Spain’s New Business Models in Medical Imaging, Forecast to 2020

Customer-Vendor Partnerships Find Windows of Opportunity Amidst a Deepening Public-Private Healthcare Divide

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Low economic growth and limited access to capital funding compel hospitals in Spain to adopt new purchasing and service models for imaging equipment. The drive to operationalize capital and service costs favors non-conventional business models in Spain over traditional capital-intensive purchasing and service models. Vendor-customer engagement over 10 to 15 years includes a broad range of value-adding services not limited to in-time renewal and procurement of new equipment. Equipment vendors and multi-vendor service providers are improving their solutions designed to provide a long-term partner-based service model with a commitment to outcomes and a risk-sharing component. This study presents the addressable market for medical imaging Managed Equipment Services (MES) and Multi-vendor Services (MVS) in Spain. The research service also discusses case studies, market opportunity, the competitive landscape, along with growth opportunities and companies to action.

Table of Contents

1. Research Methodology and Study Scope
Methodology
Geographical Study Scope—Spain
2. Executive Summary—Prospects for Development of New Business Model in Spain
Key Findings
Executive Summary
MES and MVS Appetite and Adoption in Spain
Medical Imaging MES/MVS Vendor Positioning in Spain
Key Questions for the Spanish MES/MVS Market
3. Study Introduction—The Importance of New Business Models in the Current Landscape
Study Rationale
Frost & Sullivan Medical Imaging MES/MVS Study Plan
4. Market Definition and Segmentation—Managed and Multi-Vendor Equipment Services
MES and MVS Business Models—Definitions
MES and MVS Business Models—Description
Market Segmentation by Type of Equipment
MES and MVS Business Model Maturity
5. The Legacy of Large Public-Private Healthcare Initiatives in Spain
Public-Private Legacy as a Basis for Future MES/MVS
Significance of the ‘Alzira Model’ for the Market Landscape
Public-Private Healthcare Collaborations in Spain
Hospitals Developed through Public-Private Partnerships
Hospitals Developed through Private Financing Initiatives
Public Hospital Procurement Process in Spain
MES/MVS Contracts in the Context of Public Procurement
6. Addressable Market for Medical Imaging MES and MVS in Spain
CT/MR Imaging Equipment Infrastructure in Spain
Illustrative List of Active Diagnostic Imaging MES Contracts
Annual MES and MVS Market Revenue Forecast
Market Revenue Forecast Discussion
Medical Imaging MVS Market Opportunity
Autonomous Communities with MES/MVS High Adoption
MES and MVS Market Revenue Breakdown
7. Drivers and Restraints in the Medical Imaging MES and MVS Market in Spain
Sensitive National Economic Situation
Decreasing Public Spend and Increasing Private Spend
Public-Private Collaborations in Healthcare Provision
Distinct Needs Across the Public and Private Sectors
Ageing Imaging Equipment Fleets
Regional Disparities across Autonomous Communities
Disparities in Regions’ Purchasing Power
Political Uncertainty and Risk for Left/Right Switching
Private Hospital Acquisitions and Consolidations
Rise in Privately-Insured Patient Populations
Concentration of MRI in Private Settings
8. Medical Imaging MES and MVS Assessment Framework and Case Studies
MES/MVS Contract Characteristics—Who is the Customer?
Assessment of the Customer in Current MES Contracts
MES/MVS Characteristics—What is the Scope?
Assessment of the Scope of Current MES Contracts
MES/MVS Characteristics—What is the Contract Objective?
Assessment of the Objective of Current MES Contracts
MES/MVS Characteristics—What is the Contract Duration?
Assessment of the Duration of Current MES Contracts
MES/MVS Characteristics—What is the Contract Worth?
Assessment of the Current Worth of MES Contracts
MES/MVS Characteristics—What is the Risk Element?
Assessment of the Risk Element in Current MES Contracts
Case Study—Siemens Healthineers’ $147.7 Million Murcia Contract
Case Study—Philips Healthcare’s CNIC Contract
9. Market Opportunity for Medical Imaging MVS in Spain
OEMs to Develop Multi-vendor Service Capabilities, Driving Market Adoption Beyond Third-party Vendor Offerings
A Competitive Landscape Undergoing New Dynamics
10. MES and MVS Competitive Landscape
Current and Future Landscape Dynamics
Vendor Profile—Philips Healthcare
Philips Records Highest Number of MES Deals in Spain
Vendor Profile—GE Healthcare
GE Healthcare Signing in Technology Partnership MES’s
Vendor Profile—Siemens Healthineers
Vendor Profile—Medical Equipment Solutions and Applications (MESA) by Pantheon Group
Vendor Profile—Grupo Empresarial Electromedico (GEE)
Competitive Landscape—MES Vendor Positioning Framework in Spain
11. Growth Opportunities and Companies to Action
Spain’s New Medical Imaging Business Model—2015
Growth Opportunity 1—MES and MVS Business Model
12. The Last Word
Frost & Sullivan’s Three Big Predictions
One or Two Large-scale Medical Imaging MES Contracts will be Signed with a High-profile Public Organization Every Two-to-three Years
The Onset of Integrated Care Models in the Consolidating Private Sector will Gradually Translate to New Ways of Engaging Imaging Vendors
The Spanish Healthcare Market will Remain Progressive, and Leveraged as a Testbed for Vendors to Experiment with New Business Models
Legal Disclaimer
13. Appendix
Market Engineering Methodology


