Rehabilitation medical policy dividend capital layout of hundreds of billions of market.
Rehabilitation medical treatment ushered in a good news.
According to the ''Notice on Adding Some New Medical Rehabilitation Projects to the Scope of Basic Medical Security Payments ''jointly issued by the Ministry of Human Resources and Social Security, the National Health and Family Planning Commission and other departments, starting from June 30 this year, the rehabilitation projects included in the medical insurance have been included from the previous 9 The number has increased to 29, and the medical rehabilitation projects that have been included in the scope of medical insurance payment in various regions continue to be retained.
This news is undoubtedly a big benefit for the rehabilitation medical industry with a large gap, which will help patients reduce their economic burden. In fact, rehabilitation has been a shortcoming in my country's medical system for a long time. Professor Zhou Mouwang, vice president of the Chinese Rehabilitation Medicine Association and director of the Department of Rehabilitation Medicine of Peking University International Hospital, pointed out that there are shortages of professionals and poor rehabilitation awareness in China's rehabilitation medical system., The crux of medical insurance reimbursement is low.
Despite the serious shortage of resources and various problems, Shen Wanhongyuan (000166, Guba) believes that the demand for rehabilitation medical treatment in China is huge. The scale of China's rehabilitation market is now 20 billion yuan, and the whole market scale may reach at least hundreds of billions in the future. This leaves a huge space for the participation of social capital to fill in the gaps and compete for layout.
Long-term cold reception, demand is difficult to fill
For a long time, China's medical field has actually focused on rescue treatment and light rehabilitation, resulting in insufficient total amount of rehabilitation medical resources, uneven distribution, lack of talents, low service capacity, and imperfect rehabilitation medical system, which is far from meeting market demand.
A research report by Shen Wanhongyuan points out the reason why the rehabilitation departments of general hospitals are not paid attention to: unlike the income of medical institutions in developed countries, which mainly pays for patients' knowledge and technology of doctors, the main income of medical institutions in China comes from drugs, and rehabilitation treatment can not bring these income to medical institutions.
A rehabilitation bed in a general hospital can bring 300-500 yuan of income to the hospital a day, while if the bed is given to surgery, the daily income is 3000-5000 yuan. Therefore, the comprehensive large hospital does not attach importance to the rehabilitation department.
At an industry meeting, Fang Guoen, the director of the Chinese Rehabilitation Medicine Association, said frankly that my country adds 10 million of the elderly population over 60 years old every year, and 60 to 70% of them need rehabilitation services. In addition, patients with chronic diseases and sub-health people need rehabilitation treatment.
However, at present, the proportion of rehabilitation physicians in the basic population is about 0.4: 100000. According to statistics from the International Federation of Physical Medicine and Rehabilitation, the number of rehabilitation therapists in developed countries such as Europe, America and Japan is generally 30 to 70 per 100000 population.
At the same time, rehabilitation hospital beds are quite tight. According to statistics from the National Health and Family Planning Commission, there were only 322 rehabilitation hospitals in China in 2012, of which 206 were in cities and 116 in rural areas. More than half of the cities have not yet established Junior College rehabilitation hospitals. Rehabilitation medicine accounted for only 1.73 per cent and hospital beds for 1.75 per cent.
Even rehabilitation hospitals in mega-cities like Beijing have only 1953 beds, and a certain percentage of them are not used for rehabilitation treatment.
According to a reporter from the 21st Century Business Herald, the large public and private rehabilitation hospitals currently in Beijing mainly include the Northern Xiaotangshan Rehabilitation Hospital (public), the Capital Medical University Affiliated Beijing Rehabilitation Hospital (public), and the Peking University Rehabilitation Hospital (social capital); Eastern United Family Rehabilitation Hospital (social capital); Southern Beijing Boai Hospital (public), National Rehabilitation Aides Research Center Affiliated Rehabilitation Hospital (public); western Yuand Rehabilitation Hospital (Social Capital).
Most of these hospitals are located around the city, the distance is long, and the beds are tight.
A reporter from the 21st Century Business Herald went to Bo'ai Hospital as a family member of cerebral thrombosis and found that he had not been able to make an appointment for more than a month, and the remote Beijing Xiaotangshan Rehabilitation Hospital was still full of beds. Far from meeting Beijing's needs.
Policy dividends, market potential of hundreds of billions
China has only included rehabilitation treatment in the scope of medical insurance since 2010. In September 2010, the Ministry of Health issued the ''Notice on Incorporating Some Medical Rehabilitation Projects into the Scope of Basic Medical Security, ''which stipulates that starting from January 1, 2011, the urban employees The basic medical insurance, the basic medical insurance for urban residents, and the new rural cooperative medical fund shall be paid in accordance with the prescribed proportions.
This time, on the basis of the original 9 rehabilitation projects, 29 items were added. According to the person in charge of the Medical Insurance Department of the Ministry of Human Resources and Social Security, medical rehabilitation projects are included in basic medical insurance involving physical disability, mental disability, speech disability, and hearing disability. Of the 20 new projects, 8 were evaluative projects, accounting for 40%, and 12 were therapeutic projects, accounting for 60%, reflecting the idea of giving priority to treatment and giving consideration to evaluation.
