Private healthcare market in Poland 2010

Table of contents:

1. Report methodology p. 11

2. Executive summary p. 15

3. Overview of the private healthcare market p. 19

• Key trends and events in 2009-2010 p. 19
• Events and trends expected for 2010-2012 p. 23
• The size of the healthcare market in 2005-2012 p. 25

4. The market of private health insurance in Poland p. 27

• Market overview p. 27
• Growth prospects for the market of private health insurance in Poland p. 29
• Key players p. 31

5. Market of private medical companies in Poland p. 39

• Overview p. 39
• Growth prospects for the medical subscription market in Poland p. 43
• Key market players p. 45

6. Non-public hospitals in Poland p. 85

• Segment overview p. 85
• The number and type of establishments p. 85
• Transformation of hospitals into companies p. 87
• New non-public hospitals p. 90
• Public-private partnership p. 91
• Profiles of selected private hospitals p. 93

7. Other non-public healthcare facilities in Poland p. 141

• Outpatient healthcare facilities p. 141
• Laboratories p. 142
• Profiles of selected market players p. 142
• Dialysis centres p. 145
• Profiles of selected key players p. 146
• Dental clinics v151
• Diagnostic imaging facilities p. 153
• Profiles of selected key players p. 156
• Rehabilitation facilities p. 159
• Emergency medical services p. 160

8. Medical tourism p. 163

9. Legal environment p. 167

• Complementary health insurance p. 167
• Taxation of medical subscriptions p. 168
• Position of the tax authorities p. 168
• Position of administrative courts p. 168
• Basket of guaranteed medical services p. 169
• Tax regulations applicable to non-public healthcare establishments p. 170
• Exemption from CIT p. 170
• Tax on subsidies from municipal governments p. 170
• Value added tax p. 171
• Provision of commercial services by public hospitals p. 171
• Comercialisation of hospitals p. 172

10. Consumer behaviour p. 177

• Evaluation of the healthcare system p. 177
• Assessment of access to healthcare services p. 179
• Using private and public healthcare systems p. 181
• Financial barriers to accessing private healthcare services p. 185
• Spending on private health care p. 187
• Opinions on payment/co-payment for services p. 189
• Opinions on the introduction of complementary health insurance p. 189

11. Spending on healthcare p. 191

• Total spending on healthcare p. 191
• Public spending on healthcare p. 192
• Private spending on healthcare p. 194
• Private spending on hospital care p. 196
• Spending on rehabilitation and medical treatment p. 197
• Private spending on outpatient care p. 197
• Spending on basic medical and diagnostic services p. 198
• Spending on dental services p. 199
• Spending on specialist outpatient services p. p. 200
• Private spending on auxiliary medical services 200
• Spending on laboratory testing services p. 201
• Spending on diagnostic imaging services p. 202
• Spending on emergency medical services and medical transport p. 202

12. The macroeconomic and demographic situation of Poland p. 203

• Basic macroeconomic indexes  p. 203
• Gross domestic product  p. 203
• Employment p. 205
• Wages p. 206
• Inflation p. 207
• Demographics p. 207
• Income and spending of households p. 209

13. List of graphs p. 213

14. List of tables p. 221

15. About PMR p. 223

16. Contact PMR p. 224

List of graphs and Tables:

