A sample report on
Germany Healthcare
Insurance Market
Analysis
Includes Market Size, Market Segmented by Types
and Key Competitors (Data forecasts from 2022 – 2030F)
www.insights10.com
This report presents a strategic analysis of the Germany Healthcare Insurance Market Analysis and a forecast for its development in the medium and long term. It provides a comprehensive overview of the market value, dynamics, segmentation, types of clinical diagnostics, point-of-care testing, main players, growth and demand drivers, challenges & future outlook, etc. This is one of the most comprehensive reports about the Germany Healthcare Insurance Market Analysis, and offers unmatched value, accuracy, and expert insights
Report Scope
Report Attribute
Details
Number of Pages
70-80
Base Year for Estimation
2022
Forecast Period
2023-2030
Market Overview, Revenue Forecast, Market Segmentation, Growth Factors and Trends, Report Coverage
Competitive Landscape, Key Company Profiles, Government Policies, Regulatory Landscape, Reimbursement Scenario
Quantitative Units
Revenue in USD Million/Billion (Mn/Bn)
Research Approach
Secondary Research (60%), Primary Research (40%)
Click on the icon to know the detailed methodology
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 3
Table of Content
CONTENT
PG. NO.
1. Healthcare Diagnostics Overview
12-25
1.1. Overview
1.2. Germany Overview
1.3. Economic Overview: Germany
1.4. Healthcare Insurance in Germany
1.5. Healthcare Services Market in Germany
1.6. Healthcare Scenario in Germany
1.7. Health Insurance Coverage: Germany
1.8. Budget of the Government for Public Insurance
1.9. Mergers and Acquisitions
2. Market Size and Forecasting
26-31
2.1 Market size and forecasts (Excel and Methodology)
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 4
Table of Content
CONTENT
PG. NO.
2.2. Market Segmentation
2.2.1. By Provider
2.2.2. By Coverage type
2.2.3. By Demographics
3. Market Dynamics
32-35
3.1. Market Growth Drivers
3.1.1. Germany Healthcare Insurance Market Analysis Driver 1
3.1.2. Germany Healthcare Insurance Market Analysis Driver 2
3.1.3. Germany Healthcare Insurance Market Analysis Driver 3
3.2. Market Restraints
3.2.1. Germany Healthcare Insurance Market Analysis Restraint 1
3.2.2. Germany Healthcare Insurance Market Analysis Restraint 2
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 5
Table of Content
CONTENT
PG. NO.
3.2.3. Germany Healthcare Insurance Market Analysis Restraint 3
4. Competitive Landscape
36-46
4.1. Major Market Share
4.2. Key Company Profile
4.2.1. DKV Deutsche Krankenversicherung
4.2.1.1. Overview
4.2.1.2. Product Applications & Services
4.2.1.3. Recent Developments
4.2.1.4. Partnerships Ecosystem
4.2.1.5. Financials (Based on Availability)
4.2.2. SIGNAL IDUNA Krankenversicherung
4.2.2.1. Overview
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 6
Table of Content
CONTENT
PG. NO.
4.2.2.2. Product Applications & Services
4.2.2.3. Recent Developments
4.2.2.4. Partnerships Ecosystem
4.2.2.5. Financials (Based on Availability)
4.2.3. AXA Krankenversicherung
4.2.3.1. Overview
4.2.3.2. Product Applications & Services
4.2.3.3. Recent Developments
4.2.3.4. Partnerships Ecosystem
4.2.3.5. Financials (Based on Availability)
4.2.4. DAK-Gesundheit
4.2.4.1. Overview
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 7
Table of Content
CONTENT
PG. NO.
4.2.4.2. Product Applications & Services
4.2.4.3. Recent Developments
4.2.4.4. Partnerships Ecosystem
4.2.4.5. Financials (Based on Availability)
4.2.5. Kaufmännische Krankenkasse (KKH)
4.2.5.1. Overview
4.2.5.2. Product Applications & Services
4.2.5.3. Recent Developments
4.2.5.4. Partnerships Ecosystem
4.2.5.5. Financials (Based on Availability)
4.2.6. HEK - Hanseatische Krankenkasse
4.2.6.1. Overview
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 8
Table of Content
CONTENT
PG. NO.
4.2.6.2. Product Applications & Services
4.2.6.3. Recent Developments
4.2.6.4. Partnerships Ecosystem
4.2.6.5. Financials (Based on Availability)
4.2.7. BARMER GEK
4.2.7.1. Overview
4.2.7.2. Product Applications & Services
4.2.7.3. Recent Developments
4.2.7.4. Partnerships Ecosystem
4.2.7.5. Financials (Based on Availability)
4.2.8. SIGNAL IDUNA Krankenversicherung
4.2.8.1. Overview
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 9
Table of Content
CONTENT
PG. NO.
4.2.8.2. Product Applications & Services
4.2.8.3. Recent Developments
4.2.8.4. Partnerships Ecosystem
4.2.8.5. Financials (Based on Availability)
4.2.9. Generali Deutschland Krankenversicherung
4.2.9.1. Overview
4.2.9.2. Product Applications & Services
4.2.9.3. Recent Developments
4.2.9.4. Partnerships Ecosystem
4.2.9.5. Financials (Based on Availability)
4.2.10. Aetna International
4.2.10.1. Overview
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 10
Table of Content
CONTENT
PG. NO.
