly save thousands of lives every year by resolving the medical emergency or prolonging a patients life. Companies like Medulance  provide advanced mobile medical teams around local neighborhoods with trained medical practitioners such as paramedics, and EMTs to administer professional medical care when it is needed the most. Alongside trained individuals, these ambulances are also stacked with full of life-saving medical equipment.

How air ambulance services work in India?

The ambulance services have been broadly classified into air ambulance, ground ambulance, and also water ambulance services. Air ambulance contributes to the highest revenue in ambulance service market. The rise of medical tourism in the developing countries like India has driven the growth of the air ambulance segment.

What is an Air Ambulance?

An air ambulance is a specially designed helicopter, or an aircraft, equipped with specialized medical equipment including medications, ventilators, ECGs and monitoring units, CPR equipment, and stretchers. These aircrafts airlifts and transports injured people or critical patients for a medical treatment to the hospitals. Air ambulances are booked when the patient is located either in a remote or terrain locations where advanced medical treatment is not available. Air ambulance in Delhi by Medulance is usually staffed with doctors, highly trained paramedics individuals, and first responders. Further, when an air ambulance is actively operating with a patient, Air Traffic Control (ATC) grants special treatment to them. Some air ambulance can be non-medically equipped too and the attendant staff simply transports patients from point A to point B.

State of Air Ambulance in India:

In India, Directorate General of Civil Aviation (DGCA) is the authorizing body when it comes to air ambulance service regulations and provide license and/or accreditation to the air ambulance service providers. Major hospitals have been tying up with airlines companies and Government to create better and effective air ambulance services in India.

Demand for Air Ambulance Service in India:

In recent times, there has been a growing demand for air ambulance services in India. With growing awareness about organ donation in the country such as donating heart of brain-dead patients, and for transplantation of such organs, air ambulance has been used on multiple occasion. This rising demand for emergency ambulance services in India is attracting many international companies and various startups are also emerging such as Medulance, to render the air ambulance service in Delhi and in rest of the country.

 

Further, with higher demand and use of advanced technologies by the Indian hospitals, medical tourism have seen an upward slope in demand graph. Favorable reimbursement policies and the increasing trend of home health care have fueled the growth of this market.

 

As per the industry report of India Brand Equity Foundation (IBEF) on Healthcare sector published in 2017, medical tourism market in India stands at US$ 3.0 billion in size and is expected to reach US$ 6 billion by 2018. During 2013-16, the country’s medical tourism market witnessed a growth at a CAGR of 27 percent. The number of foreign tourists coming to India for medical purposes rose by almost 50 percent to 201,333 in 2016 from 134,344 in 2015.

 

More on, due to lifestyle, and behavioral changes and rising healthcare awareness in Indian citizens, prime hospital chains such as Apollo, Fortis, and Max, are operating their own air ambulance services, especially in tier I and tier II cities like Delhi, Mumbai, and Bangalore.

In conclusion, saving time for our friends and family is the first step in an emergency situation. Medulance’s Air Ambulance service in India aims to conquer time and distance in emergencies and saves lives of your loved ones.