List of graphs

1. Value (PLN bn) and change of the private healthcare market in Poland, 2005-2012
2. Value (PLN bn) and change of the private health insurance market in Poland, 2005-2012
3. Value (PLN bn) and change of the medical subscriptions market in Poland, 2005-2012
4. Structure of private spending on healthcare in Poland, 2009
5. Value (PLN bn) and change of the private healthcare market in Poland, 2005-2012
6. Value (PLN bn) and change of the private health insurance market in Poland, 2005-2012
7. Gross premium written (PLN m) and the number of health insurance policies (‘000) of XXX in Poland, 2008-2009
8. The estimated structure of gross premium written on health insurance offered by XXX in Poland, by type 2009
9. Gross premium written (PLN m) and the number of health insurance policies (‘000) of XXX in Poland, 2008-2009
10. The estimated structure of gross premium written of XXX, by type of insurance, 2009
11. Gross premium written of XXX on health insurance policies (PLN m), 2008-2009
12. Percentage of companies offering free healthcare services to their employees, by industry, 2007-H1 2009
13. Value (PLN bn) and change of the medical subscriptions market in Poland, 2005-2012
14. Estimated shares of medical companies in the market of private medical subscriptions in Poland, 2009
15. Structure of the XXX in Poland, 2010
16. The number of corporate patients of individual members of the XXX in Poland (‘000), April 2010
17. Scope of activity of XXX in Poland, 2010
18. Scope of activity of XXX in Poland, 2010
19. Scope of activity of XXX in Poland, 2010
20. Scope of activity of XXX in Poland, 2010
21. XXX’s revenue (PLN m) and revenue change in Poland, 2009-2010
22. The structure of revenue generated by the XXX, by source of financing, 2009
23. The value of the contract between XXX and NFZ (PLN m), 2009-2010
24. Scope of activity of XXX in Poland, 2010
25. XXX’s revenue (PLN m) and revenue change in Poland, 2001-2009
26. The value of the contract between XXX and NFZ (PLN ‘000), 2009-2010
27. The structure of revenue generated by XXX in Poland under the NFZ contract, by contracted services, 2010
28. Scope of activity of XXX in Poland, 2010
29. XXX’s revenue (PLN m) and revenue change in Poland, 2002-2009
30. The structure of XXX’s revenue in Poland, by source of financing, 2009
31. The value of the contract between XXX and NFZ (PLN m), 2008-2010
32. The structure of XXX’s revenue generated in Poland under the NFZ contract, by contracted services, 2010
33. Scope of activity of XXX in Poland, 2010
34. XXX’s revenue (PLN m) and revenue change, 2005-2009
35. The structure of revenue generated by XXX, by type of provided services, 2009
36. The structure of revenue generated by the XXX in Poland, by source of financing, 2009
37. The value of the contract between XXX and NFZ (PLN m), 2009-2010
38. The structure of revenue generated by the XXX in Poland under the NFZ contract, by contracted services, 2010
39. Scope of activity of XXX in Poland, 2010
40. The XXX ’s revenue and revenue growth in Poland (PLN m), 2006-2009
41. The value of the contract between XXX and NFZ (PLN m), 2009-2010
42. The structure of revenue generated by the XXX in Poland under the NFZ contract, by contracted services, 2010
43. Scope of activity of XXX in Poland, 2010
44. XXX ’s revenue (PLN m) and revenue change in Poland, 2005-2009
45. XXX’s revenue from inpatient and outpatient services in Poland (PLN m), 2005-2009
46. The structure of XXX’s revenue in Poland, by source of financing, 2009
47. The structure of XXX’s revenue generated in Poland under the NFZ contract, by contracted services, 2010
48. Scope of activity of XXX in Poland, 2010
49. XXX revenue (PLN m) and revenue change in Poland, 2003-2008
50. The value of the contract between XXX and NFZ (PLN m), 2009-2010
51. The structure of XXX’s revenue generated in Poland under the NFZ contract, by contracted serivces, 2010
52. Scope of activity of XXX in Poland, 2010
53. XXX’s revenue (PLN m) and revenue change in Poland, 2004-2008
54. The value of the contract between XXX and NFZ (PLN m), 2009-2010
55. The structure of XXX’s revenue under the NFZ contract, by contracted services, 2010
56. Scope of activity of XXX in Poland, 2010
57. XXX’s revenue (PLN m) and revenue change in Poland, 2004-2008
58. The value of the contract between XXX and NFZ (PLN m), 2009-2010
59. The structure of XXX’s revenue generated in Poland under the NFZ contract, by contracted services, 2010
60. Ownership structure of hospitals in Poland, June 2009
61. The number of beds in public and non-public hospitals in Poland, 2003-2008
62. The number of patients treated at public and non-public hospitals in Poland, 2003-2008
