Dimple Parmar

M&A and turnaround of healthcare facilities!   Took the Masterclass on 28 September.   India is the fastest growing major economy. It is the fifth largest economy and the third largest in terms of PPP. Healthcare industry is one of the biggest employers employing ~7.5 million people. Current size of the healthcare industry is $372 billion and is expected to increase to $638 billion by 2025, growing at a CAGR of 16-17%. India still spends less than 5% of its GDP on healthcare, as against the OECD countries 8-10% and the US a whopping 20%.   Most legacy providers are consolidating aggressively and almost 30000 crores has been invested over the last 4 years with some mega deals have also been signed, powered by PE firms. Part of this investment could be used to extend delivery to Tier2/3 towns wherein the care delivery remains abysmal.   Integration of the newly acquired healthcare facilities (brownfield projects) becomes paramount for the providers/ PE firms to cerate value for their stakeholders. It entails design and execution of a prudent comprehensive business strategy.   Greenfield healthcare projects present a unique challenge to operationalize and turn profitable since all expenses are front loaded. In the absence of comprehensive strategy, turnaround is well-nigh impossible.   I’ve brought out key highlights of the same during my masterclass. Senior executives in the C-suite might find some of the strategies useful.   Please go through the full video and I’d love to hear your thoughts and valuable inputs on what strategies you have found viable in your organisations. Many of the KPIs in my presentation have been culled out of my own personal experience and could differ from yours. But that’s what diversity of experience is all about.   The ‘100 Day Plan’ that I made for one of my healthcare facilities could be a useful tool for some of you, as could other strategic paradigms discussed herein.   Enjoy the session in your own time.   I’m also attaching my presentation to maximise learning. Feel free to use it to enhance knowledge and benefit those in your teams.   Link for the full video for those who missed the session: https://lnkd.in/g7hsxyZE   #ayushpay #mergersandacquisitions #turnaroundstrategies #healthcare #hospitalindustry   AyushPay | Nimith Agrawal | Vivek Kapoor | Aanchal Dewan | Neer Samtani | Amit Kukreja | payal thakkar | Healthcare Continuum |  Raghavv Goyall

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Even though Top-5 Hospitals in 🇮🇳 grew 17.2% YoY in Revenue in FY24 & the PE investments were also BULL-ish🐂 but why are the Healthtech investments still BEAR-rish🐻? 🔻Is it that the PE-funded Branded hospitals are busy in 🔻expanding their reach PAN-India but NOT that much in 🔻bringing AI in Healthcare and incorporating Healthtech 🔻at every step of Patient Experience? ➡ Have a look at some of the prominent names in Indian Hospital Industry: 1-Apollo Hospitals- Rs. 19,059Cr (14.7% YoY) 2-Fortis Healthcare- Rs. 6,892Cr (9.4% YoY) 3-Manipal Hospitals- Rs. 6,500Cr (41.3% YoY) 4-Max Healthcare- Rs. 5,406Cr (18.5% YoY) 5-Narayana Health- Rs. 5,018Cr (10.9% YoY) 6-Aster DM Healthcare- Rs. 3,698Cr 7-Medanta- Rs. 3,275Cr 8-KIMS Hospitals- Rs. 2,498Cr 9-HealthCare Global (HCG) - Rs. 1,912Cr 10-Rainbow Children's Hospitals- Rs. 1,236Cr 11-Kovai Medical Center and Hospital (KMCH)- Rs. 1,219Cr 12-Shalby Hospitals- Rs. 933Cr 13-Artemis Hospitals- Rs. 878Cr 14-Yatharth Super Speciality Hospitals - Rs. 670Cr 15-Dr.Agarwal's Eye Hospital- Rs. 319Cr 16-Kauvery Hospital- Rs.177Cr 17-Lotus Eye Hospital and Institute- Rs.48Cr 18-Aashka Hospital- Rs.22Cr ➡ As far as Temasek is concerned: ✨ It bought an additional 41% from Manipal by pumping $2B, valuing it at Rs.40,000Cr. *Since then the revenue has jumped by 59% from Rs.4,600Cr to Rs.6,500Cr. ✨ It might buy 60% of HealthCare Global (HCG). ✨ Temasek also invested $80m in Dr.Agarwal's Eye Hospital as well. ✨ This $2B has allowed Manipal Hospitals to acquire Medica Superspecialty Hospital, Kolkata with 1400 beds spread across 11 hospitals in Bihar, West Bengal, Jharkhand & Assam. ✨ It also bought off 17% stake in Medanta from Punj Lloyd Limited. ➡ IHH Healthcare had acquired Gleneagles and bought 31% stake in Fortis Healthcare. ➡ Blackstone invested in KIMSHEALTH and bought 80% in it. ✨ Let me know your honest point of view on this infra expansion. Is it good for us or bad? ✨ Do you think Mid-Size Hospitals improve their survival chances adopting technology & investing in building world-class Patient Experience? 👨‍⚕️ Are you, as a DOCTOR-RUN hospital, confused about your future, Follow AGENDA+HEALTH | DM with your issues. #healthcare #healthtech #india #hospitals #doctors #PE #privateequity #revenue #market #valuations #mergersandacquisition #HealthcareIndustry #MedicalTourism #IndianHealthcare #HospitalManagement #HealthcareServices #HealthcareBusiness #HealthcareFinance #HospitalOperations #CostOptimization #PatientCare #MedicalServices #HealthcareEconomics #HospitalAdministration #HealthcareSuccess

