Welcoem to posts!!
in the future - u will be able to do some more stuff here,,,!! like pat catgirl- i mean um yeah... for now u can only see others's posts :c
NEET is a central level Medical Entrance Exam.
🔻 Why did National Testing Agency (NTA) release the results on 4th June, 10 days early that too with Election Results?
🔻 How come 67 students got PERFECT score and 8 of them were from the same centre?
🔻How did a few students get 718 and 719 marks while it's not logically possible?
▪ +4 for ✅ , -1 for ❌ & 0 for unattempted
▫ 720 max for all 180 correct
▪ If 179 correct & 1 wrong, you get 715
▫ If 179 correct & 1 unattempted, you get 716
▪ There is NO possibility to get 718 or 719.
🔴 Why did NTA give GRACE marks to a few students when the exam didn't start on time at a centre while didn't consider the same issue at other centres as well?
If we can't conduct an exam with precision then what kind of standards are we setting for the future generations.
The problem with the NEET results are so UPFRONT that they can't be brushed under the carpet.
What should be done?
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Practicing DOCTORs can join my PREMIUM community at nas.io/agendahealth
#healthtech #healthcare #India
#neetscam #neetexam
#ministryofeducation
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I got a call at 6:40AM saying - ‘Sir, Policy renew humse Kara lijiye, hum aapka CO-PAY hata denge & LIMIT bhi badha denge.’🤯
(Sir, we'll remove your CO-PAY & even increase your LIMIT)
10 days before my policy renewal, I have started getting calls from all the competitors.😨
🔴 Who sells them the PRIVATE DATA on our Health Policy?
Moreover, as the callers know that that -
▪ they have 10-20secs to convince a customer,
▪ they just BOMBARD the customer with all
▪ the FEAR projecting keywords.
Somehow there are INFINITE legitimate mobile numbers available to call from even though you block every one of them.
🔴 The intrinsic problem is that the HEALTH INSURANCE only solves your Hospital Admissions & broadly nothing else. Hence the consumer PANICs in the name of getting admitted. This REACTIVE behavior of the consumer is what propels this industry.
🟢 Won’t people buy it a little more WILLINGNLY if the consumer is told that the OPD is also covered under the insurance.
Having said that -
🔻 DIRECT-CALLING & PUSH-SELLING won’t continue for longer.
🔻 The CAC will keep on increasing for sure
- until there are better & more suitable BUSINESS MODELS.
What do you think?
PS: If all the Tele-Callers get replaced by AI in the near future, then who'll insure the callers against the JOB-LOSS?
*********
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JOIN nas.io/agendahealth if you are DOCTOR and want up-skill for the future.
#healthtech #heatlhcare #India #AIinHealthcare
#healthinsurance #healthpolicy #healthinsurers
#insurers #hospital #hospitaladmission
#opd #ipd #dataprivacy #fear #marketing
#CAC #businessmodel #pushselling
#telecalling #jobloss #insurancepremium #copay #premium
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Why'd KKR buy Healthium Medtech Limited at 10X multiple of Revenue VALUING it Rs.7000Cr($850m)🤯? Is it to park Rs.9400Cr($1132m) that KKR got when exited Max Healthcare with 5X RoI? OR Is it just the industry FOMO?
In this deal, KKR gave -
✨ a SUPER Exit of ~250%
✨ to Apax Partners that had
✨ invested $350m in 2018.
Let's try to understand the deal from a 360 degree pov!!
On Healthium Medtech Limited,
▪Started in 1992 & has
▫7 Manf. & 3 R&D Facilities to sell
▪Wound closure products eg. Sutures, Mesh, Tapes, Skin Staplers etc. and
▫Medical consumables like Surgical Gloves, Tubular Bandages & Catheters in
▪90+ Countries in Europe, South America, Africa & Asia.
➡ WHY Rs.7000CR?
