Italy's New Business Models in Medical Imaging - Forecast to 2021

  • ID: 4425692
  • Report
  • Region: Italy
  • 83 Pages
  • Frost & Sullivan
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An Established Market for Multivendor Services Ripe for Progressive Managed Contracts


  • GE Healthcare
  • Pantheon and TBS
  • Philips Healthcare
  • Siemens Healthineers
  • TBS Group
  • MORE

This research study focuses on the drive to operationalize capital and service costs favoring non-conventional business models (MES and MVS) in Italy over traditional capital-intensive purchasing and service models. The study also features a detailed elaboration on the legacy of public-private partnerships (PPP), framework agreement case studies, market opportunity, market size and penetration analysis coupled with merger and acquisitions and the competitive landscape, in addition to growth opportunities.

Our Definition on MES and MVS for the Italian market:

  • Managed Equipment Services (MES): This is a bundled solution that includes the purchase of new equipment in addition to basic maintenance and support, technology management, planning and potentially a number of more advanced value-adding services. The bundle is usually financed by the customer through operational expenditure and typically extends, at a minimum, throughout the lifecycle of the equipment (7+ years).
  • Multi-Vendor Services (MVS): This is a vendor-neutral offering combining basic and more advanced services, such as repair and maintenance services in addition to replacement planning (small components in imaging systems) for multimodality imaging fleet. The MVS does not include purchase of new equipment like in MES. The MVS provider can be the OEM of part of the equipment, or a third-party company, and act as a single source for service, working in line with in-house resources at the imaging provider site.

Key Market Dynamics

The high cost sensitivity among Italian public healthcare providers and their limited access to capital funding form the key motivation for their consideration to adopt new purchasing and service models for capital imaging equipment. To address the ageing equipment fleet and worsening technology obsolescence situation in the installed bases, different regional communities in Italy are looking closely at the opportunity for framework agreements with industry consortia to provide a viable long-term equipment renewal strategy. Framework agreements involving a multi-vendor consortium represent the majority of market activity in Italy as of 2016.

Our research on Italy indicates that National and Regional GPOs continue to engage in customer-vendor partnerships amidst growing windows of opportunities by the PPP models. Moving forward, the number of existing and planned public-private partnerships (PPP) for green-field hospital build may offer a strong basis for new capital purchasing models in imaging technology.

Note: Product cover images may vary from those shown
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  • GE Healthcare
  • Pantheon and TBS
  • Philips Healthcare
  • Siemens Healthineers
  • TBS Group
  • MORE

1. Research Methodology and Study Scope

  • Methodology
  • Geographical Study Scope - Italy

2. Executive Summary - Prospects for Development of New Business Model in Italy

  • Key Findings
  • Executive Summary
  • MES and MVS Appetite and Adoption in Italy
  • Medical Imaging MES/MVS Vendor Positioning in Italy
  • Non-Conventional Medical Imaging Business Models in Italy
  • Key Questions this Study will Answer
  • Our Three Big Predictions

3. Study Introduction - The Importance of New Business Models in the Current Landscape

  • Background on Study Rationale
  • Our Medical Imaging MES/MVS Study Plan

4. Market Definition and Segmentation - Managed and Multivendor Equipment Services

  • MES and MVS Business Models - Definitions
  • Market Segmentation by Type of Equipment
  • MES and MVS Business Models - Procurement Methods
  • MES and MVS Business Models by Type Framework Agreements

5. The Legacy of Large Healthcare Public-Private Partnerships and Private Finance Initiatives in Italy

  • Healthcare Public-Private Partnerships Legacy in Italy
  • Evolution of Regulatory Framework for PPP in Italy
  • Public-Private Partnership Types in Italy
  • Italy Hospital Sector - List of PPP and PFI, Greenfield Project Constructions and/or Administrative Concessions
  • Public Hospital Procurement Process in Italy

6. Total MES and MVS Market for Capital Imaging Modalities (CT & MRI) in Italy

  • CT and MR Imaging Equipment Infrastructure in Italy
  • Illustrative List of Active Large-scale Diagnostic Imaging Framework Agreements
  • Illustrative List of Active Mid-scale Multivendor Framework Agreements
  • Illustrative List of Small-scale Multivendor Service Contracts in Italy
  • Annual MES and MVS Market Revenue Forecast
  • Market Revenue Forecast Discussion
  • Recent Large-scale Innovative Service Contract
  • Potentially Upcoming Large-scale MES-type Partnership
  • Increasing Push from National and Regional GPOs for Customer-Vendor Partnerships
  • Regional Communities with High Adoption Rates
  • MES and MVS Market Revenue Breakdown
  • Italy MES and MVS Market Penetration Analysis

7. Key Factors Influencing the Medical Imaging MES and MVS Market in Italy

  • Key Factors Influencing MES and MVS Market Adoption
  • Sensitive, but Improving National Economic Situation
  • Payment Delays and the Shift from Capex to Opex Model
  • Distinct Needs Across the Public and Private Sectors
  • National and Local GPOs Influencing MES and MVS Contracts

8. MES and MVS Competitive Landscape

  • A Competitive Landscape Undergoing New Dynamics
  • Current and Future Landscape Dynamics
  • Vendor Profile - Philips Healthcare
  • Vendor Profile - GE Healthcare
  • Vendor Profile - Siemens Healthineers
  • Vendor Profile - MESA, Higea SpA by Pantheon Group
  • Mergers & Acquisitions - Pantheon and TBS
  • Vendor Profile - TBS Group
  • Mergers & Acquisition - EBM (TBS Subsidiary) & Esaote

9. Growth Opportunities and Companies to Action

  • Italy’s New Medical Imaging Business Model - 2016
  • Growth Opportunity - MES and MVS Business Model

10. The Last Word

  • The Last Word - Three Big Predictions
  • Legal Disclaimer
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  • EBM (TBS Subsidiary) & Esaote
  • GE Healthcare
  • MESA, Higea SpA by Pantheon Group
  • Pantheon and TBS
  • Philips Healthcare
  • Siemens Healthineers
  • TBS Group
Note: Product cover images may vary from those shown
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Note: Product cover images may vary from those shown