63. The structure of hospital transformation in Poland (by entity initiating transformation), 1999-H1 2009
64. The structure of hospital ward transformation in Poland (by entity initiating transformation), 1999-H1 2009
65. The structure of revenue generated by XXX’s hospitals from inpatient services (PLN m), by source of financing, 2007-2009
66. The value of contracts between NFZ and hospitals of the XXX , 2010
67. The value of the contract for inpatient services between XXX and NFZ (PLN m), 2009-2010
68. The structure of revenue generated by XXX under NFZ contracts for inpatient services, by contracted services, 2010
69. The structure of revenue generated by XXX Silesia in Poland, by type of service, 2009
70. The value of the contract for inpatient services between XXX and NFZ (PLN m), 2009-2010
71. The structure of revenue generated by XXX in Poland, by type of service, 2009
72. The value of the contract for inpatient services between XXX and NFZ (PLN m), 2009-2010
73. The structure of revenue generated by XXX under NFZ contracts for inpatient services, by contracted services, 2010
74. The structure of revenue generated by XXX in Poland, by type of service, 2009
75. The value of the contract for inpatient services between XXX and NFZ (PLN m), 2009-2010
76. The structure of revenue generated by XXX under NFZ contracts for inpatient services, by contracted services, 2010
77. The value of the contract for inpatient services between XXX and NFZ (PLN m), 2009-2010
78. The structure of revenue generated by XXX under NFZ contracts for inpatient services, by contracted services, 2010
79. The value of the contract for inpatient services between St. Roch’s Hospital in Ozimek and NFZ (PLN m), 2009-2010
80. The structure of revenue generated by St. Roch’s Hospital in Ozimek under NFZ contracts for inpatient services, by contracted services, 2010
81. The value of the contract for inpatient services between St. Anthony’s Hospital in Zabkowice Slaskie and NFZ (PLN m), 2009-2010
82. The structure of revenue generated by St. Anthony’s Hospital in Zabkowice Slaskie under NFZ contracts for inpatient services, by contracted services, 2010
83. The value of the contract for inpatient services between EuroMediCare Hospital in Wroclaw and NFZ (PLN m), 2009-2010
84. The structure of revenue generated by EuroMediCare Hospital in Wroclaw under NFZ contracts for inpatient services, by contracted services, 2010
85. Revenue of Grupa Nowy Szpital (PLN m) and revenue growth in Poland, 2008-2010
86. The structure of revenue generated by Grupa Nowy Szpital in Poland (PLN m), by source of financing, 2008-2010
87. The value and structure of contracts signed in 2010 between NFZ and companies of Grupa Nowy Szpital, 2010
88. The structure of revenue generated by Nowy Szpital in Olkusz under NFZ contracts for inpatient services, by contracted services, 2010
89. The value of the contract for inpatient services between Nowy Szpital Powiatu Krosnienskiego and NFZ (PLN m), 2009-2010
90. The structure of revenue generated by Nowy Szpital Powiatu Krosnienskiego under NFZ contracts for inpatient services, by contracted services, 2010
91. The value of the contract for inpatient services between Nowy Szpital in Szprotawa and NFZ (PLN m), 2009-2010
92. The structure of revenue generated by Nowy Szpital in Szprotawa under NFZ contracts for inpatient services, by contracted services, 2010
93. The value of the contract for inpatient services between Nowy Szpital in Naklo and Szubin and NFZ (PLN m), 2009-2010
94. The structure of revenue generated by Nowy Szpital in Naklo and Szubin under NFZ contracts for inpatient services, by contracted services, 2010
95. The value of the contract for inpatient services between Nowy Szpital in Wabrzezno and NFZ (PLN m), 2009-2010
96. The structure of revenue generated by Nowy Szpital in Wabrzezno under NFZ contracts for inpatient services, by contracted services, 2010
97. The value of the contract for inpatient services between Nowy Szpital in Kostrzyn nad Odra and NFZ (PLN m), 2009-2010
98. The structure of revenue generated by Nowy Szpital in Kostrzyn nad Odra under NFZ contracts for inpatient services, by contracted services, 2010
99. The value of the contract for inpatient services between Nowy Szpital in Swiebodzin and NFZ (PLN m), 2009-2010
100. The structure of revenue generated by Nowy Szpital in Swiebodzin under NFZ contracts for inpatient services, by contracted services, 2010
101. The value of the contract for inpatient services between Nowy Szpital in Wschowa and NFZ (PLN m), 2009-2010
