THE GERMAN HEALTHCARE SECTOR: OPPORTUNITIES FOR COOPERATION
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1 THE GERMAN HEALTHCARE SECTOR: OPPORTUNITIES FOR COOPERATION OSLO, SEPTEMBER 19, 2016 Kirsten Herrmann Health - Made in Germany Germany Trade & Invest
2 Health Made in Germany Information and support for German and foreign companies We support the export acbvibes of the German health industry with: Market informa?on Poli?cal dialogue Interna?onal marke?ng made- in- Germany.com We represent the interests of the following industry segments: Medical Technology Digital Health Pharmaceu?cals Medical Biotechnology Germany Trade & Invest 2
3 Germany Trade & Invest GTAI is the federal economic devlopment agency of Germany Export PromoBon Informa?on on foreign markets, trade regula?ons and tenders How- to- do business guides FDI: Assist InternaBonal Companies SeRng Up Shop in Germany Publica?ons: market informa?on, tax, legal, financing, financial incen?ves One- on- one consul?ng: market entry, site selec?on, partnering etc. Germany Trade & Invest 3
4 Healthcare Market Germany One of Germany s largest growth markets at a glance 80.8 million inhabitants 124 public and 45 private health insurance companies 9 million people privately insured 70 million people have public health insurance EUR 315 billion healthcare expenditure 11.3% of GDP 3% p.a. growth rate healthcare sector 208,000 GPs, dentists and other specialists 1996 hospitals with 500,671 beds 21,000 pharmacies 2.3 million other healthcare professionals 5.16 million people are employed in the German healthcare industry Source: Sta+s+sches Bundesamt 2015; Bundesministerium für Gesundheit 2015 Germany Trade & Invest 4
5 Expenditure Healthcare expenditure in Germany exceeded the EUR 300 billion mark Healthcare expenditure in Germany (in EUR billion) CAGR ~ 3% Source: Sta+s+sches Bundesamt 2015 Germany Trade & Invest 5
6 SWOT Analysis Major industry strengths are its high standards in quality and research Strengths Largest economy in Europe Wealthy general popula?on High- quality exis?ng healthcare & personnel High standard on clinical research Strong domes?c manufacturing industry OpportuniBes Ageing popula?on & rising incidence of chronic disease Increased demand for preven?ve and outpa?ent care Support for healthcare quality improvements Strategic innova?on policy Weaknesses Consensus- based poli?cal system Income- oriented expenditure for healthcare funds Public hospitals in financial difficulty Low level of reimbursement Increased level of pa?ent co- payments Threats Economy vulnerable to global economic slowdown Slowdown in R&D expenditure Shrinking popula?on Increased pressure on prices Increased costs through high tech Source: BMI Research, Germany Medical Devices Report Q Germany Trade & Invest 6
7 Medical Technology Germany spends 28 bn on medical technology p.a. Expenses and ProducBon Market Segments in Germany bn 22.3 bn Dressings 1 bn 4% 20 Sold in Germany Exports Medical Devices 12.6 bn 44% Medical Aids 14.7 bn 52% 5 0 German Market Size German Produc?on Source: BVMED Branchenbericht 2013 Germany Trade & Invest 7
8 Medical Devices Germany is a signisicant exporter and importer of medical technology German Medical Technology exports account for 16 bn p.a. German Medical Technology imports account for 10 bn p.a. 18% 4% 4% 2% 37% 18% 3% 3% 1% 1% 33% 33% 19% 15% 28% 28% 15% 15% EU North America Middle- and South America Rest of World Rest of Europe Asia Middle East EU North America Middle- and South America Rest of World Rest of Europe Asia Middle East Source: DESTATIS: Grunddaten der Krankenhäuser 2013; BVMED Branchenbericht 2013 Germany Trade & Invest 8
9 Medical Technology Germany s medical technology industry is comprised of more than 12,600 companies with about 190,000 employees > 20 employees ~ 1,200 companies ~ 5% > 250 employees Total: ~ 125,000 employees ~ 95% < 250 employees < 20 employees ~ 11,400 companies Total: ~ 65,000 employees Source: BVMed; BMI Research, Germany Medical Devices Report Q Germany Trade & Invest 9
10 Medical Technology Technology trends are changing how healthcare works Ranking of Products Made in Germany Industry Trends X- Ray and other radio ac?ve 3% apparatus 30% 1% Devices and Materials for Dental 17% Prostheses and ar?ficial joint implants 18% 10% 33% Endoscopes and surgical instruments 8% Orthopaedic apparatus 6% EEG and other electrical diagnos? apps 5% Transfusion and Infusion 5% Disposables 28% 5% Medical needs furniture 15% 4% Hyperconnec?vity Super Compu?ng Cloud Compu?ng Smarter World Cyber Security Ar?ficial kidneys 4% Apparatus for anaesthe?cs/breathing 3% Ophthalmic segment 2% Wheel chairs 1% Source: DESTATIS: Grunddaten der Krankenhäuser 2013; BVMED Branchenbericht 2013 Germany Trade & Invest 10
