Italy's New Business Models in Medical Imaging, Forecast to 2021

Italy's New Business Models in Medical Imaging, Forecast to 2021

An Established Market for Multivendor Services Ripe for Progressive Managed Contracts

RELEASE DATE
28-Sep-2017
REGION
Europe
Research Code: MBFA-01-00-00-00
SKU: HC02901-EU-MR_20887
$4,950.00
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Description

This research study focuses on the drive to operationalize capital and service costs favoring non-conventional business models (MES and MVS) in Italy over traditional capital-intensive purchasing and service models. The study also features a detailed elaboration on the legacy of public-private partnerships (PPP), framework agreement case studies, market opportunity, market size and penetration analysis coupled with merger and acquisitions and the competitive landscape, in addition to growth opportunities.

Frost & Sullivan's Definition on MES and MVS for Italy market
Managed Equipment Services (MES): This is a bundled solution that includes the purchase of new equipment in addition to basic maintenance and support, technology management, planning and potentially a number of more advanced value-adding services. The bundle is usually financed by the customer through operational expenditure and typically extends, at a minimum, throughout the lifecycle of the equipment (7+ years).

Multi-Vendor Services (MVS): This is a vendor-neutral offering combining basic and more advanced services, such as repair and maintenance services in addition to replacement planning (small components in imaging systems) for multimodality imaging fleet. The MVS does not include purchase of new equipment like in MES. The MVS provider can be the OEM of part of the equipment, or a third-party company, and act as a single source for service, working in line with in-house resources at the imaging provider site.

Key Market Dynamics:
The high cost sensitivity among Italian public healthcare providers and their limited access to capital funding form the key motivation for their consideration to adopt new purchasing and service models for capital imaging equipment. To address the ageing equipment fleet and worsening technology obsolescence situation in the installed bases, different regional communities in Italy are looking closely at the opportunity for framework agreements with industry consortia to provide a viable long-term equipment renewal strategy. Framework agreements involving a multi-vendor consortium represent the majority of market activity in Italy as of 2016.

Frost & Sullivan's research on Italy indicates that National and Regional GPOs continue to engage in customer-vendor partnerships amidst growing windows of opportunities by the PPP models. Moving forward, the number of existing and planned public-private partnerships (PPP) for green-field hospital build may offer a strong basis for new capital purchasing models in imaging technology.

Table of Contents

Methodology

Geographical Study Scope—Italy

Key Findings

Executive Summary

MES and MVS Appetite and Adoption in Italy

Medical Imaging MES/MVS Vendor Positioning in Italy

Non-Conventional Medical Imaging Business Models in Italy

Frost & Sullivan’s Three Big Predictions

Background on Study Rationale

Frost & Sullivan Medical Imaging MES/MVS Study Plan

MES and MVS Business Models—Definitions

Market Segmentation by Type of Equipment

MES and MVS Business Models—Procurement Methods

MES and MVS Business Models by Type Framework Agreements

The Legacy of Large Healthcare Public-Private Partnerships and Private Finance Initiatives in Italy

Healthcare Public-Private Partnerships Legacy in Italy

Evolution of Regulatory Framework for PPP in Italy

Public-Private Partnership Types in Italy

Italy Hospital Sector—List of PPP and PFI, Greenfield Project Constructions and/or Administrative Concessions