4.2.10.2. Product Applications & Services
4.2.10.3. Recent Developments
4.2.10.4. Partnerships Ecosystem
4.2.10.5. Financials (Based on Availability)
5. Reimbursement Scenario
47-54
5.1. Reimbursement Regulation
5.2. Reimbursement Process for Diagnosis of Diseases
5.3. Reimbursement Process for Treatment of Diseases
5.4. Reimbursement Process – Medicare
5.5. Reimbursement Process - Medicaid
6. Methodology & Scope
55-60
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 11
Germany Healthcare Insurance Market Analysis
1. Healthcare Insurance Overview
1.1 Statistics at a Glance: The Scenario of Healthcare Insurance in the World Scope of Healthcare Insurance
▪
Please be aware that this sample report is
intended to provide you with a brief
overview of the kind of information and
$1.98 Tr
analysis that will be presented in the final
Global Health
report
Insurance market stood at
USD $1.98 Tr in 2021
▪
In this section you will get an
69.98%
understanding of the topic, which includes
non-communicable
the prevalence of the disease, the
diseases are responsible
application of medical devices, new
for 69.98% of all fatalities
technology, and other details related to the
5.98%
in World
topic
Insurance segment in
globe is projected to grow
▪
In order to obtain access to all of the
by 5.98% (2023-2027)
information that you are seeking, you will
resulting in a market
need to purchase the final report
volume of $598.684 Bn in
▪
Final report will be comprehensive and
2030
detailed, and it will include data, analysis,
trends, and other relevant information
related to the topic or subject matter of
interest
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 13
1.1 Statistics at a Glance: The Scenario of Healthcare Insurance in the World (continued)
Europe
~Revenue to reach
$XXBn by 2027
North America
~ Market Size of
Asia
$XX Bn
-Fastest CAGR
Africa
~Market Size of
Egypt Market
$XX Bn
~$XX MnMarket
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 14
1.2 Germany Overview
▪
Please be aware that this sample report is
intended to provide you with a brief
overview of the kind of information and
analysis that will be presented in the final
report
▪
In this section you will get an
understanding of the demographics of the
country/region, which includes the
84.54 Mn
4259.53 Bn
population, GDP, healthcare expenditure
and other details related to the topic
Is the population of
Is the Gross
Germany, in 2022
Domestic Product
▪
In order to obtain access to all of the
(GDP) in Germany in
information that you are seeking, you will
2023
need to purchase the final report
▪
Final report will be comprehensive and
44.9
$51,203.25
detailed, and it will include data, analysis,
Is the median age
per capita was the
trends, and other relevant information
in Germany, in
amount of national
related to the topic or subject matter of
2022
health expenditures in
interest
2021
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 15
1.3 Economic Overview: Germany
Population of Germany, (2020-2030)
GDP of Germany, (2020-2030)
XX
XX
XX
XX
2020
2021
2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2023F
2020
2021
2022 2023F 2024F 2025F 2026F 2027F 2028F 2029F 2023F
Population Split (2023)
▪
In this section you will get an understanding of the demographics of the country/region, which includes the population, GDP, By Gender
By Age Group
healthcare expenditure and other details related to the topic
▪
In order to obtain access to all of the information that you are 0-14
seeking, you will need to purchase the final report
15-24
Female
Male
▪
Final report will be comprehensive and detailed, and it will 51%
49%
25-54
include data, analysis, trends, and other relevant information 55-64
related to the topic or subject matter of interest
65+
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 16
1.1 Statistics at a Glance: The Scenario of Healthcare Insurance in the Germany
Scope of Healthcare Diagnostics
▪
Please be aware that this sample report is
intended to provide you with a brief
overview of the kind of information and
$5.698 billion
63598.27 Mn
analysis that will be presented in the final
Germany’s healthcare
Germany Insurance market
report
expenditures are expected to
stood at USD 6259.27 Million
double to $5.698 billion by
in 2021
▪
In this section you will get an
2028
understanding of the topic, which includes
the prevalence of the disease, the
application of medical devices, new
technology, and other details related to the
6.28%
71.59%
topic
Insurance segment in
non-communicable
Germany is projected
▪
In order to obtain access to all of the
diseases are responsible
to grow by 6.28% (2023-
information that you are seeking, you will
for 71.59% of all fatalities
2027) resulting in a market
need to purchase the final report
in Germany
volume of US$489.65 in
▪
Final report will be comprehensive and
2027
detailed, and it will include data, analysis,
trends, and other relevant information
related to the topic or subject matter of
interest
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 17
1.5 Healthcare Services in Germany
Germany Healthcare Services Market Forecast, 2022-2030 (in $Bn) xx
xx
xx
xx
xx
xx
xx
xx
xx
2022
2023F
2024F
2025F
2026F
2027F
2028F
2029F
2030F
▪
Please be aware that this sample report is intended to provide you with a brief overview of the kind of information and analysis that will be presented in the final report
▪
In this section you will get an understanding of the overall Healthcare Services market in Germany, which includes the market size, current trends and other details related to the topic
▪
In order to obtain access to all of the information that you are seeking, you will need to purchase the final report
▪
Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 18
1.6 Healthcare Scenario in Germany
Healthcare Insurance Development Process: The process of developing a cancer drug is complex and involves many stages, from preclinical research to clinical trials to regulatory approval. Here is a simplified diagram of the cancer drug development process: o Preclinical Research: Researchers identify potential drug candidates and test them in the lab o Phase 1 Clinical Trials: Small studies are conducted to test the safety and dosage of the drug in humans o Phase 2 Clinical Trials: Larger studies are conducted to test the effectiveness of the drug in treating cancer o Phase 3 Clinical Trials: Even larger studies are conducted to compare the new drug to standard treatments and evaluate its safety and effectiveness