List of Figures & Charts

1. Managed Equipment and Multi-Vendor Services (MES, MVS) in Continental Spain
2. Administrative Concession for Full Management of Public Healthcare Service (PPPS) Model
3. MES and MVS Market: Public Collaborations with the Private Sector, Spain, 2015
4. MES and MVS Market: Regulatory Process, Spain, 2015
5. Administrative Concession for Construction and Non-healthcare Management (PFI) Model
6. MES and MVS Market: Total Hospital and Diagnostic Centers, Spain, 2015
7. MES and MVS Market: Perceived Value of Value-Add Services in MES and MVS Contracts in Public and Private Settings, Spain, 2016
8. MES and MVS Market: CT and MRI Scanner Installed Base Age Profile, Spain 2014
9. MES and MVS Market: Summary of the June 2016 Congress of Deputies Election Results, Spain
10. MES and MVS Market: CT and MRI Units Install base and Maintenance Ratio by Type, Spain, 2014
11. MES and MVS Market: Summary of the June 2016 Senate of Spain Election Results, Spain


1. MES and MVS Market: Appetite and Adoption, Spain, 2015
2. MES and MVS Market: Vendor Positioning, Spain, 2015
3. MES and MVS Market: Market Segmentation by Equipment Tier, Spain, 2015
4. MES and MVS Market: Revenue Forecast, Spain, 2009–2020
5. MES and MVS Market: Total Annual Revenue Share, 2015
6. MES and MVS Market: Estimated MES Annual Revenue Share by Market Participant, 2015
7. MES and MVS Market: Estimated MVS Revenue Share by Market Participants, 2015
8. MES and MVS Market: Estimated Public Healthcare Spending as Percent of GDP, Spain, 2012–2015 E
9. MES and MVS Market: Total Healthcare Expenditure and in Relation to GDP, Spain, 2009–2013
10. MES and MVS Market: Breakdown of Public Health Expenditure by Cost Component, Spain, 2013
11. MES and MVS Market: CT Age Profiles in Spain Communities, 2014
12. MES and MVS Market: MRI Age Profiles in Spain Communities, 2014
13. MES and MVS Market: Healthcare Budget and Expenditure by Region, Spain, 2013
14. MES and MVS Market: Private Hospital Market Share Analysis, Spain, 2011–2015
15. MES and MVS Market: Number of Insured Individuals by Insurer, Spain, 2011–2015
16. MES and MVS Market: Concentration of Medical Imaging Systems in Total Imaging Modality, Spain, 2011–2015
17. MES and MVS Market: Assessment of Current MES Contract Positioning, Spain 2009–2016
18. MES and MVS Market: Assessment of Current MES Contract Positioning, Spain 2009–2016
19. MES and MVS Market: Assessment of Current MES Contract Positioning, Spain 2009–2016
20. MES and MVS Market: Assessment of Current MES Contract Positioning, Spain 2009–2016
21. MES and MVS Market: Assessment of Current MES Contract Positioning, Spain 2009–2016
22. MES and MVS Market: Assessment of Current MES Contract Positioning, Spain 2009–2016



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