Public Hospital Procurement Process in Italy

CT and MR Imaging Equipment Infrastructure in Italy

Illustrative List of Active Large-scale Diagnostic Imaging Framework Agreements

Illustrative List of Active Mid-scale Multivendor Framework Agreements

Illustrative List of Small-scale Multivendor Service Contracts in Italy

Annual MES and MVS Market Revenue Forecast

Recent Large-scale Innovative Service Contract

Potentially Upcoming Large-scale MES-type Partnership

Increasing Push from National and Regional GPOs for Customer-Vendor Partnerships

Regional Communities with High Adoption Rates

MES and MVS Market Revenue Breakdown

Italy MES and MVS Market Penetration Analysis

Key Factors Influencing MES and MVS Market Adoption

Sensitive, but Improving National Economic Situation

Payment Delays and the Shift from Capex to Opex Model

Distinct Needs Across the Public and Private Sectors

National and Local GPOs Influencing MES and MVS Contracts

A Competitive Landscape Undergoing New Dynamics

Current and Future Landscape Dynamics

Vendor Profile—Philips Healthcare

Vendor Profile—GE Healthcare

Vendor Profile—Siemens Healthineers

Vendor Profile—MESA, Higea SpA by Pantheon Group

Mergers & Acquisitions—Pantheon and TBS

Vendor Profile—TBS Group

Mergers & Acquisition—EBM (TBS Subsidiary) & Esaote

Italy’s New Medical Imaging Business Model—2016

Growth Opportunity—MES and MVS Business Model

The Last Word—Three Big Predictions

Legal Disclaimer

List of Figures
  • 1. PPP Projects Completed as of 2007
  • 2. PPP Projects Launched Post 2007
  • 3. PPP Projects Launched in the Last 3 Years, 2014–2017
  • 4. MES and MVS Total Addressable Market: Hospital and Diagnostic Imaging Centers, Italy, 2016
  • 5. Large Scale Radiology Department Outsourcing Contracts – As a Result of PPP
  • 6. National, Regional and Local GPOs
  • 7. MES and MVS Market: CT and MRI Scanner Installed Base Age Profile, Italy 2016
  • 8. MES and MVS Market: Perceived Value of Value-Add Services in MES and MVS Contracts in Public and Private Settings, Italy, 2016
  • 9. MES and MVS Market: Perceived Value of National and Local GPOs in MES and MVS Contracts in Public and Private Settings, Italy, 2016
  • 10. MES and MVS Market: CT and MRI Units Install Base and Maintenance Ratio by Type, Italy, 2015
List of Charts
  • 1. MES and MVS Market: Appetite and Adoption, Italy, 2016
  • 2. MES and MVS Market: Vendor Positioning, Italy, 2016
  • 3. MES and MVS Market: Market Segmentation by Equipment Tier, Italy, 2016
  • 4. MES and MVS Business Model: Contract Framework Agreements, Italy, 2016
  • 5. MES and MVS Market: Italy PPPs across Industries as a Percent of Public Works, Italy, 2002–2013
  • 6. MES and MVS Market: Public Collaborations With the Private Sector, Italy, 2016
  • 7. MES and MVS Market: Revenue Forecast, Italy, 2014–2021
  • 8. MES and MVS Market: Percent Revenue by Contract, Italy, 2016
  • 9. MES and MVS Market: Percent Revenue, Italy, 2016
  • 10. MES and MVS Market: Market Penetration Analysis, Italy, 2015–2021
  • 11. MES and MVS Market: CT Age Profiles in Italy’s Regions, 2014–2015
  • 12. MES and MVS Market: MRI Age Profiles in Italy’s Regions, 2014–2015
  • 13. MES and MVS Market: Healthcare Spend vs. Percent of GDP, Italy, 2011–2016
Related Research
This research study focuses on the drive to operationalize capital and service costs favoring non-conventional business models (MES and MVS) in Italy over traditional capital-intensive purchasing and service models. The study also features a detailed elaboration on the legacy of public-private partnerships (PPP), framework agreement case studies, market opportunity, market size and penetration analysis coupled with merger and acquisitions and the competitive landscape, in addition to growth opportunities. Frost & Sullivan's Definition on MES and MVS for Italy market Managed Equipment Services (MES): This is a bundled solution that includes the purchase of new equipment in addition to basic maintenance and support, technology management, planning and potentially a number of more advanced value-adding services. The bundle is usually financed by the customer through operational expenditure and typically extends, at a minimum, throughout the lifecycle of the equipment (7+ years). Multi-Vendor Services (MVS): This is a vendor-neutral offering combining basic and more advanced services, such as repair and maintenance services in addition to replacement planning (small components in imaging systems) for multimodality imaging fleet. The MVS does not include purchase of new equipment like in MES. The MVS provider can be the OEM of part of the equipment, or a third-party company, and act as a single source for service, working in line with in-house resources at the imaging provider site. Key Market Dynamics: The high cost sensitivity among Italian public healthcare providers and their limited access to capital funding form the key motivation for their consideration to adopt new purchasing and service models for capital imaging equipment. To address the ageing equipment fleet and worsening technology obsolescence situation in the installed bases, different regional communities in Italy are looking closely at the opportunity for framework agreements with industry consortia