In this regard, he Xidan, president of Jianruishi International, pointed out to the 21st Century Economic report that this is a manifestation of the great potential of rehabilitation medicine seen by Chinese policy makers.
As of 2013, the scale of the rehabilitation medical market in the United States was about 20 billion US dollars (80 US dollars per capita), and 200 billion US dollars if long-term care was included. During the same period, the scale of China's domestic rehabilitation medical market was only 20 billion yuan (15 yuan per capita).
If calculated according to the level of basically meeting the rehabilitation needs of our country, the market size will be more than 100 billion yuan, and if according to the standards of developed countries, the market size will be more than 600 billion yuan. It is predicted that by 2023, the scale of my country's rehabilitation medical industry is expected to reach 103.8 billion billion yuan, with a compound annual growth rate of not less than 18%.
According to the input/output ratio, Shen Wanhongyuan points out that the income of rehabilitation medical treatment is by no means lower than that of other departments. According to statistics, the average net interest rate of public hospitals in China is only 4%-6%, the net interest rate of public hospitals or private hospitals after restructuring is 15%-20%, and the net profit of rehabilitation hospitals is also expected to reach more than 15%.
Take Shunkang Hospital under Aoyang Technology (002172, Guba) as an example. Its rehabilitation medical business income in 2014 was 13 million yuan, net profit was 1.95 million yuan, and net interest rate was above 15%. In 2015, Aoyang Science and Technology plans to invest 0.259 billion yuan to build a new rehabilitation medical project, including a new Hong Kong city rehabilitation hospital and 30 chain rehabilitation departments. The construction period is expected to be three years. After completion, the project will have an average annual sales revenue of 0.178 billion yuan and an average annual after-tax profit of 45.22 million yuan. Its profit cycle is short, the degree of standardization is high, and it is highly replicable.
Hou Wenzhang, president of Jianruishi Asia, also calculated an account with a reporter from 21st Century Business Herald. Jianruishi cooperates with nursing homes and hospitals in the United States, and can recover costs in one month, and can open 400 rehabilitation projects a year. The speed is slower, and the cost recovery is about 4 months.
"At present, we have 11 centers in China, and we will complete the goal of 25 centers by the end of the year. Now a lot of capital is talking about cooperation with us." Hou Wenzhang introduced.
He Xidan said frankly that the cooperation model between Jianruishi and the hospital is a win-win situation. For the hospital, it not only brings rehabilitation benefits, but also brings the number of patients. He Xidan cited a hospital in a third-tier city with which he cooperated as an example, saying that it had 120 patients per day when it entered, 160 after four months and 200 after six months.
Capital hot, community chain favored
Because of the potential huge market, capital in the field of rehabilitation and medical care has also begun to actively layout.
A number of brokerage firms, including Shen Wanhongyuan and Societe Generale Securities (601377, stock bar), believe that the national level encourages social capital to run hospitals, taking into account the private capital's preference for the layout of the medical system gap and the advantages of Junior College hospitals, the rehabilitation medical field is expected to usher in a capital feast.
Many PEs expressed their optimism to the 21st Century Business Herald reporter about the development of the rehabilitation medical market and are conducting research. "With the increase of national policy support, rehabilitation has gradually become a new outlet for medical services."
The ways in which social capital invests in rehabilitation care are flexible and diverse, including new construction, acquisition, and hosting of rehabilitation hospitals, and from the above examples, it can be seen that social capital cooperates with public hospitals to establish rehabilitation hospitals has become the mainstream model.
The model of social capital and public hospitals to build rehabilitation hospitals (departments) can save huge costs for new general hospitals, shorten the profit cycle, and have a high cost performance. At the same time, the establishment of rehabilitation hospitals or grafting with public hospitals by private capital will effectively alleviate many pain points such as the difficulty of seeing a doctor in the public medical system.
Taking stroke in Yantai as an example, data show that there were about 5000 stroke patients in Yantai in 2013, and about 75% of the patients were left with varying degrees of dysfunction, while the rehabilitation departments of several major hospitals in the urban area only opened 90 beds, each bed can be used for up to 60 days. The social demand for stroke rehabilitation is increasing year by year, and the quality of life of patients needs to be improved.
On June 16, Green Leaf Medical officially opened its business in the high-end brain disease rehabilitation hospital, Green Leaf Bowbas Rehabilitation Hospital, which was laid out two years ago. It is understood that the hospital has a construction area of about 12000 square meters and more than 100 beds to provide rehabilitation services for cranial nerve diseases (stroke and traumatic brain injury, etc.) and degenerative cranial nerve diseases (dementia and Parkinson's disease). And can provide patients with physical therapy, occupational therapy, swallowing therapy to hydrotherapy and other diversified services.
Some people in the industry believe that rehabilitation does not need to be too high, because the final cost will be passed on to the patient, and as a patient, the community chain of nearby treatment may be the most ideal way. For example, Yingzhi Rehabilitation, a subsidiary of Capital Medical, cooperates with a number of community health service centers.
It is understood that in addition to rehabilitation hospitals, Jianruishi has two other business formats, namely, cooperation with community hospitals, "to be a rehabilitation vitality center in the community and to do post-disease rehabilitation in the hospital." Hou Wenzhang pointed out to the 21st century economic reporter.