Private healthcare market in Central and Eastern Europe 2009

Development forecasts 2009-2011

Publication Date	March 2009
Publisher	PMR Publications
Product Type	Report
Pages	133
ISBN Number	not applicable
Product Code	PMR00014

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Summary

Private healthcare market in Central and Eastern Europe 2009, Development forecasts for 2009-2011 is a comprehensive informational resource that presents and analyses the latest findings of an in-depth study of the private healthcare sectors in the following CEE countries: Czech Republic, Slovakia, Hungary, Poland, Romania, Bulgaria and Russia. The report provides current data on market size and structure within these countries, while providing incisive analysis of major trends and offering solid projections to 2011.
The report also features an examination of major players in the private healthcare market in Central and Eastern European countries. It provides profiles of providers and consumers of private healthcare services as well as data on spending trends for various market segments such as inpatient services, dental care or dialysis care.

This report provides data and analysis on:

Recent and current private healthcare market trends until 2011
Size of the private healthcare market in each of the countries
Profiles of key players in the health insurance markets and in the health medical subscription markets
Private hospitals: number, details and prospects for future growth
Analysis of other segments of the private healthcare market: dental and dialysis care
Legal environment of health insurance and subscription markets
Expected changes in legal environment and their market impact

Private healthcare market in Central and Eastern Europe 2009 is a vital resource for:

Companies currently operating in the private healthcare markets of CEE countries
Companies interested in private healthcare in general
Companies interested in private healthcare market conditions in CEE countries
Consulting and research companies and analytical institutes
Government agencies, embassies and other trade organisations

Section One defines and analyses the current conditions and prevailing trends and events influencing the private healthcare market in CEE countries. It reviews information on the recent past and carries discussion of influential trends forward to the year 2011.

Section Two focuses on private healthcare market conditions that exist in each of these CEE countries: Czech Republic, Slovakia, Hungary, Poland, Romania, Bulgaria and Russia. Market values and trends are presented and analysed, along with recent developments and projections to 2011. Profiles of major market participants (medical companies and insurers) are given, along with information and analysis of the health insurance, medical health subscription, and private hospitals. Current conditions and projected developments with regard to the legal environment are also explored.

Section Three examines the consumer preferences and social trends underlying the growth and development of the private healthcare market in CEE. Demographic information and reasoning for choosing private healthcare options are used as a foundation to construct a real time profile of
customer behaviour and patterns of use for today’s consumer. Frequency of using private healthcare is also analysed.

Section Four focuses on economic data related to private healthcare market segments. Trends in
private and public health spending are discussed here.

Content

I.   Report methodology

II.   Executive summary

III.   General overview of the private healthcare market in CEE
    General characteristics and trends in the region
    Mandatory health insurance
   Corruption and informal payments
    Corporate factor
    Infrastructure
    Low salaries in the public system
    Hospital sector
    PPP boom
    Consolidation
    Migration of medical staff
    Moving to the regions
    Market size and development forecasts 2008-2011
    Market size and development forecasts for overall private health care market
    Prospects for the health insurance market
    Prospects for the medical subscription market

IV.   Key reforms and trends in CEE countries
    Key reforms and trends until 2009
    Predicted reforms and trends (2009-2010)

V.   Overall private healthcare market
    Bulgaria: general characteristics and market value
    Czech Republic: general characteristics and market value
    Hungary: general characteristics and market value
   Poland: general characteristics and market value
    Romania: general characteristics and market value
    Russia: general characteristics and market value
    Slovakia: general characteristics and market value

VI.   Medical subscriptions market
    Bulgaria: general characteristics and prominent players
    Czech Republic: general characteristics and prominent players
    Hungary: general characteristics and prominent players
    Poland: general characteristics and prominent players
    Romania: general characteristics and prominent players
    Russia: general characteristics and prominent players
    Slovakia: general characteristics and prominent players

VII.   Health insurance market
    Bulgaria
    Czech Republic
    Hungary
    Poland
    Romania
    Russia
    Slovakia

VIII.   Private hospitals
    Bulgaria
    Czech Republic
    Hungary
    Poland
    Romania
    Russia
    Slovakia

IX.   Other areas of private healthcare
    Dialysis care
    Dental services

X. Legal basis for conducting the subscription business and insurance business

XI.   Economic trends in CEE
    Increases in purchasing power
    Spending on health
    Total health expenditure
    Public sector spending
    Private sector spending
    Inpatient expenditures
    Public expenditure by service category: country focus