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Kenko Health: From Skyrocketing Growth to Sudden Shutdown Kenko Health’s story was one many startups dream of—rapid growth, big-name investors, and a solution that promised to transform healthcare access. But in a flash, they’ve gone from a company with ₹85 crore in revenue to shutting down operations. What happened? Well, picture this: You’re climbing Everest. You’ve got a great climbing team, amazing resources, and you’ve trained hard. You have got a good chunk of international trainers who have been helping you get there and the local sherpas who are going to provide you with all the necessary equipment to reach the summit. The summit is in sight, but then the sherpas wants the climbing team to be mostly domestic leading to distress among the international trainers who have been helping you reach there. They can't turn their backs now and go back since they are equally invested in making the summit happen. Local Sherpas= Domestic regulator who gives out the coveted Insurance License (summit) International Trainers/ Team Members= Foreign Investors Kenko grew revenue 17x in one year, rising from ₹5 crore in FY22 to ₹85 crore in FY23. Impressive, right? Yet, despite their successes, they stumbled on a critical hurdle: securing an insurance license from the Insurance Regulatory and Development Authority (IRDAI). We all saw the potential. With Lightrock, Peak XV Partners (Sequoia Capital), BEENEXT backing Kenko, the startup seemed destined for greatness. But behind the scenes, things weren’t as perfect. Kenko’s quasi-insurance model worked brilliantly at first, providing affordable subscription health plans. But when it came to the regulatory complexities of acquiring that golden insurance license, things fell apart. They had the customers, the revenue, and the drive, but when the insurance goal became unreachable, the air thinned out. They even had investors lined up for a $27m Series B round—money that would have given them the capital cushion to survive. But then, to receive the insurance license, there were problems. The regulator wanted domestic investors to lead the charge. This, of course, caused a massive restructuring headache. Suddenly, the founders were caught between a rock and a hard place—international VCs on one side, domestic regulatory requirements on the other. And then, the final nail in the coffin—Kenko ran out of money. Even though the founders personally infused ₹9cr to keep the ship afloat, it wasn’t enough. By early 2024, employees weren’t getting paid, debts were mounting, and Kenko’s shutdown was all but inevitable. But this isn’t just about Kenko. It’s a case study on how regulatory hurdles can undo even the most promising companies in the startup ecosystem. Could this have been avoided? #kenko #insurtech #fintech #india #startups ------------------------------- 💡 I write interesting posts every week about my thoughts on the startup ecosystem, AI & disruptive technologies. Do follow Sabhareesh M for more!

