Ambulant Intensive Care in Germany PDF
Preview Ambulant Intensive Care in Germany
Ambulant Intensive Care in Germany An analysis from an M&A (mergers and acquisitions) perspective Authors: Günter Carl Hober and Martin E. Franz Oct. 2016 Contact Yourcontactpersonsfor M&A For comments and additional information do not hesitate to contact the Conalliance M&A Healthcare Services Team. We are looking forwardto your feedback and a mutual exchange. Günter Carl Hober Frank Herrmann Dipl.-Kfm. / MBA MBA Managing Partner und Associate Head ofHealthcareM&A Europe Team HealthcareM&A Europe Tel.: +49 (89) 809 53 63-0 Tel.: +49 (89) 809 53 63-0 [email protected] [email protected] www.conalliance.com CONALLIANCE 2 M&A ADVISORS FOR THE HEALTHCARE INDUSTRY Important Notice No part of the report or service may be resold, circulated, lent or disclosed to non-customers without written permission of Conalliance. This information is based mainly on primary and secondary market research and own Conalliance analysis and therefore, is subject to fluctuation. Furthermore,nopartmaybereproduced,ortransmittedinanyformorbyanymeans,electronic,photocopying,mechanical,recordingorotherwise without the permission of the publisher, i.e. Conalliance. All statements of fact, opinion, or analysis expressed in this report are those of the respectiveanalystsandM&AadvisorsofConalliance.TheydonotnecessarilyreflectformalpositionsorviewsofConalliance.TheInformationused and statements of fact made are not guarantees, warranties or representations as to their completeness or accuracy. Conalliance assumes no liability for any short term or long terms decision made by any clients based on analysis included in our reports (e.g. Commercial Due Diligence Reports,MarketReports,TargetScreeningReports,etc.). CONALLIANCEMunich,October2016 CONALLIANCE 3 M&A ADVISORS FOR THE HEALTHCARE INDUSTRY Please note also: Due to confidentiality reasons significant parts of this report have been blacked, edited and shortend. We kindly ask for your understanding. CONALLIANCE 4 M&A ADVISORS FOR THE HEALTHCARE INDUSTRY Part I Market Model CONALLIANCE 5 M&A ADVISORS FOR THE HEALTHCARE INDUSTRY Summary „Market Structure & Patients“ 1. The focus of this analysis is set on the ambulatory care and growth rates can be identified in Germany. ambulatory intensive caremarket. 6. In Germany approximately 700 thousand people are being 2. The German ambulatory intensive care market is a cared for by ambulatory care services. Only of specialized niche market embedded in a tight service these areambulatory intensive carepatients. network, 7. The patient base in the German ambulatory care market is • regulated by a social code and care legislation, as well expected to grow at an annual rate of % until 2030. The as federal state specific legislation, largest growth rate is forecasted for the ambulatory service • paid by health insurance and long termcare insurance patient base. • Serviced by medical and therapeutical service 8. The number of ambulatory care patients has grown in providers and product suppliers. recent years at % annually. The number of ambulatory intensive care patients has 3. The patient is normally referred into the system by . stationary acute care. 9. Experts differ strongly in their view on effective growth 4. The number of total inhabitants in Germany decreases rates forthe future. annually by 0.4% until 2060. The number of inhabitants 10. aged 65 to 80 and 80+, who are most likely to need care, grows during the same time period by 0.2% and 1.5% respectively. Hence the group of people who are potential 11. patients grows. 5. The total number of long-term care patients is 12. The majority of ambulatory care patients have a low Care Level (Care Level I represents % in 2013). However, some regional difference between CONALLIANCE 6 M&A ADVISORS FOR THE HEALTHCARE INDUSTRY Market Structure 7 M&A ADVISORS FOR THE HEALTHCARE INDUSTRY Market segmentation The focusof this Industry German healthcare servicesmarket analysisisseton the General markets Nursing care Hospitals Practitioners Pharmacies ambulatorycare and Market Ambulatory care Stationary care ambulatoryintensive care market. Sub segments Nursing care Intensive Residential Day/night Holiday care / care community care care assistance Patient targetgroup Children Adults Elderly people Service providercompanysize Small Medium Large Level of specialisation Intensive Care only Intensive Care & Nursing Care Nursing Care only Indications COPD ALS Other SGB V SGV XI SGB V + XI Main legislation Admission MDK assessment and local Medical doctorandMDK MDK practitioner German nursing care market is a growing subsegment of the level of specialization (i.e. are they exclusively providing nursing German health care service industry. German nursing care careorintensivecareoraretheyprovidingboth).Theambulatory represents18%ofthetotalGermanhealthcarespending.Allnon care services in focus are governed by the German code of social hospital care services are encompassed in this market segment. law. (SGB V and SGB XI) Social code V regulates admission and Stationarycareservicessuchasnursingcarehomesarenotpartof payments of German health insurance, social code XI regulates themarketassessedinthisstudy.Ambulatorycareservicessuchas admission and payments of German long term care insurance. intensive care and general ambulatory care as well as day care Admissiontopaymentsofhealthinsuranceisrestrictedbymedical servicesarethefocusofthefollowinganalysis.Careproviderscan doctor prescription,accesstolongtermcareinsurance payments be segmented according to their main target group (children, is regulated by an MDK assessment (“Medizinischer Dienst der adults, elderly), its company’s size (small, medium, large) and the Krankenkassen”–medicalserviceofGermanhealthinsurance). CONALLIANCE 8 M&A ADVISORS FOR THE HEALTHCARE INDUSTRY Market participants of the ambulatory intensive care service Health Long term Social The German ambulatory sro insurance care insurance welfare intensive care marketis y a Social P a specializedniche codeV marketembeddedin a § § tightservicenetwork: ambulatoryintensive SocialcodeV SocialcodeXI care is • basedon socialcode andcare legislation, Patientflow aswellasfederal statespecific legislation • paidbyhealth Patient Hospital This information is insuranceandlong termcare insurance no part of the Rehab Weaning • supportedbymedical clinic andtherapeutical Relatives publically available service providers, as internet document wellas • medicaland pharmaceutical Tisnthateost iupotphanpetailreiseyynrsatstciesumrteebfceyarrree.d Care lacideMamrahpylppus legislation I, II, III Source: ownanalysis, Conalliance7732 CONALLIANCE 9 M&A ADVISORS FOR THE HEALTHCARE INDUSTRY Patients 10 M&A ADVISORS FOR THE HEALTHCARE INDUSTRY
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