o Regulatory Approval: The drug is reviewed by regulatory agencies such as the FDA and approved for use in the US market FDA has developed several approaches to making drugs available as quickly as possible, while still ensuring their safety and effectiveness. Here are four of these approaches:
▪
Fast track is a process designed to facilitate the development, and expedite the review of drugs to treat Fast Track
serious conditions and fill an unmet medical need
Breakthrough
▪
A process designed to expedite the development and review of drugs which may demonstrate substantial Therapy
improvement over available therapy
Accelerated
▪
These regulations allowed drugs for serious conditions that filled an unmet medical need to be approved Approval
based on a surrogate endpoint
Priority Review
▪
A Priority Review designation means FDA’s goal is to take action on an application within 6 months Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 19
1.6 Healthcare Scenario: Patient Journey and Reimbursement Presentation
Diagnosis
Treatment
Follow up
Confirmatory Diagnosis
Complete blood count
Prevention and management of
(evaluate number &
crisis:
quality of RBCs, Hb &
• For VOC and Splenic
• Long term follow-up is required for
WBCs)
patients with SCD
Initial Diagnosis
Sequestration: HU, Endari,
Adakveo, Oxbryta
• Annual assessment: CBC and
A suspected diagnosis is
Imaging (confirm bone
• For infections: Antibiotics,
reticulocyte count, iron status, liver
usually made, based on
related changes or
Vaccines
and renal function tests, urinalysis,
physical examination and
respiratory problems)
Prenatal screening/
LDH, vitamin D level and
detailed patient and family
Neonatal screening
Bacterial cultures of
neurocognitive assessment
history
blood, sputum, urine,
• ESOD (End Stage Organ Damage)
stool (detect any
Prevention and management of
evaluation starting from age 7
infection)
complications:
• Yearly Transcranial Doppler test to
determine risk of stroke
Genetic testing (detect
• Stroke: Chronic transfusions, HU
the type of SCD)
sr
PCP, pediatrician, neonatologist,
ed
endocrinologist, cardiologist,
l
PCP, paediatrician,
PCP, pediatrician, medical geneticist,
o
neonatologist,
PCP, pediatrician, medical geneticist,
hematologist, orthopedist, psychologist
cardiologist, hematologist,
haematologist and genetic
hematologist, gynecologist and pathologist
and psychiatrist
endocrinologist, psychologist and
counsellor
psychiatrist
Depending on the organ complications,
Stakeh
the treatment involves different
specialists at different times
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 20
1.7 Health Insurance Coverage: Germany
% of People by Type of Health Insurance Coverage
Number of People By Health Insurance Coverage
(2021)
Coverage Type
2020
2021
Change %
Uninsured
8.3
Total
327,521
328,074
With health insurance
91.7
Any health plan
299,230
300,887
0.4
Any private plan
217,896
216,366
–0.6
Any private plan
66.0
Employment-based
178,737
178,285
–0.2
Employment-based
54.3
Direct-purchase
10.2
Direct-purchase
33,869
33,555
–0.1
Marketplace
3.5
Marketplace coverage
10,924
11,389
0.1
TRICARE
2.5
TRICARE
9,165
8,299
–0.3
Any public plan
112,925
117,095
1.2
Any public plan
35.7
Medicare
58,541
60,226
0.5
Medicare
18.4
Medicaid
58,778
61,940
0.9
Medicaid
18.9
VA and CHAMPVA
2,967
3,151
0.1
VA and CHAMPVA
1.0
Uninsured
28,291
27,187
–0.4
▪
In 2021, most people (91.7%) had health insurance coverage at some point during 2021 and 8.3 % of people were uninsured for the entire calendar year
▪
More people had private health insurance (66%) than public coverage (35.7%)
▪
Employer-based insurance was the most common subtype of health insurance in the civilian, noninstitutionalized population (54.3%), followed by Medicaid (18.9%), Medicare (18.4%), direct-purchase insurance (10.2%), TRICARE (2.5%), and VA and CHAMPVA health care (1%)
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 21
1.8 Budget of Germany Government for Public Insurance
Proposed Budget By Category
Outlays
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2022-31
Medicare
$769
$709
$766
$841
$840
$947
$1,014
$1,085
$1,227
$1,178
$1,325
$1,412
$10,633
In Billions Of Dollars
Medicaid
$458
$521
$571
$582
$616
$645
$674
$698
$734
$768
$801
$837
$6,926
Medicare
3.7%
3.2%
3.3%
3.4%
3.3%
3.6%
3.7%
3.8%
4.1%
3.8%
4.1%
4.2%
3.7%
As % Of GDP
Medicaid
2.2%
2.4%
2.4%
2.4%
2.4%
2.4%
2.4%
2.4%
2.5%
2.5%
2.5%
2.5%
2.4%
▪
National Health Expenditures (NHE) grew 2.7% to $4.3 trillion in 2021, or $12,914 per person, and accounted for 18.3% of Gross Domestic Product (GDP)
▪
Medicare spending grew 8.4% to $900.8 billion in 2021, or 21% of total NHE
▪
Medicaid spending grew 9.2% to $734.0 billion in 2021, or 17% of total NHE
▪
Private health insurance spending grew 5.8% to $1,211.4 billion in 2021, or 28% of total NHE
▪
Out of pocket spending grew 10.4% to $433.2 billion in 2021, or 10% of total NHE
▪
Other Third Party Payers and Programs and Public Health Activity spending declined 20.7% in 2021 to $596.6 billion, or 14% of total NHE
▪
Hospital expenditures grew 4.4% to $1,323.9 billion in 2021, slower than the 6.2% growth in 2020
▪
Physician and clinical services expenditures grew 5.6% to $864.6 billion in 2021, slower growth than the 6.6% in 2020
▪
Prescription drug spending increased 7.8% to $378.0 billion in 2021, faster than the 3.7% growth in 2020
▪
Largest shares of total health spending were sponsored by the federal government (34%) and the households (27%). The private business share of health spending accounted for 17% of total health care spending, state and local governments accounted for 15%, and other private revenues accounted for 7%
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 22
1.9 Mergers and Acquisitions
RCM M&A Deal Value Trend ($Bn)
RCM M&A Deal Volume Trend
$16.7
112
107
107
110
89
$11.7
82
$10.5
$7.7
$6.8
$6.0
1H 2020
2H 2020
1H 2021
2H 2021
1H 2022
2H 2022
1H 2020
2H 2020
1H 2021
2H 2021
1H 2022
2H 2022
Buyer Composition: Strategic Vs Financial (2020)
