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-------------------------------------------------------------------------------------------------------------------------------------- Ankit Shah, Group CFO, Omni Hospitals Anticipating the Finance Budget 2024, OMNI Hospitals emphasises key areas for consideration. According to the recent amendment in the Finance Act 2023, the insertion of clause (h) in Section 43B of the Income Tax Act raises concerns for the healthcare sector. Effective from Assessment Year 2024-25, any payment delay to micro or small enterprises under the MSMED Act may pose cash flow challenges for hospitals. We expect an exemption for hospitals engaged in the credit business and those registered under MSME. Additionally, we hope the Budget classifies healthcare projects as 'Infrastructure' to enable access to long-term funds at a lower cost. Inclusion in priority sector lending (PSL) classification would further support the growth of the healthcare sector. Tax relief is crucial for strengthening healthcare infrastructure. Consideration for tax incentives, including a tax holiday for both existing and new healthcare projects, can significantly contribute to this objective. Rationalising the GST law for healthcare is imperative. Standardizing GST at 5 per cent or a lower rate on all services would simplify input tax credit claims and streamline the cost of providing healthcare services. Lastly, addressing concerns related to insurance claim settlements is vital. Introducing provisions similar to Section 43B (h) for MSMEs, including penalties for undue settlements by insurance companies and establishing an Ombudsman under IRDA, would safeguard the interests of healthcare service providers.
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With nearly two-thirds of India’s population residing in rural areas, access to medical services remains a critical challenge. This coupled with the fact that per capital income of an urban person is nearly double to that of his rural counterpart, it simply highlights the fact the if we have to improve our country’s standing on medical services, the focus should be the rural areas where lot needs to be done. The stark disparity in doctor-to-population ratios between rural and urban areas leaves the rural population significantly disadvantaged in healthcare access. Unfortunately because of this, the rural population fails to get the medical facilities greatly as compared to the urban. This we are talking about the basic medical health (largely catered by General Practitioners or MBBS doctors). However, specialists like heart surgeons and neurosurgeons are virtually absent in most rural areas, severely limiting access to advanced medical care. In the upcoming Budget, we urge the Government to prioritise rural healthcare in its budgetary allocations, investing both directly in infrastructure and medical personnel; and through targeted incentives to attract doctors and hospitals to underserved areas.
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The upcoming Union Budget 2024-2025 will determine how well India progresses with regard to achieving its stated objectives of becoming the 'Pharmacy to the World' and embracing 'OneHealth' principles. The government must continue incentivising R&D and manufacturing to boost growth and innovation in the industry, something which was particularly evident in the Promotion of Research and Innovation in Pharma Med-Tech Sector (PRIP) scheme from the previous budget. The second component of the PRIP scheme, with an allocation of Rs 4,250 crore, focussed on research in the pharmaceutical sector, especially in six priority areas including antimicrobial resistance (AMR). A continued emphasis on prioritising antibiotic research is crucial to help address the growing challenge of AMR. We suggest exploring innovative economic models to incentivize antibiotic research, recognizing the unique challenges associated with it. Market entry rewards and delinked subscription models could be considered to encourage pharmaceutical companies to invest in the development of new antibiotics. This strategic approach aligns with the goal of fortifying India's position as a global pharma leader and addressing pressing healthcare challenges, including AMR. The continuation of the Research-Linked Incentive scheme and tax exemptions for materials procured for R&D purposes is crucial for creating a conducive ecosystem that enables R&D-driven pharma companies in India to compete globally. Finally, the government must prioritise funds for digital integration in pharma supply chain, ensuring better access and uninterrupted deliveries in real time, since this is crucial for healthcare transformation.
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The vibrant healthcare sector, exemplified by numerous significant deals sealed during the fiscal year 2023-2024, reflects robust growth and success. Substantial investments in healthcare underscore the government's unwavering commitment to strengthening the sector, ensuring the well-being of the population. In addition to healthcare, government investments in infrastructure and the manufacturing sector have played pivotal roles in propelling India's economic surge. This comprehensive growth has synergised with the healthcare industry, establishing a symbiotic relationship. The industry's economic magnitude and anticipated growth underscore its increasing significance. Statistical indicators further reinforce the narrative of a thriving healthcare sector, with noteworthy growth rates and promising projections for the fiscal year 2024-2025. As our nation confidently progresses towards economic prosperity, the healthcare industry emerges as a key beneficiary. Looking ahead to the upcoming budget, our optimism is rooted in the positive trajectory of our country. The alignment of our growth plans with the nation's progress instills confidence, emphasising the crucial role of a healthy populace in shaping India's promising future.
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Union Budget should focus on further boosting research and development infrastructure and tax rationalization, gearing up for an aspirational $50 billion MedTech economy. The heavy import duties on medical equipment affect operational costs. The Med Tech industry would be expecting a reduction of import duties, creating a win-win situation for both manufacturers and large hospitals, ultimately benefiting the patients. The immediate focus should be on rationalising import duties to ease the burden on hospitals and prevent passing on increased operational costs to patients. Currently, heavy import duties act as a penalty for patients, and we believe that rationalisation is imperative for the sector's growth and sustainability.
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Rational pricing is the key. Timely payments and transparent pricing are essential for hospitals to provide quality care. We look forward to clear guidelines from the government, addressing outstanding dues and revising rates under government schemes to ensure the viability of healthcare institutions. The government's proactive approach in addressing the healthcare sector's needs is commendable. As we approach the Union Budget, we expect innovative policies that not only strengthen the sector but also ensure affordable and quality healthcare for the 1.4 billion citizens. Healthcare experts acknowledge the pivotal role of India in global medical tourism and expect that there will be a policy push that can catalyse expansive growth, generating over 40 million jobs and substantial foreign exchange earnings.
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The government needs to provide a robust policy backing is imperative to cultivate and streamline medical-value travel (MVT) to India, paving the way for its evolution into a well-organized sector. The government needs more initiatives like ‘Ayush Visa’ (Special Visa Scheme for foreigners) and ‘Heal in India’ to make Indian healthcare and wellness a global phenomenon. India attracts medical tourists from different parts of the world. The government should create bilateral travel bubbles with countries contributing significantly to our MVT. We will also be expecting some incentives in terms of land allocations, pricing, and tax rebates for greenfield hospital projects, similar incentives for PPP, and provisions for long-term credit facilities for the sector. Enacting stimulus packages, providing tax incentives, and facilitating 'Priority Sector lending' to healthcare, especially for enhancing capacity in Tier II and III cities, are essential. Incentives, accompanied by a promotional policy, can entice investments from medium and small hospitals into Tier-II and Tier-III cities.
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The hospital sector is in dire need of a dedicated regulator and it is widely admitted that the establishment of a Regulator, leveraging the expertise of organizations like the National Accreditation Board for Hospitals & Healthcare Providers (NABH), can significantly streamline compliance and enhance transparency. A regulator with statutory powers and including a broader representation of government officials and sector experts would go a long way in creating a new healthcare ecosystem. A Hospital Sector Regulator would be in a better position to eliminate entry barriers, create a Single Window Mechanism for over 100 compliances, and enhance ease of doing business, quality, and uniformity in the sector.
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