🇮🇳 Upon comparing to its DIRECT Competitors,
🔼 Healthium Medtech Limited:
FY23 Revenue - Rs.728Cr | Valuation - Rs.7000Cr | Multiple - 9.6
🔽 Sahajanand Medical Technologies:
FY23 Revenue - Rs.800Cr | Valuation - Rs.4000Cr | Multiple - 5.0
⏫ Poly Medicure Ltd:
FY24 Revenue - Rs.1376Cr | Valuation - Rs.16,895Cr | Mutliple - 12.3
From a competitive standpoint,
✅ A Revenue Multiple of 9.6 makes sense, it is neither too High not too Low.
🌏 But when compared to the USA counterparts -
🔼 Medtronic:
Revenue - $31.686B | Valuation : $110.57B | Multiple - 3.55
🔼 Johnson & Johnson:
Revenue - $94.94B | Valuation : $356.14B | Multiple - 3.75
❎ It doesn't make sense. But it doesn't matter as well. It is just to see things in a holistic perspective.
🎾 So the DEAL is NOT out of FOMO even though there was a formidable competition by ChrysCapital (jointly with MANKIND PHARMA LTD).
Remember, ChrysCapital is also bullish on Indian Healthcare and recently invested $100m in Center For Sight.
But it is also true that -
✨ KKR is definitely looking to park Rs.9400Cr that
✨ It got by selling its stake in Max Healthcare as other than Healthium,
✨ it made a huge investment of Rs.1250Cr in Infinx (An Indian AI-Healthcare BPO for US markets).
Looking at this pattern, we should hope for at least 1 more deal of around a Rs.1000Cr soon.
What do you think?
PS: KKR has other investments in Pharma space: JB Pharma (Rs.3000Cr) & Gland Pharma Limited (Rs.1300Cr) and the global distribution provided by Healthium might open a few more doors for them as well.
*********
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#healthtech #heatlhcare #India #usa
#Europe #SouthAmerica #Africa #Asia
#medtech #pharmaceuticals #hospitals
#revenue #valuation #exit #deal #competition
#manufacturing #researchanddevelopment
#medicalequipments #surgicalequipments
#medicalconsumables #investment #buy #sell
#AIinHealthcare #global #distribution
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Niva Bupa Health Insurance has grown 14X in just 4years? True North Co, a top India PE fund is selling its 20% stake at a valuation of Rs.13,500Cr today while it was bought at Rs.1,010Cr in 2019.🤯
➡ Would the founders of Max Group be getting sleepless nights looking at what they sold in 2019 at peanuts is worth this much today?
WHAT ACTUALLY HAPPENED?
🔎 Lets 1st delve deeper into a little bit of #history of MAX | NIVA | BUPA😎:
🕐 Max Bupa sold its 51% controlling stake to True North Co in 2019.
🕑 At only Rs.510Cr at a valuation of Rs.1010Cr.
🕒 Bupa remained the founding partner at ~44% stake since 2008.
🕓 The name was changed from MAX BUPA to NIVA BUPA.
🕔 True North Co is now selling 20% stake to the founding partner Bupa.
🕕 At Rs.2700Cr valuing the company 14X higher at Rs.13,500Cr.
🕖 With this Bupa will become the controlling stake holder in Niva Bupa.
Will the company be RE-BRANDED again from NIVA BUPA to just BUPA?😉
Since 2019,
Let me ask you what changed the whole perception of healthcare in India?
🔴 Yes, COVID HAPPENED!!
Covid really transformed how health insurance is perceived in India.
🔴 It increased the FEAR of losing one's life multifold, resulting in a huge acceptance of health insurance in the general public.
🎾 The biggest supporting factor was the push that came from the govt as the allocation towards Ayushman Bharat PMJAY increased to Rs.6,400Cr in FY21 (double of FY20 | in the peak of Covid).
Now, the insurance companies also saw an opportunity & started attracting the population by dividing it into various -
▪Target Groups (TGs) based on their NEEDS &
▪Marketing with in the context of COVID.
👦 TG-1: NEW-To-INSURANCE(NTIs) - a large chunk of population which was difficult to convince on the health insurance benefits converted rather easily during Covid.
👴 TG-2: OLD CONSUMERS: 2️⃣ ways the insurers earned from this TG
▫INCREASED PREMIUM: The insurance premiums have doubled in last 4 years increasing at >15% YoY on the back of the fear of COVID.