Buyer Type by Deal Size
41%
41%
42%
39%
($Mn)
59%
59%
58%
61%
Strategic Buyers
Financial Buyers
$0- $25
$25-$50
$50-$100
$100+
57% of the total deal volume are done by strategic buyers and the rest 43% are done by financial buyers in 2020 Illustrative A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 23
1.9 Mergers and Acquisitions (continued)
Latest Deals In Germany
Amount /
Company Name
Type
Year
Key Pointers
Duration
▪
Oracle’s acquisition of Cerner is big tech’s latest foray into the healthcare system, promising better outcomes
▪
Oracle acquire Cerner through an all-cash tender offer for $95.00
per share, or approximately $28.3 Bn in equity value
Acquisition
$28.3 Bn
June, 2022
▪
Cerner is a leading provider of digital information systems used within hospitals and health systems to enable medical
Oracle acquisition of
professionals to deliver better healthcare to individual patients Cerner
and communities
▪
GSK has acquire BELLUS for US$14.75 per share of common
stock in cash representing an approximate total equity value of US$2.0 billion
▪
BELLUS is a late-stage biopharmaceutical company working to Acquisition
$2 Bn
April 2023
better the lives of patients suffering from persistent cough
▪
Acquisition further strengthens specialty medicines and
respiratory pipeline with camlipixant, a highly selective P2X3
GSK acquisition of
antagonist and potential best-in-class treatment for refractory BELLUS Health
chronic cough
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 24
1.9 Mergers and Acquisitions (continued)
Latest Deals In Germany
Amount /
Company Name
Type
Year
Key Pointers
Duration
Merger
March 2023
Merger
Jan 2023
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 25
Germany Healthcare Insurance Market Analysis
2. Market Size and Forecasting
2.1 Market size and forecasts (Excel and Methodology)
Click on the icon to know the
Germany Healthcare Insurance Market Forecast, 2022-2030 (in $Bn) methodology and assumption
▪
Please be aware that this sample report
XX
is intended to provide you with a brief
XX
overview of the kind of information and
analysis that will be presented in the
final report
▪
In this section you will get an
understanding of the overall Healthcare
Insurance market in Germany, which
includes the market size, current trends
2022
2023F
2024F
2025F
2026F
2027F
2028F
2029F
2030F
and other details related to the topic
2023
2024
2025
2026
2027
2028
2029
2030
▪
In order to obtain access to all of the
Major Markets Patient
2.74
2.82
2.90
2.94
2.98
3.02
3.07
3.12
information that you are seeking, you
(Mn)
will need to purchase the final report
Germany Patient Size
0.51
0.61
0.68
0.69
0.70
0.71
0.72
0.73
▪
Final report will be comprehensive and
(Bn)
detailed, and it will include data,
% of US Patients
18.75% 21.70% 23.56% 23.45% 23.42% 23.39% 23.34% 23.45%
analysis, trends, and other relevant
information related to the topic or
Global Market Size (Bn $)
3,620
3,780
3,950
4,128
4,314
4,508
4,711
4,937
subject matter of interest
Germany Market Size (Bn
61
74
84
87
91
95
99
106
$)
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 27
2.2 Snapshot of Insurance Market Segmentation
By Provider
By Coverage
By Demographics
Public
Life Insurance
Minor
Private
Term Insurance
Adults
Senior
▪
In this section you will get an understanding of the segmentations which will cover the Germany Healthcare Insurance Market
Analysis
▪
In order to obtain access to all of the information that you are seeking, you will need to purchase the final report A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 28
2.2.1 Market Segmentation: By Provider
Germany Healthcare Insurance Market Share, By Provider (2022)
▪
Private Insurance in Germany is a
significant component of the overall
Healthcare market
▪
It has the maximum market share in
Germany health insurance market with
approximately xx%
Private
▪
Please be aware that this sample report
is intended to provide you with a brief
overview of the kind of information and
analysis that will be presented in the
final report
Public
▪
In order to obtain access to all of the
information that you are seeking, you
will need to purchase the final report
▪
Final report will be comprehensive and
detailed, and it will include data,
analysis, trends, and other relevant
information related to the topic or
subject matter of interest
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 29
2.2.2 Market Segmentation: By Coverage
Germany Healthcare Insurance Market Share, By Coverage (2022)
▪
Health Insurance market in Germany is
a significant component of the overall
Health market
▪
It has the maximum market share in
Germany Health insurance market with
approximately xx%
▪
Please be aware that this sample report
is intended to provide you with a brief
overview of the kind of information and
Term Insurance
analysis that will be presented in the
Life Insurance
final report
▪
In order to obtain access to all of the
information that you are seeking, you
will need to purchase the final report
▪
Final report will be comprehensive and
detailed, and it will include data,
analysis, trends, and other relevant
information related to the topic or
subject matter of interest
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 30
2.2.3 Market Segmentation: By Demographics
Germany Health Insurance Market Share, By Demographics (2022)
▪
Minor have the maximum market share
in Germany Insurance market with
approximately xx%
Senior
▪
Please be aware that this sample report
is intended to provide you with a brief
overview of the kind of information and
analysis that will be presented in the
final report
▪
In order to obtain access to all of the
information that you are seeking, you
Minor
will need to purchase the final report
▪
Final report will be comprehensive and
detailed, and it will include data,
analysis, trends, and other relevant
Adult
information related to the topic or
subject matter of interest
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 31
Germany Healthcare Insurance Market Analysis
3. Market Dynamics
3.1 Market growth drivers
3.1.1 In 2021, 7.21% of Germany's population was above the age of one, up from 4.58% in 2017. By 2050, more than 16.59% of Germany's population would be above the age of 65 due to the country's ageing population.