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Table of Contents | Research Methodology and Study Scope~ || Methodology~ || Geographical Study Scope—Italy~ | Executive Summary—Prospects for Development of New Business Model in Italy~ || Key Findings~ || Executive Summary~ || MES and MVS Appetite and Adoption in Italy~ || Medical Imaging MES/MVS Vendor Positioning in Italy~ || Non-Conventional Medical Imaging Business Models in Italy~ || Frost & Sullivan’s Three Big Predictions~ | Study Introduction—The Importance of New Business Models in the Current Landscape~ || Background on Study Rationale~ || Frost & Sullivan Medical Imaging MES/MVS Study Plan~ | Market Definition and Segmentation—Managed and Multivendor Equipment Services~ || MES and MVS Business Models—Definitions~ || Market Segmentation by Type of Equipment~ || MES and MVS Business Models—Procurement Methods~ || MES and MVS Business Models by Type Framework Agreements~ || The Legacy of Large Healthcare Public-Private Partnerships and Private Finance Initiatives in Italy~ || Healthcare Public-Private Partnerships Legacy in Italy~ || Evolution of Regulatory Framework for PPP in Italy~ || Public-Private Partnership Types in Italy~ || Italy Hospital Sector—List of PPP and PFI, Greenfield Project Constructions and/or Administrative Concessions~ || Public Hospital Procurement Process in Italy~ | Total MES and MVS Market for Capital Imaging Modalities (CT & MRI) in Italy~ || CT and MR Imaging Equipment Infrastructure in Italy~ || Illustrative List of Active Large-scale Diagnostic Imaging Framework Agreements~ || Illustrative List of Active Mid-scale Multivendor Framework Agreements~ || Illustrative List of Small-scale Multivendor Service Contracts in Italy~ || Annual MES and MVS Market Revenue Forecast~ || Recent Large-scale Innovative Service Contract~ || Potentially Upcoming Large-scale MES-type Partnership~ || Increasing Push from National and Regional GPOs for Customer-Vendor Partnerships~ || Regional Communities with High Adoption Rates~ || MES and MVS Market Revenue Breakdown~ || Italy MES and MVS Market Penetration Analysis~ | Key Factors Influencing the Medical Imaging MES and MVS Market in Italy~ || Key Factors Influencing MES and MVS Market Adoption~ || Sensitive, but Improving National Economic Situation~ || Payment Delays and the Shift from Capex to Opex Model~ || Distinct Needs Across the Public and Private Sectors~ || National and Local GPOs Influencing MES and MVS Contracts~ | MES and MVS Competitive Landscape~ || A Competitive Landscape Undergoing New Dynamics~ || Current and Future Landscape Dynamics~ || Vendor Profile—Philips Healthcare~ || Vendor Profile—GE Healthcare~ || Vendor Profile—Siemens Healthineers~ || Vendor Profile—MESA, Higea SpA by Pantheon Group~ || Mergers & Acquisitions—Pantheon and TBS~ || Vendor Profile—TBS Group~ || Mergers & Acquisition—EBM (TBS Subsidiary) & Esaote~ | Growth Opportunities and Companies to Action~ || Italy’s New Medical Imaging Business Model—2016~ || Growth Opportunity—MES and MVS Business Model~ | The Last Word~ || The Last Word—Three Big Predictions~ || Legal Disclaimer~ | The Frost & Sullivan Story~
List of Charts and Figures 1. PPP Projects Completed as of 2007~ 2. PPP Projects Launched Post 2007~ 3. PPP Projects Launched in the Last 3 Years, 2014–2017~ 4. MES and MVS Total Addressable Market: Hospital and Diagnostic Imaging Centers, Italy, 2016~ 5. Large Scale Radiology Department Outsourcing Contracts – As a Result of PPP~ 6. National, Regional and Local GPOs ~ 7. MES and MVS Market: CT and MRI Scanner Installed Base Age Profile, Italy 2016~ 8. MES and MVS Market: Perceived Value of Value-Add Services in MES and MVS Contracts in Public and Private Settings, Italy, 2016~ 9. MES and MVS Market: Perceived Value of National and Local GPOs in MES and MVS Contracts in Public and Private Settings, Italy, 2016~ 10. MES and MVS Market: CT and MRI Units Install Base and Maintenance Ratio by Type, Italy, 2015~| 1. MES and MVS Market: Appetite and Adoption, Italy, 2016~ 2. MES and MVS Market: Vendor Positioning, Italy, 2016~ 3. MES and MVS Market: Market Segmentation by Equipment Tier, Italy, 2016~ 4. MES and MVS Business Model: Contract Framework Agreements, Italy, 2016~ 5. MES and MVS Market: Italy PPPs across Industries as a Percent of Public Works, Italy, 2002–2013~ 6. MES and MVS Market: Public Collaborations With the Private Sector, Italy, 2016~ 7. MES and MVS Market: Revenue Forecast, Italy, 2014–2021~ 8. MES and MVS Market: Percent Revenue by Contract, Italy, 2016~ 9. MES and MVS Market: Percent Revenue, Italy, 2016~ 10. MES and MVS Market: Market Penetration Analysis, Italy, 2015–2021~ 11. MES and MVS Market: CT Age Profiles in Italy’s Regions, 2014–2015~ 12. MES and MVS Market: MRI Age Profiles in Italy’s Regions, 2014–2015~ 13. MES and MVS Market: Healthcare Spend vs. Percent of GDP, Italy, 2011–2016~
Author Srikanth Kompalli
Industries Healthcare
WIP Number MBFA-01-00-00-00
Is Prebook No