11 Digital Health Growing demand for healthcare services drives the development of digital healthcare solutions in Germany Aging Society 2035: 24 million people aged 65 years or older (31 percent of the popula?on) Care dependency 2020: 2.5 to 3 million 2050: 3.25 to 4 million Chronic Diseases Chronic and long- term diseases account for about 80 percent of the German healthcare spending (EUR 200 billion) Within 14 years the number of people with diabetes mellitus has risen from 5.8 to 7.2 million people. Source: DB Research 2010, Sta+sta 2014, Sta+s+sche Bundesamt 2014 Germany Trade & Invest 11
12 Digital Health The German mhealth market will grow to around EUR 3 billion in 2017 Development of the mhealth market in Germany through 2017 (in EUR million) CAGR ~ 22% Adver?sment Distribu?on & Transac?on Services Sokware Hardware Source: A.T. Kearney 2013 Germany Trade & Invest 12
13 Digital Health The most popular mhealth apps are related to nutrition and workout Downloads of health and fitness apps: user share by category in Germany in 2013 nutri?on & calorie coun?ng 21% 37% workout 34% 42% tracking 13% 12% giving up smoking 5% 8% apps for women 3% 5% health news % 2% sleep % 10% other 3% 5% subject to a charge free of charge Source: Sta+sta 2015, research2guidance Germany Trade & Invest 13
14 Industry Strengths: Innovation German medical technology companies are highly innovative 15% of the employees work in the R&D departments 2.8 bn US$ R&D Spending in % of revenue spend on R&D Highly innovative industry Special Med Tech funding programs 2nd in the world in terms of number of med tech applications 32% of the products less than 3 years old Action plan Medical Technology" 1,381 patent applications in 2014 Close cooperation between R&D institutes and med tech companies Source: Spectaris 2015, BVMed 2015, Sta+sta 2015, European Patent Office 2015 Germany Trade & Invest 14
15 Industry Strengths: Innovation The German Medical Technology Clusters play a central role in Germany s med tech innovation landscape German Medical Technology Clusters More than 30 specialized cluster networks focusing on medical technology. Goal: connec?ng companies, hospitals, universi?es, and other research ins?tu?ons Support con?nuous innova?on in R&D help obtain funding for joint R&D projects, provide shared facili?es, and organize educa?onal training programs Germany Trade & Invest 15
16 Market Access Leading industry associations provide additional support and information SPECTARIS: German industry associa?on for op?cal, medical and mechatronical Technologies. ZVEI: Na?onal associa?on for the electro- technical and electronics industries / electromedical branch. GERMAN HEALTHCARE EXPORT GROUP: Organiza?on of export oriented medical technology companies. bvitg: German Associa?on of Health IT Vendors. Germany Trade & Invest 16
17 Market Access Meet potential partners at international industry events in Germany Medica: Europe s leading annual trade fair for medical device companies. November 14 17, 2016, Düsseldorf. Rehacare InternaBonal: Annual trade fair for the rehabilita?on and disability care market. September 28 October 1, 2016, Düsseldorf. conhit: Connec?ng Healthcare IT is Europe s leading event for Health- IT. April 24-27, 2017, Berlin. Germany Trade & Invest 17
18 Contact Us Germany Trade & Invest is the economic development agency of the Federal Republic of Germany. The company helps create and secure extra employment opportuni?es, strengthening Germany as a business loca?on. With more than 50 offices in Germany and abroad and its network of partners throughout the world, Germany Trade & Invest supports German companies seqng up in foreign markets, promotes Germany as a business loca?on and assists foreign companies seqng up in Germany. Contact Berlin Bonn Kirsten Herrmann Friedrichstraße 60 Villemombler Straße 76 T +49 (0) Berlin Bonn Kirsten.Herrmann@gtai.com Supported by the Federal Ministry for Economic Affairs and Energy on the basis of a decision by the German Bundestag. Germany Trade & Invest All market data provided is based on the most current market informa?on available at the?me of publica?on. Germany Trade & Invest accepts no liability for the actuality, accuracy, or completeness of the informa?on provided. 18
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