▪
Germany operates under a social health insurance system, which Population in Germany
mandates that all residents must have health insurance coverage.
▪
This mandatory requirement ensures a consistent demand for health insurance and contributes to market growth.
▪
Technological advancements in healthcare, such as digital health solutions, telemedicine, and health monitoring devices, are driving the demand for health insurance products that cover these services.
▪
Insurers are incorporating digital health services into their offerings, leading to market growth.
▪
Germany, like many developed countries, has an aging population. With an increase in the elderly population, there is a higher demand for healthcare services and health insurance coverage, driving the growth of the health insurance market.
2010
2022
2030
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 33
3.1 Market growth drivers (continued)
3.1.2 In 2021, Germany's health spending increased to $515.32 billion. That amounted to $6229.98 per person.
Healthcare Spending in Germany
▪
Healthcare costs in Germany, like in many countries,
continue to rise due to various factors such as inflation, increasing demand for healthcare services,
▪
The cost of advanced medical technologies. Health
insurance helps individuals manage these rising healthcare costs by providing financial protection and coverage for
medical expenses.
2010
2022
2030
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 34
3.2 Market restraints
3.2.2 Average cost of
3.2.1 In 2022, the
3.2.3 62.1% of men and women
developing a Insurance
average cost of a Health
had at least one of the 17 chronic
Market that is ultimately
Insurance services in
health conditions in Germany
approved by the Regulatory
Germany was over
authority in Germany is over
$1639.58
$1925.58
▪
Regulatory processes and
▪
The increasing prevalence of
Affordability can be a significant
compliance requirements can
chronic diseases in Germany
restraint for certain segments of the
pose challenges for companies
presents a significant challenge
population, particularly those with
operating in the Healthcare
for health insurance providers.
lower income levels or inadequate
Insurance. The approval and
Chronic diseases often require
health insurance coverage. The cost
registration of diagnostic
long-term management,
of healthcare diagnostics, including
products, technologies, and
specialized treatments, and
laboratory tests, imaging
services by regulatory authorities
comprehensive coverage.
procedures, and specialized tests,
can be time-consuming and
Adequately addressing the
may pose financial constraints for
costly. Compliance with quality
needs of individuals with chronic
individuals, impacting their ability to
standards, data privacy
conditions while managing costs
access and undergo necessary
regulations, and other regulatory
and risk can be demanding for
diagnostic services.
aspects adds complexity to the
insurers.
market.
Our analysis will thoroughly investigate the key restraints that may significantly impact business
operations and growth.
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 35
Germany Healthcare Insurance Market Analysis
4. Competitive Landscape
4.1 Major Market Share
Revenue of Major players in Germany Healthcare
▪
Germany cancer market is a highly
Insurance Market ($ Mn)
competitive space, with many companies
developing and marketing cancer
Other
treatments
▪
Some of the top companies in Germany
cancer market based on revenue and
market share include
▪
Roche is a Swiss multinational healthcare
company that develops and markets
cancer treatments, including targeted
therapies and immunotherapies
▪
In 2020, Roche's oncology sales were
approximately $24 Bn, making it one of the
largest players in Germany cancer market
XX
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 37
4.2 Key Company Profile
Key Note:
1
DKV Deutsche
▪
Here is the list of top 10 companies which
Krankenversicherung
will cover in the final report
2
SIGNAL IDUNA
Krankenversicherung
▪
Each company will have slides for
o Overview
3
AXA Krankenversicherung
o Key details
4
DAK-Gesundheit
o Offerings
o Name of products
5
Kaufmännische Krankenkasse
(KKH)
o Recent activities/ Press Coverage
o Distribution and Vendor Partners
6
HEK - Hanseatische
Krankenkasse
o Mergers, Acquisitions and
Collaboration
7
BARMER GEK
o Financials
8
SIGNAL IDUNA
▪
If there are specific companies that you
Krankenversicherung
would like to be included in the report,
please let us know via email
9
Generali Deutschland
Krankenversicherung
▪
In order to obtain access to all of the
information that you are seeking, you will
Aetna International
10
need to purchase the final report
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 38
4.2.1 DKV Deutsche Krankenversicherung
Solutions offered by DKV
▪
Founded in: 11 Jan 1927
DKV Deutsche Krankenversicherung AG is a private health
Deutsche Krankenversicherung
insurance company.
HQ: Cologne, Germany
▪
➢ Health Insurance
More than 80 successful years in the market of private health insurance have the view of DKV for the essentials in the field of
➢
Type: Private
Medical Care
health sharpened.
➢ Health Financing
▪ The company provides coverage, health services and medical Revenue: $ 4.975 Mn
care from a single source. This corporate strategy makes DKV
➢ Patient Support
Website: www.dkv.com
even stronger for the challenges of the future.