XII.   Consumer behaviour and social trends
    Main socio-demographic drivers of private healthcare
    Discontent with the public system
    Ageing population
    Frequency of using medical care
    General frequency of using healthcare
    Frequency of using private healthcare
    Socio-demographic profile of persons using private healthcare services
    Attitudes toward medical insurance
    Attitudes toward privatisation of health care
    Medical tourism

XIII. List of graphs

XIV. List of tables

XV. About PMR

XVI. Contact PMR

List of graphs

1. Value of the private healthcare market in the CEE region (€ bn) and its growth rates, 2008-2011 14,
2. Average CAGR for the private healthcare market in the CEE countries analysed, 2009-2011
3. Spending on private medical services market in the CEE countries analysed (€ per capita), 2008 and 2011
4. Value of the private medical services market (€ m) and its y-o-y growth in Bulgaria, 2008-2011
5. Value of the private medical services market (€ m) and its y-o-y growth in the Czech Republic, 2006-2011
6. Value of the private medical services market (€ m) and its y-o-y growth in Hungary, 2006-2011
7. Value of the private medical services market (€ m) and its y-o-y growth in Poland, 2005-2011
8. Value of the private medical services market (€ m) and its y-o-y growth in Romania, 2005-2011
9. Value of the private medical services market (€ m) and its y-o-y growth in Russia, 2005-2011
10. Value of the private medical services market (€ m) and its y-o-y growth in Slovakia, 2006-2011
11. Number of Medicover subscribers and y-o-y increase in the Czech Republic, 2005-2008
12. Sanador: turnover (€ m) and y-o-y increase in Romania, 2007-2009
13. Gral Medical: turnover (€ m) and y-o-y increase in Romania, 2006-2009
14. Medsana: turnover (€ m) and y-o-y increase in Romania, 2007-2009
15. Romar: turnover (€ m) and y-o-y increase in Romania, 2007-2009
16. Polisano: turnover (€ m) and y-o-y increase in Romania, 2007-2008
17. Medisystem: turnover (€ m) and y-o-y increase in Romania, 2007-2009
18. Medsi Group: revenues (€ m) and their y-o-y increase in Russia, 2006-2008
19. Premium income health insurance in Bulgaria (€), ranked by the most substantial income, 2008
20. Claims paid for health insurance in Bulgaria (€), ranked by the largest claim, 2008
21. The largest players on the health insurance market in Slovakia, by number of policy holders and market share, 2008
22. The largest players on the health insurance market in Slovakia, by collected premiums, 2006
23. Percentage of private clinics of all dialysis clinics in the CEE countries analysed, 2008
24. Median age in the CEE countries analysed, 2007
25. GP visits per annum in selected CEE and CIS countries, 2006
26. Percentage of respondents who rely on financing from private health insurance in the selected CEE countries in comparison with EU average, 2007
27. Have you ever travelled to another country for a medical procedure?, % of respondents in selected European countries, 2008

