Table of contents:

Report methodology

Executive summary

Overview of the private healthcare market

• Key trends and events in 2008-2009
• Forecasted events and trends in 2009-2010
• Size of the private healthcare market in Poland in 2005-2011

Private health insurance market

• Overview
• Growth prospects of health insurance market in Poland
• Key features of health insurance
• Companies present on the market
• PZU Zycie
• Signal Iduna
• INTER Polska
• Allianz
• Compensa
• InterRisk
• Ergo Hestia
• AXA
• Generali
• Other companies offering health insurance in Poland

Private medical companies in Poland

• Overview
• Growth prospects for the medical subscription market in Poland
• Key players
• Companies held by Mid Europa Partners
• Medicover
• Enel-Med
• Know How/Grupa Nowy Szpital
• EMC Instytut Medyczny
• Scanmed
• Swissmed Centrum Zdrowia
• Falck
• Polmed

Non-public healthcare facilities in Poland

• The number and overview of non-public healthcare facilities
• Dialysis clinics
• Prices of medical services
• Financial standing of healthcare centres in Poland
• Transformation of healthcare facilities in 1999-2008

Legal environment

• Package of healthcare acts
• Commercialisation of hospitals
• Additional health insurance
• Division of the NFZ
• Guaranteed benefits basket
• Taxation of medical subscriptions
• The position of the tax authorities
• The position of the administrative courts

Poles’ attitudes to private health care

• Healthcare satisfaction
• Opinions on the service quality
• Opinions on the affordability of services
• Availability of services
• Frequency of using private medical care
• Attitude to co-payment
• Attitude towards privatisation
• Comparison of public and private healthcare
• Medical tourism

Economic trends

• Financing structure of the healthcare system
• Total spending on healthcare
• Public spending on healthcare
• Private spending on healthcare
• Private spending on hospital care
• Private spending on outpatient care
• Private spending on auxiliary medical services
• Employer spending on occupational healthcare
• Macroeconomic trends
• GDP growth
• Inflation
• Unemployment
• Wages

Demographic trends

• Population
• Natural population growth
• Ageing of society
• Life expectancy
• Gender structure
• Degree of urbanisation

Annex 1 – Offer of insurance companies

Annex 2 – Offer of private medical companies

Annex 3 – Basic data on healtcare system in Poland

List of graphs

List of tables

About PMR

Contact PMR

List of graphs and Tables:

List of graphs

1. Value (PLN bn) and change of the private healthcare market in Poland, 2005-2011
2. Value (PLN m) and change of the private health insurance market in Poland, 2005-2011
3. Value (PLN bn) and change of the medical subscriptions market in Poland, 2005-2011
4. Structure of private spending on healthcare in Poland, 2008
5. Value (PLN bn) and change of the private healthcare market in Poland, 2005-2011
6. Value (PLN m) and change of the private health insurance market in Poland, 2005-2011
7. The number of corporate subscription clients (’000) in selected medical companies in Poland, June 2008 and November 2008
8. Value (PLN bn) and change of the medical subscriptions market in Poland, 2005-2011
9. Market shares of largest private healthcare providers in Poland, 2008
10. Lux Med Group’s revenues and their change in Poland (PLN m), 2007-2008
11. Scope of activity of Lux Med in Poland, 2009
12. Scope of activity of Medycyna Rodzinna in Poland, 2009
13. Scope of activity of Promedis in Poland, 2009
14. CM LIM’s revenues (PLN m) and their change in Poland, 2001-2008
15. Scope of activity of CM LIM in Poland, 2009
16. Medicover’s revenues (PLN m) and their change in Poland, 2001-2008
17. Structure of Medicover’s revenues in Poland, 2008
18. Scope of activity of Medicover and Centrum Medyczne Damiana in Poland, 2009
19. CMD’s revenues (PLN m) and their change in Poland, 2006-2008
20. Structure of CMD’s revenues in Poland, 2008
21. Enel-Med’s revenues (PLN m) and their change in Poland, 2002-2009
22. Structure of Enel-Med’s revenues in Poland, 2008
23. Scope of activity of Enel-Med in Poland, 2009
24. Grupa Nowy Szpital’s revenues (PLN m) and their change in Poland, 2007-2008
25. Scope of activity of Grupa Nowy Szpital in Poland, 2009
26. The EMC Instytut Medyczny group’s revenues (PLN m) and their change in Poland and Ireland, 2005-2008
27. Contracts between EMC Instytut Medyczny and the NFZ in Poland, 2008
28. Structure of EMC Instytut Medyczny’s revenues (by country) in Poland and Ireland, 2008
29. Scope of activity of EMC Instytut Medyczny in Poland, 2009
30. Scanmed Group’s revenues (PLN m) and their change in Poland, 2006-2008
31. Scope of activity of Scanmed in Poland, 2009
32. Swissmed’s revenues (PLN m) and their change in Poland, 2005-2008
33. Swissmed’s revenues (PLN m) from outpatient and inpatient services in Poland, Q1-Q4 2008
34. Structure of Swissmed’s revenues in Poland, 2008
35. Scope of activity of Swissmed in Poland, 2009
36. Falck’s revenues (€ m) and their change in Poland, 2003-2008
37. Scope of activity of Falck in Poland, 2009
38. Polmed’s revenues (PLN m) and their change in Poland, 2004-2007
39. Scope of activity of Polmed in Poland, 2009
40. Ownership structure of hospitals in Poland, 2008
41. Ownership structure of outpatient facilities in Poland, 2008
42. The number of hospital beds in public and non-public hospitals in Poland, 2003-2007
43. The number of patients treated in public and non-public hospitals in Poland, 2003-2007
44. Hospital wards in non-public local government hospitals in Poland, 2008
45. Public and non-public facilities providing diagnostic imaging services in Poland (number of facilities), 2009
46. Public and non-public facilities providing rehabilitation services in Poland (number of facilities), 2009
47. The largest non-public dialysis centres in Poland (number of facilities), 2009
48. Debt due from independent public healthcare centres in Poland (PLN bn), Q1 2005-Q4 2008
49. Total debt of independent healthcare centres in Poland (PLN m), Q4 2004-Q4 2008
50. Profits and losses of healthcare facilities in Poland (PLN m), 2008
51. The number of healthcare facilities transformed in Poland, 1999-2008
52. Structure of healthcare facilities transformation in Poland (by entity initiating transformation), 1999-2008
53. Ownership structure of local government hospitals in Poland, 2008
54. Opinions on medical consults and services (of the public healthcare system) offered as part of the NFZ health insurance system (healthcare finance authorities) in Poland, 2000, 2007 and 2009
55. Assessment of the quality of the healthcare system in Poland in relation to the EU average, 2007
56. Assessment of the affordability of healthcare services in Poland in relation to the EU average, 2007
57. Assessment of healthcare availability in Poland in relation to the EU average, 2007
58. Frequency of using private healthcare in Poland, by type of service, 2006
59. Poles’ opinions on co-payment for medical services, by age group, 2008
60. Will introduction of co-payment improve access to medical services in Poland?, 2008
61. Medical services for which Poles would be willing to pay, 2008
62. Comparison of private and public healthcare in Poland, 2006
63. Have you ever travelled to another country for a medical procedure? (% of respondents in selected European countries), 2008
64. Reasons cited by Poles for going abroad for treatment, 2008
65. Financing structure of the healthcare system in Poland (by source of financing), 2007
66. Total health expenditure (% of GDP) in Poland, 2000-2006
67. Per capita total health expenditure (PPP-adjusted, $) in Poland, 2000-2006
68. Public sector health expenditure (% of GDP) in Poland, 2000-2006
69. Public sector health expenditure (% of total government spending) in Poland, 2000-2006
70. Public sector health expenditure (% of total health spending) in Poland, 2000-2006
71. Per capita public sector health expenditure (PPP-adjusted, $) in Poland, 2000-2006
72. Private sector health expenditure (% of GDP) in Poland, 2000-2006
73. Private sector health expenditure (% of total health spending) in Poland, 2000-2006
74. Per capita private sector health expenditure (PPP-adjusted, $) in Poland, 2000-2006
75. Public and private spending on hospital care in Poland, 2006
76. Structure of private spending on hospital care in Poland, 2006
77. Public and private per capita spending on medical treatment and rehabilitation services provided at hospitals in Poland (PPP-adjusted, $) 2002-2006
78. Private and public spending on outpatient care in Poland, 2006
79. Structure of private spending on outpatient care in Poland, 2006
80. Public and private per capita spending on basic medical and diagnostic services in Poland (PPP-adjusted, $), 2002-2006
81. Public and private spending on dental services in Poland, per capita (PPP-adjusted, $), 2003-2006
82. Public and private per capita spending on specialist outpatient services in Poland (PPP-adjusted, $), 2003-2006
83. Private and public spending on auxiliary medical services in Poland, 2006
84. Structure of private spending on auxiliary medical services in Poland, 2006
85. Private per capita spending on laboratory testing services in Poland (PPP-adjusted, $), 2003-2006
86. Public and private per capita spending on diagnostic imaging services in Poland (PPP-adjusted, $), 2004-2006
87. Private and public spending on emergency medical services and medical transport in Poland (PPP-adjusted, $), 2003-2006
88. Employer spending on medical certification activities of labour medicine doctors in Poland (PLN m), 2004-2006
89. Expenditure incurred by employers to finance medical certification activities of labour medicine doctors (by type of facility) in Poland, 2006
90. GDP growth in Poland (%), 2005-2011
91. Inflation rate in Poland (%), 2005-2011
92. Unemployment rate in Poland (%), 2005-2011
93. Gross average monthly wages in Poland (PLN), 2005-2008
94. Poland’s population (million), 2000-2035
95. Fertility rate in Poland and other select countries, 2008
96. Age structure of Polish population, 2000 and 2008
97. Population forecast for selected age groups in Poland (million), 2004-2035
98. Structure of health insurance spending in Poland, by age, in 2007, 2025 and 2050
99. Life expectancy at birth in Poland (years), 1990-2035
100. Expected lifespan at birth for men in Poland compared with select European countries, 1990 and 2006
101. Expected lifespan at birth for women in Poland compared with select European countries, 1990 and 2006
102. Polish population by gender, 2008
103. Polish population by place of residence, 2008
104. Total healthcare sector’s financing (PLN bn) in Poland, 2000-2007
105. Forecast for total financing and spending of public healthcare sector (PLN bn) in Poland, 2008-2050
106. Proceeds from health insurance premiums (PLN m) in Poland, 2000-2007
107. State budget expenditure on public health insurance premiums in Poland, by insured, 2007 and 2008
108. Healthcare system spending in Poland (PLN bn), 2004-2007
109. Healthcare spending in Poland, by function, 2006
110. Healthcare spending in Poland, by provider groups, 2006
111. State budget spending on health care (PLN m) in Poland, 1999-2007
112. Funds spent on health care by individual local government units in Poland, 2007
113. NFZ’s net financial result in Poland (PLN m), 2004-2007
114. Number of public and non-public hospitals in Poland, 2001-2007