▫CROSS-SELLING ADD-ON PACKAGES: Covid add-on package, Heart-health add-on package, mental health add-on OPD package etc. etc.
In light of this favourable change in the market scenario, Niva Bupa Health Insurance -
1) Gross Written Premium (GWP) jumped 3.5X by FY23
2) Claimed to further jump to 5X by FY24
3) Doubled its market share from 4% in 2019 to 8.4% now.
➡ For True North Co, there is a quite optimistic EXIT of around 14X.
➡ For Bupa, this investment is nothing but 75% of ONLY a 1 FY profits.
|| WIN-WIN ||
🎾 In my view, the company will raise around $1B in IPO by FY25 at a valuation of $4B to $5B.
PS: Niva Bupa sells insurance through 20 bank partners with >10,000 hospitals in its network.
#healthcare #healthtech #India #health
#growth #privateequity #fund #valuation #ipo
#stake #buy #sell #healthinsurance #exit #profits
#covid #insurance #bank #hospital
#government #ayushmanbharat #ABPMJAY
#TG #needs #marketing #consumers #opd #marketshare
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Manipal Hospitals acquired AMRI Hospitals & now Apollo Hospitals has bought a half-built hospital in the same area. Does it seem like a COINCIDENCE?
➡️AMRI has 1200 beds spread across 3-hospitals
➡️Apollo has 700 beds in a single hospital
🟢 This acquisition would add another 325 beds in next 2-years taking Apollo’s total to 1000+.
➡ Is this decision to buy-out an UNDER-CONTRUCTED hospital property at a price of Rs.31 lacs/bed to protect its market domination in the East of India?😎
DEFINITELY!!
Having lived in West Bengal during my undergrad times at Indian Institute of Technology, Kharagpur🏫, Kolkata is a hub of the whole eastern states.
🚑 There is so much scope for #medicaltourism not just from within India but also from Bangladesh as well.
This market can not be taken lightly for sure.
& hence with this COMPETITION comes the CONSOLIDATION.
🔴 This is certain if today a doctor wants to open its own small 50-Bed facility in Tier-1, it’s difficult to sustain the competition.
Hence, this market scenario would push all entrepreneurial doctors to Tier-2 cities in the coming times;
🟢 And this is a good position to be in as far as macro-level growth (in healthcare infra) is concerned for India.
Today, more than 65% of doctors are based out of Tier-1 cities drying up the remaining 90% of India.
What do you think?
#healthcare #healthtech #India
#kolkata #westbengal #bangladesh #bhubaneswar #guwahati
#acquisition #hospital #doctor #patientsatisfaction
#market #competition #eastindia
#consolidation #growth
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Blue Jet Healthcare Ltd is an Indian Pharmaceutical CDMO*💊ready to raise an IPO of Rs.2,100cr at a valuation of Rs.16,780Cr while 76% of its business comes from Europe. Is IPO in Indian healthcare becoming a REGULAR norm?😎
How can -
▪A >50 years old company be debt-free & receive
▪A huge valuation of 25X of FY22 Revenues with
▪100% equity held by promotors only?
➡ *CDMO - Contract Development & Manufacturing Organisation
What is a CDMO?
It provides:
1️⃣ 0-To-1 development of an NCE (New Chemical Entity)
2️⃣ 1-to-100 scale manufacturing of a new drug using the NCE
3️⃣ Manufactures critical raw materials to be used in the final product. For eg. APIs (Active Pharmaceutical Ingredients) for generic medicines
🔍 Now let's zoom-into Blue Jet Healthcare Ltd.'s
|| STRENGTHS || ✅
◽ It's focus on providing NICHE Contrast Media Agents used for Medical Imaging in enhancing the visibility of body tissues 👁 under X-Rays/ MRI/ CT-Scan.
◽ It has established LONG-TERM relationships (4-24years) with the biggest brands into X-Ray/MRI/CT
▪GE HealthCare
▪Guerbet
▪Bracco
◽ It's focus on providing APIs for Chronic Therapeutic areas, a market that is bursting due to burgeoning life-style issues.