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Can Digital Health Technology deliver a Healthy Future for Rural India? Digital Health & Telemedicine platforms are in the news for their ability to deliver high-quality healthcare to rural communities. However, many platforms continue to find difficulties in implementation due to many hurdles for which practical solutions are required. Some of the hurdles are: - Do we have enough trained Doctors & Nurses to physically administer tests & deliver healthcare in remote communities? - If trained nurses are not easily available, how will we measure vitals, perform blood/urine tests, etc. for patients in villages? - If there is no cellular network available, how will the telemedicine technology communicate with city based Doctors & Specialists? - How can we provide Affordable & Lab-quality diagnostics in every village for blood & urine tests? - Will the vitals testing & Lab equipment work with intermittent power and WiFi? - Do elders & pregnant women still have to visit the clinic or can you deliver care in their homes? These and other similar questions have been the hurdles for the delivery of hospital-grade last-mile care to rural communities. At RHEMOS Health, we embarked on our mission to deliver hospital-grade care, anytime, anywhere. And these were the challenges that we set for ourselves. Each of these challenges became an important feature in our solution to ensure that we addressed all possible hurdles for delivering a healthy future for rural India. And the result is our RHEMOS Health Station. - India’s smallest, portable & easy-to-use medical-grade digital health solution - Transforms the power of digital health - Enables Asha workers to administer 60+ critical vitals, blood, urine & pre-natal tests in village PHCs without the presence of qualified medical professionals - Portable enough to be carried to a patient’s home to deliver high-quality care @home - Instantly measures vitals and transmits test results to App & Cloud for remote Doctor interventions & treatment - Continues to measure vitals in offline mode (without cellular network) Transmits data once it receives network. - Works on Battery & Bluetooth. No dependence on power or WiFi - Extremely affordable with costs starting at less than Rs. 5000/month - Used for primary care, chronic care, eldercare, pre-natal care, NCD & Anaemia detection health camps - Delivers population health analytics - Massively scalable Experience the way RHEMOS Health Station reduces reliance on qualified medical staff at PoC, connects rural patients with remote doctors for prompt diagnosis and treatment, and drastically cuts care delivery costs. It accelerates rural care implementation and ensures easy access to affordable and high-quality healthcare in underserved communities. Its affordability, size & quick implementation time also makes this a massively scalable initiative. Contact us to know more: https://lnkd.in/dWHqZsJZ #healthtech #medicaldevices #digitalhealth #telemedicine #medtech

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Can Digital Health Technology alone deliver a Healthy Future for Rural India? When it comes to delivering high-quality healthcare to remote rural communities, we hear a lot about Digital Health & Telemedicine platforms, etc., and how they can deliver healthcare to villages. However, rural India comes with it’s own set of unique and practical challenges that - in many cases - brings digital health technology to its knees. e.g. - We don't have enough trained Doctors & Nurses to physically administer tests & deliver healthcare in remote communities? - If nurses are not available, how will we measure vitals, perform blood/urine tests, etc. for patients in villages? - If there is no cellular network available, how will the telemedicine technology communicate with city based Doctors & Specialists? - How can we provide Affordable & Lab-quality diagnostics in a village for blood & urine tests? - Will the vitals testing & Lab equipment work with intermittent power and WiFi? - Do elders & pregnant women still have to visit a clinic or can we deliver care to them in their homes? These and many other similar questions have hounded global research organizations for years in their efforts to deliver high-quality last-mile care to rural communities. At RHEMOS Health, these were the very same challenges that we set for ourselves when we embarked on our mission to deliver hospital-grade care, anytime, anywhere. Each of these challenges became an important design feature that our solution had to have to ensure that we addressed all possible hurdles for delivering a healthy future for rural India. The result is our RHEMOS Health Station. - India’s smallest, portable & easy-to-use medical-grade digital health solution - Transforms the power of digital health by enabling Asha workers to administer 60+ critical vitals, blood, urine & pre-natal tests in village PHCs without the presence of qualified medical professionals - Can also be taken to a patient’s home to deliver high-quality care @home - Transmits test results to App & Cloud for remote Doctor interventions & treatment - Works perfectly well in offline mode if there’s no cellular network to enable local care delivery. Transmits all data once you receive cellular network. - Works on Battery & Bluetooth. No dependence on power or WiFi - Extremely low & affordable monthly costs - Delivers comprehensive primary care, chronic care, prenatal care, NCD & Anaemia detection health camps, etc. - Delivers population health analytics - Massively scalable RHEMOS Health Station is an innovative healthcare delivery solution that accelerates rural care implementation and ensures easy access to affordable and high-quality healthcare in remote and underserved rural communities. Its affordability, size & quick implementation time also makes this a massively scalable initiative. Contact: https://lnkd.in/dWHqZsJZ #healthtech #medicaldevices #digitalhealth #telemedicine #medtech #remotehealthcare #healthcaremonitoring

