| | DECEMBER 20199accessible healthcare delivery. This calls for incentives from the government to the pri-vate industry to mitigate inherent risks and make their investments viable. Moreover, we need to also find more innovative and asset light healthcare delivery models for rural and tribal areas, may be based on hub and spoke. Last mile delivery is the key to success of Ayushman Bharat.Putting of price caps on stents, implants and several drugs has shaved off substantial margins off the healthcare providers, there-by putting immense downward pressure on their profitability. The industry outlook is therefore, currently moderately negative. Lot of smaller unviable healthcare business-es are currently on sale. This is not a good sign for long term growth of the industry. We need to incentivize healthcare providers to invest and make sure they can generate modest margins. We need to give fillip to Make in India and reduce dependence on expensive imports of medical devices, drugs and implants.Some of the prevailing healthcare costs are unsustainable and the providers, there-fore need to have a `de novo' look at them and realign costs as per the prevailing industry dynamics. Government needs to ensure upward revision of the procedure costs of 1350 odd procedures under Ayushman Bharat. These are unsustainable and not attractive enough to ensure fresh investments. Our public healthcare system needs a major overhaul, currently teetering on the brink of collapse. We also need a new medical education paradigm. Preventive medicine, hitherto ignored, too needs major in-vestment. Accent now is on `Smart Hospitals' which improve patient safety and outcomes, while helping bring down de-livery costs. Latest technologies such as AI, IoMT, big data, 3D/4D printing, blockchain, robotics, wearables, precision medicine, virtual reality, connected health are going to dis-rupt the industry. Care will thus, shift from the hospitals to your homes in future.We must therefore learn to live in the VUCA world to stay viable and relevant! Hemraj Singh Parmar, CEO
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