Recent Activity / Press Coverage
Productive partnership between IBM Consulting and DKV Deutsche Krankenversicherung AG is still going strong. People with DKV
insurance will soon be able to manage their health data, medical findings, or prescription plans themselves and communicate them digitally with doctors and chemists because of the addition of an electronic patient record to the "My DKV" app. The two businesses recently agreed to a similar partnership pact
A 19 percent share in the first private health insurance firm in the People's Republic of China has been acquired by DKV Deutsche Krankenversicherung AG, a German health insurance group. The new organization's name will be PICC Health Insurance Company of China Limited
DKV has acquired substantial experience in Chinese insurance market during the last seven years of presence A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 39
4.2.1 DKV Deutsche Krankenversicherung (continued)
Partnerships Ecosystem
Major Distribution Partners
Major Vendor Partners
One of the largest pharmaceutical
Roche has been working with SAP, a
distributors in the United States, McKesson
leading software company, to develop digital
has been a long-standing distribution
solutions for its healthcare products
partner for Roche
Cardinal Health is a Fortune 500 healthcare
A leading Swiss biotechnology company,
services company that provides
Lonza provides Roche with contract
pharmaceutical distribution services to
manufacturing services for the production of
Roche
its biologics and pharmaceuticals
It is one of the largest drugstore chains in
Roche has a strategic partnership with
the United States and Europe, and its
Microsoft to leverage its cloud computing
extensive network of retail locations and
and AI technologies in the development of
distribution centers make it an important
new healthcare products
distribution partner for Roche
Thermo Fisher Scientific is a leading
A leading healthcare services provider in
provider of analytical instruments, reagents,
Asia, Zuellig Pharma is a distribution
and laboratory services
partner for Roche in several Asian countries
One of the largest pharmaceutical
GE Healthcare provides Roche with
wholesalers in Europe, PHOENIX Group
advanced medical imaging and diagnostics
distributes Roche's products in several
technologies, including CT scanners and
European countries
MRI machines
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 40
4.2.1 DKV Deutsche Krankenversicherung (continued)
Latest Deals - Mergers and Acquisitions
Amount /
Company Name
Type
Year
Key Pointers
Duration
▪
Roche and Lilly will collaborate on the development of Roche Diagnostics’ Elecsys Amyloid Plasma Panel
▪
Elecsys Amyloid Plasma Panel has demonstrated clinical
Collaboration
-
March, 2023
performance and is currently undergoing additional investigation Lilly
to ensure clinical validation
▪
Once approved, could help healthcare professionals to streamline the journey to diagnosis for more patients
▪
Roche to acquire GenMark Diagnostics for US$ 24.05 per share with the expectation to close in the 2nd quarter of 2021
▪
GenMark provides molecular diagnostic tests that are designed to detect multiple pathogens from a single patient sample
Merger
$1.8 Bn
March 2021
GenMark Diagnostics
▪
GenMark’s ePlex platform delivers rapid and actionable results so clinicians can determine the cause of infection and the most effective treatment, potentially saving lives and alleviating the healthcare burden
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 41
4.2.1 DKV Deutsche Krankenversicherung (continued)
Revenues ($Bn), 2020-2030
▪
According to Roche's 2020 financial report,
the company had sales of CHF 58.3 Bn
(Swiss Francs) in 2020
▪
This is equivalent to approximately $63.3
Bn USD, based on exchange rates at the
end of 2020
▪
Company's Pharmaceuticals Division
generated sales of CHF 49.9 Bn in 2020,
2020
2021
2022
2023F
2024F
2025F
2026F
2027F
2028F
2029F
2030F
while the Diagnostics Division generated
sales of CHF 8.4 Bn
Breakdown of Net Revenue by Segment, 2022
▪
Revenue generated by Roche in 2020
reflects the company's continued growth
and success in the healthcare industry
▪
In order to obtain access to all of the
information that you are seeking, you will
need to purchase the final report
1
2
3
4
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 42
4.2.2 Company 2
Solutions offered by Company
Founded in:
HQ:
Type:
Revenue:
Website:
Drugs for Cancer
Recent Activity / Press Coverage
Drugs
Indications
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 43
4.2.2 Company 2 (continued)
Partnerships Ecosystem
Major Distribution Partners
Major Vendor Partners
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 44
4.2.2 Company 2 (continued)
Latest Deals - Mergers and Acquisitions
Amount /
Company Name
Type
Year
Key Pointers
Duration
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 45
4.2.2 Company 2 (continued)
Revenues ($Bn), 2020-2030
▪
Please be aware that this sample report is
intended to provide you with a brief
overview of the kind of information and
analysis that will be presented in the final
xx
xx
xx
report
▪
In this section you will the understating of
financial overview of the company, which
includes revenue forecasting, segment
revenue and other key details as per
2020
2021
2022
2023F
2024F
2025F
2026F
2027F
2028F
2029F
2030F
availability
▪
In order to obtain access to all of the
Breakdown of Net Revenue by Segment, 2022
information that you are seeking, you will
need to purchase the final report
▪
Final report will be comprehensive and
detailed, and it will include data, analysis,
trends, and other relevant information
related to the topic or subject matter of
interest
1
2
3
4
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 46
Germany Healthcare Insurance Market Analysis
5. Reimbursement Scenario
5.1 Reimbursement Regulation
Medicare and Medicaid together provide
The reimbursement scenario in the US cancer market is complex and can vary health insurance coverage for more than
depending on the specific treatment, setting of care, and insurance coverage.