List of tables

1. Individual and corporate clients of the largest medical companies in Poland, 2008
2. Number of clinics and hospitals owned by the largest private medical companies in Poland, 2009
3. Services guaranteed by Swissmed under contracts with the NFZ, 2009
4. Prices of medical services in selected cities in Poland (PLN), 2008
5. Taxation of medical subscriptions in Poland, 2009
6. Comparison of prices of medical services in Poland and the UK, 2009
7. Comparison of private healthcare insurance offers available in Poland, 2009
   
8. Comparison of private medical companies offers available in Poland, 2009
9. Financing from healthcare premiums (PLN m) in Poland, by ZUS and KRUS inflows, 2000-2007
10. Costs of financial tasks from the state budget (PLN m) in Poland, 2004-2007
11. Structure of local government unit spending on health care (PLN m) in Poland, by healthcare division, 2007
12. Persons insured with the NFZ in Poland, 2004-2007
13. Registered medical personnel in Poland, 2001-2007
14. Medical personnel employed at healthcare facilities in Poland, 2001-2007
15. Specialists employed at healthcare facilities in Poland, 2006-2007
16. Average net monthly remuneration in independent public healthcare centres based on employment contracts in Poland, by select professional groups, June 2007
17. Number of healthcare centres (ZOZ) and outpatient assistance in Poland, 2000-February 2009
18. Primary healthcare facilities (POZ) in Poland, 2003-2007
19. Number of beds and hospitalised in general hospitals in Poland, 2005-2007
20. Poles’ monthly healthcare spending (PLN per capita), 2007
21. Main reasons for hospitalisation in Poland, 2006

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