102. The structure of revenue generated by Nowy Szpital in Wschowa under NFZ contracts for inpatient services, by contracted services, 2010
103. The value of the contract for inpatient services between Nowy Szpital in Swiecie and NFZ (PLN m), 2009-2010
104. The structure of revenue generated by Nowy Szpital in Swiecie under NFZ contracts for inpatient services, by contracted services, 2010
105. The value of the contract for inpatient services between Nowy Szpital in Skwierzyna and NFZ (PLN m), 2009-2010
106. The structure of revenue generated by Nowy Szpital in Skwierzyna under NFZ contracts for inpatient services, by contracted services, 2010
107. Revenue and net profit of American Heart of Poland in Poland, 2004-2008
108. The value of the contract for inpatient services between Szpital Polski in Sztum and NFZ (PLN m), 2009-2010
109. The structure of revenue generated by Szpital Polski in Sztum under NFZ contracts for inpatient services, by contracted services, 2010
110. The value of the contract for inpatient services between Damian Hospital in Warsaw and NFZ (PLN m), 2009-2010
111. The value of the contract for inpatient services between XXX and NFZ (PLN m), 2009-2010
112. The structure of revenue generated by XXX under NFZ contracts for inpatient services, by contracted services, 2010
113. The value of the contract for inpatient services between Zacisze Hospital in Warsaw and NFZ (PLN m), 2009-2010
114. The structure of revenue generated by Zacisze Hospital in Warsaw under NFZ contracts for inpatient services, by contracted services, 2010
115. Structure of revenue generated by XXX from inpatient services (PLN m), by source of financing, 2006-2009
116. The structure of revenue generated by XXX Hospital in Gdansk under NFZ contracts for inpatient services, by contracted services, 2010
117. Ownership structure of outpatient healthcare facilities in Poland, H1 2009
118. Public and non-public establishments conducting laboratory testing in Poland, April 2010
119. Revenue and net profit of Diagnostyka in Poland (PLN m), 2003-2007
120. Revenue and net financial profit/loss of Synevo Polska (PLN m), 2005-2008
121. Public and non-public establishments providing dialysis services in Poland, April 2010
122. Selected largest non-public dialysis clinics in Poland (number of establishments), April 2010
123. Revenue and net profit/loss of Fresenius Nephrocare in Poland (PLN m), 2004-2008
124. The value of contract between Fresenius Nephrocare dialysis clinics and NFZ (PLN m), 2009-2010
125. The value of contracts between Fresenius Nephrocare dialysis clinics and NFZ in individual voivodships in Poland, 2010
126. The value of contracts between Euromedic dialysis clinics and NFZ (PLN m), 2009-2010
127. The value of contracts between Euromedic dialysis clinics and NFZ in individual voivodships in Poland, 2010
128. The value of contracts between Diverum dialysis clinics and NFZ (PLN m), 2009-2010
129. The value of contracts between Diaverum dialysis clinics and NFZ in individual voivodships in Poland, 2010
130. The value of contracts between B.Braun/Avitum dialysis clinics and NFZ (PLN m), 2009-2010
131. The value of contracts between B.Braun/Avitum dialysis clinics and NFZ in individual voivodships in Poland, 2010
132. Public and non-public establishments providing dental services in Poland, April 2010
133. Funding of dental services in Poland, by source, February 2010
134. The number of public and non-public establishments providing diagnostic imaging services in Poland, April 2010
135. The number of non-public healthcare facilities providing diagnostic imaging services in Poland, April 2010 and April 2009
136. Percentage of population undergoing selected preventive examinations in Poland, 2007
137. The value of contract between Fado in Gdansk and NFZ (PLN ‘000), 2009-2010
138. The value of contracts between AVI Diagnostyka Obrazowa and NFZ (PLN ‘000), 2009-2010
139. The value of contracts on PET-CT examinations concluded by Euromedic in individual voivodships, 2010
140. The number of public and non-public establishments providing rehabilitation services in Poland, April 2010
141. Public and non-public establishments providing emergency medical services in Poland, April 2010
142. The number of contracts for emergency medical services by public and non-public entities, 2007-2010
143. The value of contracts between XXX and NFZ concerning emergency medical services in individual voivodships (PLN m), 2010
144. Flowchart of the process of transformation of independent public healthcare facilities (SP ZOZ) into non-public healthcare institution (NZOZ) as part of the “Saving Polish Hospitals” programme, 2010
145. Assessment of the healthcare system in Poland and selected Western European countries, 2009
