You've come to the right place to understand health care services in Italy. Here is how we can help you:
Detailed research report on health care services in Italy with marketshare and growth rates for 15 sectors (HBI Intelligence)
Database of the top 205+ private health care operators, including profile and major external investors across 18 sub-sectors from diagnostic labs to domiciliary homecare and from telehealth to hospitals (HBI Intelligence)
Merger and acquisition (M&A) intelligence showing likelihood of sale (HBI Intelligence)
News stories and interviews with operators and investors in Italy (HBI Deals and Insights)
Events that cover health care services globally including Italy (HBI 2024)
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Country ReportItaly Country
Updated: September 2022
Executive Summary
Executive Summary
Impact of Covid-19
We are in the process of analyzing the impact of Covid all countries in HBI Intelligence and should have updates on market sizes by the end of May for the 5 largest economies and by the end of June for others. Meanwhile we are covering the impact of Covid in news stories. Recent examples include a detailed examination of the impact on French and German hospitals, an article on labs and imaging and a look at the broad elective sector.
Background
The Italian healthcare market is not for the faint-hearted. Italians spend less on public healthcare as a percentage of GDP than just about every country in Western Europe, its NHS system is complicated by co-pays and massive regional variations in financing, standards and culture and reliable data can be hard to find. The for-profit hospital sector has always had a role and continues to do so, but its market is shrinking. Conversely, the private sector is growing in elderly care, albeit only by 10% by bed numbers in the last decade. Private operators have taken on much of the burden of austerity since the 2012 Spending Review dictated severe cuts to the sector. The for-profit lab, rehab and hospital markets, for example, are losing around 2-3% every year in revenue.
See the report for full details on market size, including data.
Italian healthcare system
The system is built around the Italian Servizio Sanitario Nazionale or NHS. Established in 1978, it’s supposed to guarantee universal coverage across the country that’s free at the point of use and offers uniform standards of care. In reality, Italians face a post-code lottery when it comes to healthcare and have to pay for much of it themselves. The Ministry of Health defines the livelli essenziali di assistenza (essential level of care) to be delivered across the country. But it’s Italy’s 21 regions and autonomous provinces (R&AP) that are responsible for the actual planning and delivery of services, with divergence even in the accreditation systems used to monitor standards, not to mention in tariffs. Provision also varies by several factors across regions.
See the report for full details on the Italian healthcare system including data figures.
Below are two example extracts from the sector breakdowns. See the report for full details on each sector. See the table of contents for information on which sectors are represented in the report.
Imaging Services
Market size
In 2012, Alliance Medical put the private imaging services sector at €800m, four times the size of the UK market. We think that since then it has probably grown to €1billion in 2016. Almost all of this is in outpatient diagnostic centres of which Alliance estimates there are 900-1,000 in Italy. These handle not only imaging, but also labs and may have a layer of primary care. These centres vary greatly in size.
In 2015 Alliance reckoned that private paid and private delivered was already 16% of all diagnostic imaging examinations, with a further 27% public paid for and privately-delivered. The remaining 57% was publicly funded and delivered, typically in public hospitals. This suggests that the total market was around €2.3cbn in 2016.
Overall, CT and PET modalities are increasing by 5% while MRIs are actually falling (OECD data). Add to that a largely static national healthcare budget, increasing 0.5-2% each year (Istat, the country’s national statistics association), we think the imaging sector is growing at most, the upper end of that range.
Psychiatry and Mental Health
Total Italian psychiatry is worth around €4bn according to Mariuccia Rossini, director of Korian Italy. According to our company database, we estimate the for-profit sector was worth a tiny €100m in 2017.
Korian Italy focuses on elderly care but operates four long-term psychiatric facilities in Liguria and Piemonte, where tariffs per bed in Piemonte range between €111-160. For-profit psychiatry is a murky market to penetrate, though according to a source, there remains opportunity and activity among smaller players.
For the big consolidators, however, the market looks less attractive. Tariffs and accreditation differ per region, it is an isolated and fragmented arena that is not nationally monitored, with no clear regional or national consolidators and a plethora of public, non-profit, religious and for-profit providers providing different models of care. Organic growth in this sector is stagnant as the national budget has all but frozen. See the report for full details on each sector, including further details on the two above. See the table of contents for information on which sectors are represented in the report.
What we offer
- Instant overview of the Italian market This report gives you visibility of this fast-growing market detailed profiles of the Top 164 players.
- Ever green! Updated throughout your subscription As part of our HBI intelligence platform this report is updated throughout the period of your subscription. You will also receive additional news stories and interviews on Italian throughout the period.
- Insights on business models The report looks at the main models – private hospitals and lab and dialysis outsourcing.
- Identify national opportunities We assess opportunities at national level. - Size markets This report enables you to swiftly see market sizes and market shares at a sub-sector level
- Save time and money This report will save you time researching this opaque market and enable you to swiftly identify investment opportunities, new partners and markets.
Table of Contents
Table of Contents
Italy – National overview Dentistry
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Dialysis
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Domiciliary Care
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Fertility
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Hospital
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Imaging Services
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Laboratory Services
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Medicalised Homecare
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Nursing Homes
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Occupational Healthcare
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Oncology
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Post-acute Rehabilitation
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Psychiatry and Mental Health
Data sets For-profit /private market size and growth rates 2016-2020 Marketshare of major players 2018
Market description and trends.
Telehealth primary
Data sets For-profit /private market size and growth rates 2016-2020
Market description and trends.
Italy News & Interviews
Our indepth stories dig deep and cover profit multiples, revenue, EBITDA and CEO thinking.
This infographic showcases Europe's top 5 ophthalmology players by revenue in the reporting period 2018–2022: Veonet Group, Sanoptis, Artemis Augenkliniken, Clinica Baviera, and Optegra....
A new draft bill has been proposed by the Italian government which will allow pharmacies to offer an expanded range of services including vaccinations, diagnostic tests and the ability to book outpatient visits to the hospital. ...
Doctors are becoming increasingly interested in setting up clinics and running them as proper businesses. We spoke to Romesh Angunawela, who has recently completed an MBA especially for physicians in the US, and is the co-founder of OCL Vision, a three-clinic ...
Rumours are circulating that San Donato, Italy’s largest for-profit hospital group, is about to IPO. HBI speaks to an Italian market expert to see how likely this is....
Pan-European imaging and diagnostics firm Affidea has bought an advanced dental services clinic in Spain - the first such acquisition by the group - as well as two polyclinics in Italy. HBI understands the dental acquisition is part of the group's long-term str...
While inspections at facilities belonging to French multinational elderly care operator Orpea have been commonplace within France, news of Europe-wide police raids sweeping Belgium, Luxembourg, Italy, Portugal and Switzerland is now making headlines....
Despite opposition, the AI Act seems to be ploughing ahead right on schedule. This week, two key groups of lawmakers - the European Commission's civil liberties (LIBE) and internal market (IMCO) committees - gave their overwhelming support for the new law, whic...
In December, European policymakers gathered in Brussels to hash out the first framework for AI regulation. Despite threats to derail it, all 27 EU member states have now given it a collective thumbs up - but concerns around overregulation, bureaucracy, and the...
Database of 205 Italy service providers
HBI has built a unique database of the Top 4,000 operators globally in health care services. As part of this we have identified the top 205 operators in Italy.
Profiles include revenue/sales data as well as EBITDA and other profit margins where known. They also cover private equity ownership with dates and mergers and acquisitions.
Mergers & Acquisition (M&A) Intelligence
Our deal pipeline shows how likely all private equity and some privately companies are to sell based on algorithms and journalistic know-how.
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