List of tables

1. Summary of key trends and events in the CEE countries analysed, until 2008
2. Summary of anticipated key trends and events in the CEE countries analysed, 2009-2011
3. Summary of development forecasts for the CEE countries analysed, 2009
4. Physicians in the CEE countries analysed, ranked by the greatest density, 2008
5. CEE healthcare deals, 2003-2007
6. Users of private health insurance in CEE (% of total population), 2008
7. Users of medical subscriptions in CEE (% of total population), 2008
8. Prominent private medical services companies in Bulgaria, 2009
9. Prominent private medical services companies in the Czech Republic, 2009
10. Medicover: revenues (€ m), number of subscribers and year-on-year increase in Hungary, 2005-2007
11. Prominent private medical services companies in Hungary, 2009
12. Prominent private medical services companies in Poland, 2009 54-
13. The largest private medical services companies in Romania: turnover, increase/reduction of profit, employees, 2007
14. Prominent private medical services companies in Romania, 2009 56-
15. The largest rates of growth in turnover among private medical services companies in Romania, 2008
16. MedLife: turnover (€ m), number of subscribers and y-o-y increase in Romania, 2007-2009
17. CMU: turnover (€ m), number of subscribers and y-o-y increase in Romania, 2007-2009
18. Medcenter: turnover (€ m), number of subscribers and y-o-y increase in Romania, 2007-2009
19. Med-As: turnover (€ m), number of regular patients and y-o-y increase in Romania, 2007-2009
20. Prominent private medical services companies in Russia, 2009
21. Prominent private medical services companies in Slovakia, 2009
22. Prominent private insurers offering health insurance in Bulgaria, 2009
23. Prominent private insurers offering health insurance in the Czech Republic, 2009
24. Prominent private insurers offering health insurance in Hungary, 2009
25. Prominent private insurers offering health insurance in Poland, 2009
26. Prominent private insurers offering health insurance in Romania, 2009
27. Prominent private insurers offering health insurance in Russia, 2009
28. Prominent private insurers offering health insurance in Slovakia, 2009
29. Economic results of hospitals in the Czech Republic, 2006
30. Value of the private dental services market and per capita spending in the CEE countries analysed, 2008
31. Number of dentists in the CEE countries analysed, 2008
32. Comparison of private health insurance and subscriptions available in Bulgaria, 2009
33. Comparison of private health insurance and subscriptions available in the Czech Republic, 2009
34. Comparison of private health insurance and subscriptions available in Hungary, 2009
35. Comparison of private health insurance and subscriptions available in Poland, 2009
36. Comparison of private health insurance and subscriptions available in Romania, 2009
37. Comparison of private health insurance and subscriptions available in Russia, 2009
38. Comparison of private health insurance and subscriptions available in Slovakia, 2009
39. Total health expenditure (% of GDP) in the CEE countries analysed, 2000-2007
40. Per capita total health expenditure (PPT int. $) in the CEE countries analysed, 2000-2008
41. Public sector health expenditure (% of total government spending) in the CEE countries analysed, 2000-2008
42. Public sector health expenditure (% of total health spending) in the CEE countries analysed, 2000-2008
43. Per capita public sector health expenditure (PPT int. $) in the CEE countries analysed, 2000-2007
44. Public sector health expenditure (% of GDP) in the CEE countries analysed, 2000-2008
45. Private sector health expenditure (% of GDP) in the CEE countries analysed, 2000-2007
46. GDP figures: annual increases, value at market prices and per capita in the CEE countries analysed, 2007-2009
47. Private sector health expenditure (% of total health spending) in the CEE countries analysed, 2000-2008
48. Private prepaid plans (% of private health spending) in the CEE countries analysed, 2000-2008
49. Out-of-pocket expenditure (% of private health spending) in the CEE countries analysed, 2000-2008
50. Total inpatient expenditure (% of total health spending) in the CEE countries analysed, 2000-2007
51. Per capita inpatient care ($ at purchasing power parity), 2000-2007
52. Public inpatient expenditure (% of total inpatient spending), 2000-2007
53. Health insurance fund expenditure by category (% of total insurance payments) in Bulgaria, 2000-2006
54. Total healthcare expenditure by category (% of total health expenditure) in the Czech Republic, 2000-2007
55. Health insurance fund expenditure by category (% of total fund expenditure) in Hungary, 2000-2003
56. Public health expenditure by category (% of total public health expenditure) in Hungary, 2000-2006
57. Health insurance fund expenditure by category (% of total fund expenditure) in Poland, 2003-2007
58. Health insurance fund expenditure by category (% of total fund expenditure) in Romania, 2001-2005
59. RZN health expenditure by category (% of total RZN spending) in Russia, 2001-2004
60. Total healthcare expenditure by category (% of total health expenditure) in Slovakia, 2001-2007
61. The frequency of visits to GPs in selected CEE and CIS countries, 2006
62. Outpatient contacts in the CEE countries analysed, 2003-2007
63. Inpatient care admissions in the CEE countries analysed, 2003-2007
64. Private hospital beds (% of all beds) in the CEE countries analysed, 2003-2007
65. Frequency of use of private medical services for inpatient treatment in the CEE countries analysed, 2003-2007
66. Profile of private healthcare service users in the CEE countries analysed, 2009
67. Map of medical tourism destinations in CEE, 2008