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Have we achieved healthcare for all or is there still a long way to go? Let's find out the truth 👇🏽    Even though India's healthcare is growing fast, smaller cities still struggle for good care. The critical reasons for this are : 👉🏽 There are fewer specialists in tier-2 & tier-3 cities. This means people still have to travel far for special care. 👉🏽 Many smaller cities don't have technology that is needed for diagnosing diseases. 👉🏽 The government and businesses haven't invested enough in building or improving hospitals in these smaller places. 👉🏽 Many doctors prefer to work in urban areas or abroad because they have more opportunities and patients. This is how we can ensure no Indian is left behind in the pursuit of quality healthcare : ✅ Bigger hospitals can work with smaller ones in smaller cities. This can bring better care and technology to these areas. ✅ Technology companies can help by creating new ways to get healthcare & digital literacy . This can make it easier for people to access care. ✅ The government should spend more money on improving healthcare in smaller cities. This includes building new hospitals and improving the machines they have. ✅ The government should also make sure that healthcare is not too expensive for people in smaller cities. It's important to fix these problems so that everyone in India can get good healthcare, no matter where they live. Let me know your thoughts in the comments!

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it's about transforming lives and reshaping the future of healthcare in India.

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The Future of Healthcare in India ✨ 💡30 years ago, convincing someone to get heart surgery was the challenge. Today, it’s harder to convince them they don’t need surgery. This shift shows just how much medicine has evolved. But with healthcare costs soaring, how do we scale this knowledge to everyone without building more hospitals? 🏥 The answer lies in tech, apps, home care—rethinking healthcare for the modern age. The future is in your hands. 🖥️💊🚑 Viren Shetty Full episode: https://bit.ly/3XLSQ5h #HealthRevolution #DigitalHealth #FutureOfHealthcare

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Each line of code we write is an optimization towards a life being saved, a stress being relived. This is a different high personally for me to develop something with amazing tribe we call DocsTribe AI :)

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The Top ranking hospital group makes the revenue that equals the combined profits of the other 3 hospitals out of top four in the list of hospital groups in the country!

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How does India deliver “Care” to rural communities through Digital Health? The mission of an ideal Digital Health Solution should be to deliver hospital-grade care, anytime and anywhere across India & the globe. The Solution should enable multiple health screens & deliver high-quality care regardless of whether the rural community has a local Doctor or a trained Nurse or whether they have power or WiFi, etc. While challenges like power & WiFi can be addressed through technology, how does one deliver health screens & diagnostics without the presence of a local Doctor or Nurse? Enter the ASHA Worker. THE most critical “Non-Technology” component of our Digital Health Solution. It is the Asha worker who ensures that all tasks related to creating a patient profile, capturing patient symptoms, and measuring patient vitals, are completed efficiently despite the unavailability of qualified medical professionals. The Asha workers also visit patient’s homes to provide door-to-door care – especially for older patients with mobility issues and for expectant mothers who may not be able to visit a clinic. And finally, there’s an emotional element to delivering good quality “patient care” that cannot be fulfilled by ANY technology, and which is warmly delivered by the Asha worker. The Asha workers also need to be provided with a digital health solution that has advanced telemedicine capabilities but is extremely easy to use. That was the design mantra for the RHEMOS Health Station. India’s smallest & easy-to-use rural care solution. It enables Asha workers to administer 60+ critical vitals, blood/urine & pre-natal tests in village PHCs. The Health Station can also be carried to a patient’s home to deliver high-quality care ensuring huge patient convenience. Once it measures vitals, it transmits test results to App & Cloud to enable remote Doctor interventions & treatment. RHEMOS also works offline if cellular networks are unavailable & enables local health screens and collects test results, which are all transmitted to cloud once the cellular network is restored. It is also designed to work on Battery & Bluetooth to ensure no dependence on power or WiFi. And finally, with the capability to measure 60+ vitals & bio-markers, it can be used by Asha workers to deliver comprehensive primary care, chronic care, prenatal care, NCD & Anaemia detection health camps, etc. In conclusion, it is the Asha workers that define the success of digital health & enable us to connect rural patients with remote doctors for treatment. They reduce our reliance on medical staff and drastically cut care delivery costs. They accelerate rural care implementations, and ensure easy access to affordable and high-quality care in remote and underserved rural communities, which also makes this a massively scalable initiative. Click to know more: https://lnkd.in/dWHqZsJZ #healthtech #medicaldevices #digitalhealth #telemedicine #medtech #remotehealthcare #healthcaremonitoring 