◽ It's CASH-COW business of oral care products with
▪Colgate-Palmolive (India) Ltd
▪Unilever
|| OPPORTUNITIES || 💹
With India aiming to project itself as -
◽ A manufacturing behemoth for generic medicines &
◽ An #Export Capital to the world,
the opportunity to grab a bigger share & ensure a 20%+ SUSTAINABLE & profitable growth YoY for the next 10 years sounds like a reality.
|| THREATS/ WEAKNESSES || ❌
◽ The only threat that I can think of is that it doesn't control the pricing,
◽ That negotiation power is with the bigger brands &
◽ The dependence is such that the power won't increasing until -
▪It handles a big chunk of the brands' raw material requirements
▪It hedges the substitution risk by expanding the consumer base
🥜 Food-For-Thought
🎾 If 76% of revenue is coming from its EXPORT to Europe then why do we NOT have a health-tech startup in #India connecting & managing the GLOBAL supply-chain of CDMOs & Pharma Brands?
🎾 Won't India's CDMO capacity be of utmost importance for all Pharma brands of the world like China's mobile manufacturing industry is to the world?
➡ If you are a DECISION MAKER or in the TOP Management of a Pharma/CDMO, then I would like to TALK to UNDERSTAND more on the -
1) Major Issues you are facing in EXPANSION
2) Roadmap for the next 3-years Agenda
You can safely share your info HERE: bit.ly/46a7Qgo
🎯 My aim is to Help in the RIGHT growth on Indian Healthcare Ecosystem in a Trustful & Transparent manner.
#healthcare #healthtech #india #europe
#pharmaceuticals #cdmo #business #ipo #valuation #pricing
#revenue #manufacturing #development #generic #medicines
#medical #medicalimaging #MRI #xray #chronicdiseases #therapeutics
#market #business #cashcow #sustainable #profitable #growth
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Last month, I'd predicted Manipal Hospitals (post Temasek's $2B investment) would CONSOLIDATE more hospitals to become the biggest chain in #India. With its AMRI Hospitals' acquisition, was I somewhat right? 😎
Refer: bit.ly/46mTYiI || bit.ly/3t4Liiy
⏹ Apollo Hospitals already has a big presence in Kolkata.
◻ And there is a huge domestic medical tourism market between West Bengal to Bengaluru & Chennai, in general.
✅ Hence, Manipal has been smart enough to buy it out.
AMRI is already well established & has a huge brand presence in #Kolkatahence Manipal Hospitals has paid such a huge premium valuing it at
▪ Rs2.28Cr/bed &
▪ 1,200 Beds || Rs.2,738Cr Valuation)
Even though Manipal is already closing in on Apollo Hospitals in terms of number of beds but from a Revenue/Bed basis,
🔴 Manipal Hospitals is at Rs.0.58Cr/bed per annum
🎾 Apollo Hospitals is at Rs.0.86Cr/bed per annum
So even though Manipal is fast becoming bigger but it still needs to build its -
▫BRAND acceptance as deeply as that of Apollo
▫EFFICIENCY in its operations
PS:1- Gleneagles Global Hospitals recently acquired RAVINDRANATH GE MEDICAL ASSOCIATES PRIVATE LIMITED (RGE) fully to become the 3rd largest brand with 6,000Beds.
PS:2- Aster DM Healthcare acquired Ramesh Hospitals, Andhra Pradesh to become the 4th largest brand with ~4,500beds.
➡ Do you think Max Hospital will also be ACQUIRED?
(Given it is NOT expanding in recent times & is stagnant at 3,500Beds)
#healthcare #heatlhtech #india
#kolkata #bangalore #chennai #manipal #westbengal
#hospitals #consolidation #investment #brand
#medical #tourism #acquisition
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Piyush Sanduja | IIT KGP | ISB
1️⃣ Business Insights: Indian Healthcare📈
2️⃣ Updates: Future M&As and IPOs💲
3️⃣ R&D in Healthcare🔬
4️⃣ Health SHARES to Invest?🕵️♂️
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