146. Assessment of healthcare standards during doctor visits in Poland and selected Western European countries, 2009
147. Assessment of healthcare standards during hospital stays in Poland and selected Western European countries, 2009
148. Assessment of access to primary health care, consults of specialist doctors and hospital care in Poland compared to previous years, 2009
149. Availability of visits at outpatient clinics and home visits in Poland, 2004, 2006 and 2008
150. Assessment of accessibility of specialist doctors in Poland, 2006 and 2008
151. Percentage of households using public and private health care in Poland, 2000, 2003, 2005, 2007 and 2009
152. Percentage of households using public and private health care in Poland, 2009
153. Percentage of population using public and private health care in Poland, by age, 2009
154. Percentage of population using public and private health care in Poland, by place of residence, 2009
155. Percentage of population using public and private health care in Poland, by social and professional status, 2009
156. Percentage of population using private health care (paid for out-of-pocket or financed through medical subscriptions) in Poland, by voivodship, 2009
157. Percentage of households forced to forego selected private healthcare services in Poland for financial reasons, by type of service, 2009
158. Necessity to forego healthcare services due to the difficult economic situation in Poland and selected Western European countries, 2009
159. Household spending on specific healthcare services and pharmaceuticals in Poland (PLN), January-March 2009
160. Percentage of households incurring expenditure on specific healthcare services in Poland, 2005, 2007 and 2009
161. Household spending on specific types of healthcare services in Poland (PLN), 2005, 2007 and 2009
162. Monthly payments (PLN) for private healthcare services that Polish respondents would be willing to accept, 2009
163. Total health expenditure (% of GDP) in Poland, 2000-2007
164. Per capita total health expenditure (PPP-adjusted, $) in Poland, 2000-2007
165. Public sector health expenditure (% of GDP) in Poland, 2000-2007
166. Public sector health expenditure (% of total government spending) in Poland, 2000-2007
167. Public sector health expenditure (% of total health spending) in Poland, 2000-2007
168. Per capita public sector health expenditure (PPP-adjusted, $) in Poland, 2000-2007
169. Private sector health expenditure (% of GDP) in Poland, 2000-2007
170. Private sector health expenditure (% of total health spending) in Poland, 2000-2007
171. Per capita private sector health expenditure (PPP-adjusted, $) in Poland, 2000-2007
172. Public and private spending on hospital care in Poland, 2007
173. Structure of private spending on hospital care in Poland, 2007
174. Public and private per capita spending on medical treatment and rehabilitation services provided at hospitals in Poland (PPP-adjusted, $) 2002-2007
175. Private and public spending on outpatient care in Poland, 2007
176. Structure of private spending on outpatient care in Poland, 2007
177. Public and private per capita spending on basic medical and diagnostic services in Poland (PPP-adjusted, $), 2003-2007
178. Public and private spending on dental services in Poland, per capita (PPP-adjusted, $), 2003-2007
179. Public and private per capita spending on specialist outpatient services in Poland (PPP-adjusted, $), 2003-2006
180. Private and public spending on auxiliary medical services in Poland, 2007
181. Structure of private spending on auxiliary medical services in Poland, 2007
182. Private per capita spending on laboratory testing services in Poland (PPP-adjusted, $), 2003-2007
183. Public and private per capita spending on diagnostic imaging services in Poland (PPP-adjusted, $), 2004-2007
184. Private and public spending on emergency medical services and medical transport in Poland (PPP-adjusted, $), 2003-2007
185. Real change of GDP in Poland (%, y-o-y), 2000-2012
186. GDP per capita by purchasing power parity in EU states (100=EU-27 average), 2007-2008
187. Unemployment rate in Poland (end of period, %), 2006-2012
188. Average gross monthly wages in Poland (PLN), 2000-2009
189. Yearly indexes for the prices of consumer goods and services in Poland (%), 2000-2012
190. Population in Poland by place of residence, 2008
191. Percentage of urban population in Poland by region (%), 2008
192. Average monthly income and spending per capita in Polish households (PLN), 2000-2008
193. Average monthly disposable income per capita in Polish households (PLN) by source, and real change (y-o-y %), 2008