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AI is set to reshape healthcare! Medtech startup Qure.ai has secured $65 Mn (INR 543 Cr) in a Series D funding round, co-led by Lightspeed Venture Partners and 360 ONE Asset Management. The round also saw participation from Merck Global Health Innovation Fund, Kae Capital, and existing investors Novo Holdings, Health Quad, and TeamFund. This funding will be used to: 1. Expand in the US and other global markets 2. Enhance its GenAI foundation models 3. Support future acquisitions Founded in 2016 by Prashant Warier, Qure.ai leverages AI to revolutionize medical imaging diagnostics, detecting critical conditions such as brain trauma and chest diseases from X-rays, CT scans, and MRIs in record time. The impact of AI in healthcare is immense, addressing bottlenecks in diagnostics, drug discovery, patient management, and even surgical robotics. It is evident that India's medtech sector is booming! Startups like SigTuple and Visit Health raised significant funds, and Innovaccer is in talks for a $200 Mn-$250 Mn funding round,Last month. SOurce - https://lnkd.in/dekh2qSs Prashant Warier Kudos to the team Dr Abhilash O V Manishkumar Jain Hardik Solanki Dr Ishan Yadav M Nagarajan #MedTech #AI #HealthcareInnovation #DigitalHealth #QureAI #Startups #Funding #Tech

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Long back have you heard the India Growing opportunity in Telemedicine Digital Health. Someone will see this figure and data and start the company and sooner or later, his life will be in chaos. These are Unrealistic data Why ! Once we talk about the Biotech industry, Life sciences, Digital health, and Startup India. What happen in reality nearly 95 % companies shutdown. We are not the supplier or R&D leader. We should be able to see the reality and true possibilities. As per the data from the Hindu India's R&D expenditure, research and development investment, as a percentage of GDP stands at 0.64%. India falls behind major developed and emerging economies such as China (2.4%), Germany (3.1%), South Korea (4.8%), and the United States (3.5%). The most sad part is its much below the world average of 1.8%. So basically, as per me the fundamentals are not correct. First focus on , support the research institute and the researcher PhD Student's Support them to carry out the research give them a stable life. If we increase the Number of Research Labs Research facilities Provide training because we know our Education system its Theory nothing else. Many students not even getting internship to their core branch. Indeed some day we may be able to justify this. As of now, it's just misguiding data for promotion nothing else. #startup #news #research #India #health #management #marketing

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Boost your rural eClinics with the power of RHEMOS. While Telemedicine is positioned by many as the "holy grail" for delivery of high-quality rural care in India, most of today’s Rural Telemedicine solutions are unable to provide basic health checks & diagnostic tests that are needed for Doctors to make an accurate diagnosis. Most of today’s Telemedicine Solutions seem to be Tele-calling Apps supported by an EMR. They enable Doctors to have a video conversation with patients about their health & symptoms, but they do not offer any capability to remotely check patient vitals during the call. As a result, the Doctors have to try to provide a diagnosis largely based on the Patient’s responses to their questions and not on actual vital results. The RHEMOS Health Station is designed to bridge this gap and it enables our rural population to take advantage of doctors and specialists living in cities. The portable RHEMOS Ecosystem can accurately measure up to 60+ vitals and Bio-markers in minutes from village PHCs/CHCs or from a patient’s home. All the test results are instantly transmitted through App and Cloud for interventions by remote doctors who can study the vitals to provide an accurate diagnosis and treatment. The tests include all basic vitals, ECG, 30+ Blood tests, Urine tests, Auscultations, FHR/UA, and many more. This unique capability of the RHEMOS Health Station enables the delivery of primary, specialty, acute, chronic, and pre-natal care to rural patients with ease and brings easy and affordable access to high-quality, personalized healthcare to the remotest corners of the country. The RHEMOS Health Station is also extremely easy to use and Asha workers can be trained in a few hours to manage PHCs and health camps thereby reducing dependence on trained & professional medical manpower. The RHEMOS Health Station represents the true democratization of healthcare. Contact us to know more: https://lnkd.in/dWHqZsJZ #medtech #healthtech #digitalhealth #medicaldevices #health #wellness #telemedicine #remotepatientmonitoring #connectedcare #ruralcare #ruralhealth #ruralhealthcare

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Easiest & fastest way to create World's First $10 Trillion Company 1. Nvdia to to acquire OpenAI for $250 Billion ( investors happy - they get $100 Billion bump in 1 Month) 2. Nvdia Spends Zero Cash - Instead give Nvdia Stock to OpenAI ShareHolders. - Investors of openAI even more happy. 3. Within 24 hrs of this Deal Nvdia Market Cap jump by $1 Trillion. Obviously ! 4. Get some pocorn 5. Please comment to get First access to Complete Thesis & report ...