Here are some key points to consider:
4 in 10 Americans
▪
Medicare:
o Medicare is a federal health insurance program for people aged 65 and Other Public
older, as well as people with certain disabilities or health conditions 1%
o Medicare covers many cancer treatments, including chemotherapy, Other Private
radiation therapy, and some immunotherapies
3%
Uninsured
o
9%
However, coverage can be subject to strict guidelines and restrictions, Medicare
17%
such as the requirement for prior authorization
▪
Medicaid:
o Medicaid is a joint federal-state program that provides health insurance for people with low incomes
o Medicaid coverage for cancer treatments can vary by state, and may be Medicaid
and CHIP
subject to limits on the amount and type of treatment covered 21%
▪
Private Insurance:
o Private insurance coverage for cancer treatments can also vary widely depending on the insurer and the specific policy
Employer-Sponsored
49%
o Some policies may have high out-of-pocket costs, such as deductibles and co-pays, while others may have more comprehensive coverage Health Insurance Coverage, 2022
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 48
5.1 Reimbursement Regulation (continued)
▪
Affordable Care Act:
o Affordable Care Act (ACA) includes provisions to help improve access to cancer treatments by requiring insurers to cover certain preventive services, including cancer screenings, without co-pays or deductibles o It also includes protections for people with pre-existing conditions, such as cancer
▪
Reimbursement for New Treatments:
o Reimbursement for new cancer treatments can be a complex and lengthy process, as insurers and government programs often require evidence of safety and effectiveness before providing coverage o This can create challenges for companies developing and marketing new treatments
▪
Value-Based Care:
o There is a growing trend towards value-based care, which aims to improve outcomes and lower costs by focusing on the value of treatments rather than simply the volume of treatments o Value-based care models can include payment models that tie reimbursement to outcomes or performance metrics In order to obtain access to all of the information that you are seeking, you will need to purchase the final report Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 49
5.1 Reimbursement Regulation (continued)
Coverage Penetration (% Total Population)
Source of Funding
Spend on Healthcare (%of Current Health Expenditure)
100%
100%
100%
100%
100%
0%
Government Expenditure
0%
xx
xx
xx
xx
xx
7%
%
Public Healthcare
44.
0
8%
46.
.
47.
15
51.
Private Health Insurance
Coverage
Out of Pocket
Private Coverage
9%
1%
6%
5%
5%
38.
37.
35.
32.
31.
Other
NA
NA
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Public healthcare coverage is provided by the government and includes programs like Medicare and Medicaid
6.3%
4.08%
5.1%
3.8%
2.2%
2.4%
3.6%
GDP Growth (yoy)
Medicare is a federal program that provides healthcare coverage to individuals who are 65 years of age or older, as well as certain younger people with disabilities 14.7%
11.3%
15.5%
7.5%
4.2%
NA
NA
HC Spend Growth (yoy)
Medicaid is a joint federal-state program that provides healthcare coverage to individuals with low income and limited resources
Reimbursement Market Trends
▪ Shift towards value-based care has been a significant trend in the US healthcare system, with payers and providers increasingly focused on improving patient outcomes and reducing costs
▪ This has led to the development of alternative payment models such as accountable care organizations (ACOs) and bundled payment arrangements, which incentivize providers to deliver high-quality, cost-effective care Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 50
5.2 Reimbursement Process for Diagnosis of Diseases
The reimbursement process in the US healthcare system can be complex and can vary depending on the type of healthcare service, the healthcare provider, and the insurance coverage. Here are the general steps involved in the reimbursement process:
▪
Service or Treatment Provided: The healthcare provider performs a service or treatment for the patient
▪
Billing: The healthcare provider submits a claim to the insurance company or other payer, requesting reimbursement for the service provided
▪
Adjudication: The insurance company or other payer reviews the claim to determine whether it meets the criteria for reimbursement. This can involve verifying the patient's eligibility, reviewing the treatment provided, and checking for any potential errors or fraud
▪
Payment: If the claim is approved, the insurance company or other payer reimburses the healthcare provider for the service provided, based on the negotiated payment rates or fee schedule
▪
Patient Responsibility: Depending on the patient's insurance coverage, they may be responsible for paying a portion of the cost of the service, such as deductibles, co-payments, or co-insurance In order to obtain access to all of the information that you are seeking, you will need to purchase the final report Final report will be comprehensive and detailed, and it will include data, analysis, trends, and other relevant information related to the topic or subject matter of interest
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 51
5.3 Reimbursement Process for Treatment of Diseases
The reimbursement process in the US healthcare system can be complex and can vary depending on the type of healthcare service, the healthcare FDA
provider, and the insurance coverage. Here are the general steps involved in the reimbursement process:
▪
Service or Treatment Provided: The healthcare provider performs a Market Authorization
service or treatment for the patient
▪
Billing: The healthcare provider submits a claim to the insurance company or other payer, requesting reimbursement for the service Private Payers
Public Payers
provided
▪
Adjudication: The insurance company or other payer reviews the claim to determine whether it meets the criteria for reimbursement. This can involve verifying the patient's eligibility, reviewing the treatment Health Technology Assessment
provided, and checking for any potential errors or fraud
▪
Payment: If the claim is approved, the insurance company or other 1
2
3
payer reimburses the healthcare provider for the service provided, Coding
Coverage
Payment
based on the negotiated payment rates or fee schedule
Coding depends on availability code while coverage and
payment process decisions are made through an HTA.
Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 52
5.4 Reimbursement Process - Medicare
Medicare
▪ 100% population is covered under this scheme
Population Covered
▪ Citizen’s contribute to this scheme which then earns an interest. There is Basic Healthcare Sum (BHS) cap which limits the maximum contribution to an individuals Medicare account
Provider Restrictions/
Services can be claimed from Medicare-approved institutions only (14 public hospitals, 10 private hospitals, 7 public community centers, 1 private community Selection
center and over 100 surgery centers, dialysis centers, colonoscopy centers and screening centers)
▪ Medicines under SDL and MAF Plus can be bought from the money saved in this account
▪ Money can be also be claimed for antiretroviral drugs for HIV, Desferrioxamine drug for treatment of thalassemia and immuno-suppressant drugs for organ transplant
▪ Money from this account can be used to pay Medishield premiums and Integrated Shield Plan premiums, subject to withdrawal limits Services Covered
▪ Patients above 65 years of age can claim under Flexi-Medicare and further reduce their out-of-pocket expenses by using up to $200 per patient per year from their Medicare account
▪ Excluded: Traditional drugs such as Herbal and Ayurveda cannot be claimed from Medicare account; Drugs used for cosmetic purposes such as slimming pills and hair loss pills cannot be claimed from this account
▪ Approved chronic conditions and vaccinations, health screenings as outpatient treatments can be paid with Medicare up to $500 per account per year, however a cash copayment of 15% is applicable
▪ Inpatient hospitalization, up to $450 per day + surgical limits according to Table of Surgical Procedures
▪ Approved day surgeries up to $300 per day + surgical limits according to Table of Surgical Procedures Level of Coverage/ Assurance
▪ Outpatient scans/ diagnostics for cancer up to $600 per year per patient, and up to $300 for other medical conditions
▪ Chemotherapy (includes analgesic medication and suppressive treatments such as neuroendocrine and nuclear medicine treatments) up to $1,200 per month per patient
▪ Renal dialysis up to $450 per patient per month
▪ Other treatments are also approved with various sub-limits for withdrawal
▪ DRG with Activity Based Funding for public providers
Mechanism of Coverage
▪ Block funding with DRG for providers not covered under ABF
Financial Feasibility
▪ The Basic Healthcare sum has been increased by more than 4.4% in 2017 on account of increasing costs of healthcare. This is an individual account Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 53
5.5 Reimbursement Process - Medicaid
Medicaid
▪ 38% population is covered under this scheme
Population Covered
▪ Medicare covers individuals who are aged 65 and older, as well as those with certain disabilities or end-stage renal disease Provider Restrictions/
Services can be claimed from Medicaid-approved institutions only (14 public hospitals, 10 private hospitals, 7 public community centers, 1 private community Selection
center and over 100 surgery centers, dialysis centers, colonoscopy centers and screening centers)
▪ Medicines under SDL and MAF Plus can be bought from the money saved in this account
▪ Money can be also be claimed for antiretroviral drugs for HIV, Desferrioxamine drug for treatment of thalassemia and immuno-suppressant drugs for organ transplant
▪ Money from this account can be used to pay Medishield premiums and Integrated Shield Plan premiums, subject to withdrawal limits Services Covered
▪ Patients above 65 years of age can claim under Flexi-Medicaid and further reduce their out-of-pocket expenses by using up to $200 per patient per year from their Medicaid account
▪ Excluded: Traditional drugs such as Herbal and Ayurveda cannot be claimed from Medicaid account; Drugs used for cosmetic purposes such as slimming pills and hair loss pills cannot be claimed from this account
▪ Approved chronic conditions and vaccinations, health screenings as outpatient treatments can be paid with Medicaid up to $500 per account per year, however a cash copayment of 15% is applicable
▪ Inpatient hospitalization, up to $450 per day + surgical limits according to Table of Surgical Procedures
▪ Approved day surgeries up to $300 per day + surgical limits according to Table of Surgical Procedures Level of Coverage/ Assurance
▪ Outpatient scans/ diagnostics for cancer up to $600 per year per patient, and up to $300 for other medical conditions
▪ Chemotherapy (includes analgesic medication and suppressive treatments such as neuroendocrine and nuclear medicine treatments) up to $1,200 per month per patient
▪ Renal dialysis up to $450 per patient per month
▪ Other treatments are also approved with various sub-limits for withdrawal
▪ DRG with Activity Based Funding for public providers
Mechanism of Coverage
▪ Block funding with DRG for providers not covered under ABF
Financial Feasibility
▪ The Basic Healthcare sum has been increased by more than 4.4% in 2017 on account of increasing costs of healthcare. This is an individual account Illustrative
A Sample Report on Germany Healthcare Insurance Market Analysis Analysis I Confidential 54
Germany Healthcare Insurance Market Analysis
6. Methodology & Scope
▪
Insights 10’s research methodology delves deeper into the market, covering the macro and micro aspects of the industry. We identify the key growth drivers, opportunities, and restraints that might promote or hinder the future industry growth along with an expansive overview of the competitive landscape to help our clients make informed strategic decisions
▪
We implement a mix of primary and secondary research for our market estimate and forecast. The secondary research forms the initial phase of our study where we conduct extensive data mining, referring to verified data sources such as independent studies, government and regulatory published material, technical journals, trade magazines, and paid data sources
▪
For forecasting, the following parameters are considered:
❑
Market drivers and restraints along with their current and expected impacts
❑
Technological scenario and expected developments
❑
End use industry trends and dynamics
❑
Trends in the consumer behavior
❑
Regulatory scenario and expected developments
❑
Current capacity and expected capacity additions up to 2030
▪
We assign weights to these parameters and quantify their market impacts using the weighted average analysis to derive the expected market growth rate
▪
We appoint data triangulation strategies to explore different areas of the market. Our qualitative and quantitative assessments are time-sensitive, reflecting the most recent value and volume of the market across regions
▪
All our estimates and forecasts are verified through exhaustive primary research with the Key Industry Participants (KIPs)
▪
Currency used in the report is the US dollar (USD), with the market size indicated in USD million/billion (Mn/Bn)
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and RWE, digital health, analytics and data
firms in the US, India, Middle East
experience of over 20 years in Life
markets (America, Europe, Africa, APAC
science. Purav studied medicine from
and APAC regions. His primary
Sciences, Pharma and Medical Device
and Middle East). Her areas of expertise
Gujarat University and also completed his
area of interest is Customer and
sectors. With an in-depth understanding
include: Indentifying emerging trends in life
MBA from IIM-Kozhikode. Purav started
Market Strategy, Market Access,
of primary research, he has conducted
sciences industry, Competitor landscape
his career with Deloitte working on strategy
and Digital Health with special
hundreds of interviews of various
assessment, Disease opportunity
consulting engagements and also co-
focus on emerging markets like
stakeholders in pharma & healthcare &
assessments etc. She is a pro in secondary
founded ConvergeHealth by Deloitte.
Africa, Middle East and APAC.
completed several research projects
and primary research with a deep domain
across life sciences industry.
expertise in healthcare sector.
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