List of tables

1. Detailed offering of healthcare services provided by selected banks, 2010
2. Comparison of health insurance offers of selected insurance companies and medical companies, 2010
3. Number of clinics and hospitals owned by selected largest private medical companies in Poland, April 2010
4. Individual and corporate clients of selected largest medical companies in Poland, 2009
5. Selected private hospitals established in Poland, 2009-2010
6. Selected investment projects planned at non-public hospitals in Poland, 2010
7. Selected non-public hospitals operating based on the lease principle in Poland, 2010
8. Selected examples of planned public-private partnership hospital construction projects, 2010
9. Key information concerning XXX, 2010
10. Key information concerning XXX in Katowice, 2010
11. Key information concerning XXX, 2010
12. Key information concerning XXX, 2010
13. Key information concerning XXX, 2010
14. Key information concerning XXX, 2010
15. Key information concerning XXX, 2010
16. Key information concerning XXX, 2010
17. Key information concerning XXX, 2010
18. Key information concerning XXX, 2010
19. Key information concerning XXX, 2010
20. Key information concerning XXX, 2010
21. Key information concerning XXX, 2010
22. Key information concerning XXX, 2010
23. Key information concerning XXX, 2010
24. Key information concerning XXX, 2010
25. Key information concerning XXX, 2010
26. Key information concerning XXX, 2010
27. No. of beds at the individual establishments of XXX in Poland, 2010
28. Contracts between NFZ and XXX establishments in Poland, 2010
29. Key information concerning XXXj, 2010
30. Key information concerning XXX, 2010
31. Key information concerning XXX in Warsaw, 2010
32. Key information concerning the XXX in Warsaw, 2010
33. Key information concerning XXX in Warsaw, 2010
34. Key information concerning XXX in Krakow, 2010
35. Key information concerning XXX in Warsaw, 2010
36. Key information concerning XXX in Gdansk, 2010
37. Comparison of prices for selected dental care services in Poland and selected Western European and Central European countries, 2010
38. Comparison of prices for selected plastic surgery services in Poland and selected Western European and Central European countries, 2010
39. Implementation of the “Saving Polish Hospitals” programme in Poland, April 2009-April 2010
40. Basic macroeconomic indexes of Poland, 2008-2009
41. The largest Polish urban agglomerations by number of inhabitants, 2008

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