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The newly formed government in India has extended the Digital Health Incentive Scheme (DHIS) by another year, aiming to bolster the digitization of healthcare records and link them with Ayushman Bharat Health Account (ABHA) IDs. The Digital Health Incentives Scheme (DHIS) that offers incentives of up to Rs. 4 crores under ABDM. Initially set to conclude on June 30, 2024, the DHIS will now continue until June 30, 2025, or until the allocated funds are exhausted. This initiative is part of the broader Ayushman Bharat Digital Mission (ABDM), which seeks to create a secure and centralized digital health infrastructure for every citizen. The primary objective of the DHIS is to promote the adoption of digital healthcare services across India. The scheme aims to foster a digitally inclusive healthcare ecosystem. Each hospital receives INR 20 per patient for digitizing health records and linking them to ABHA IDs. With Digitization of health records, patients can access their health records from anywhere in the country, facilitating better continuity of care and reducing the likelihood of medical errors. Since its launch on January 1, 2023, the DHIS has made significant strides. According to data from the ABDM dashboard, as of April 3, 2024, a total of 5,894.60 lakh ABHA IDs have been created across the country. The National Health Authority (NHA) has issued guidelines to ensure hospitals use the funds for improving digital infrastructure or any activity related to patient welfare, such as providing free Wi-Fi, better seating arrangements, wheelchairs, stretchers, and clean drinking water. As of now, INR 34 crore has been released to hospitals under the scheme, but only a portion has been utilized. Future Prospects and Challenges The extension of the DHIS underscores the government's commitment to advancing digital healthcare in India. By providing financial incentives and supporting the integration of digital health records, the scheme has the potential to transform the healthcare landscape. The government must invest in capacity-building initiatives to equip healthcare workers with the skills required for digital health management. The success of the ABDM and DHIS depends on the willingness of individuals to adopt digital health records. The extension of the Digital Health Incentive Scheme marks a significant step towards achieving a digitally inclusive healthcare system in India. By incentivizing the digitization of health records and linking them with ABHA IDs, the scheme aims to improve the accessibility, efficiency, and quality of healthcare services. While challenges remain, the continued efforts of the government, healthcare providers, and the public can ensure the successful implementation of this transformative initiative. The DHIS not only aims to modernize India's healthcare infrastructure but also to enhance the overall health and well-being of its citizens.

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The CAC for all the Healthtech companies won't ever make sense as all funded subscriptions* trying to productise a CHRONIC-disease are after the same TG with a fixed WALLET-SHARE (Rs.5K/mon) for all the health/ wellness activities using which they want to - ▪ EITHER go to the GYM or improve NUTRITION to fight off their Diabetes, Cholestrol, Heavy-Weight, PCOD, Hair-Balding etc. ▫ OR buy INDIVIDUAL Subscriptions costing them more than their wallet-share. Hence, the CAC for all the Healthtech companies won't ever make sense as the consumer will - 😕 Keep getting CONFUSED due to FOMO & 🤯 Have huge expectations of the results & 🤔 Not stick to a service affecting retention Probably that is the reason these subscriptions cost a HUGE >Rs.3000/- per month. *A usual subscription incl. Doctor-consult, Nutraceuticals/ Medicines, Device & app-Tracking PS: The consumer ATTENTION is fleeting hence building consumer TRUST is even more difficult. & in healthcare TRUST once broken can't be redeemed (unlike re-ordering food a restaurant from Zomato/Swiggy that broke your trust once). PS: The only solution in this cut-throat marketing competition is your confidence on your GODLY SERVICE. @Follow AGENDA+HEALTH #healthcare #healthtech #India #doctor #doctconsult #app #subscription #funded #startup #chronicdisease #TG #walletshare #health #wellness #gym #nutrition #diabetes #cholestrol #weightloss #pcod #pcos #balding #CAC #fomo #marketing #retention #nutraceuticals #medicine #medicaldevice #tracking #competition #servicelevels #customertrust

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