Kenya Healthcare Insurance Market Analysis

Kenya Healthcare Insurance Market Analysis


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The Kenya healthcare insurance market is projected to grow from $1.42 Bn in 2022 to $2.77 Bn by 2030, registering a CAGR of 8.7% during the forecast period of 2022 - 2030. The main factors driving the growth would be the rising population, government support, innovation and technology and increasing awareness. The market is segmented by component, the provider, coverage, by health insurance plans and end-user. Some of the major players include Jubilee Insurance, AAR Insurance, APA Insurance and UAP Old Mutual.

ID: IN10KEHS008 CATEGORY: Healthcare Services GEOGRAPHY: Kenya AUTHOR: Neha Davda

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Kenya Healthcare Insurance Market Executive Summary

The Kenya healthcare insurance market is projected to grow from $1.42 Bn in 2022 to $2.77 Bn by 2030, registering a CAGR of 8.7% during the forecast period of 2022 - 2030. As a proportion of its GDP, Kenya's national spending in 2019 was 4.59% or $83 per person. While being low by global standards, healthcare spending in the country is higher than in some of its neighbours, like Ethiopia and Sudan.

The Kenya healthcare insurance market is a developing industry which is quickly growing to meet the demands of the diverse population of the nation. Over time, the nation has made major improvements to its healthcare system, which has increased the demand for health insurance. Public and private health insurance are both main segments of the Kenyan healthcare insurance market. The National Hospital Insurance Fund (NHIF) is a government-funded agency that provides health insurance to all Kenyan citizens and residents. Some private businesses offer private health insurance, which is typically targeted towards middle-class and upper-class consumers.

NHIF is Kenya's largest health insurance provider which serves over 8 Mn people. It offers a full range of advantages, such as hospital and outpatient treatment, maternity care, emergency services, and speciality care. The group charges its member's monthly premiums that are dependent on their income and uses the money to subsidise the purchase of services. In Kenya, the number of private health insurance companies has significantly grown in recent years. These businesses provide a wide variety of health insurance plans to meet various requirements and price ranges.

Kenya Healthcare Insurance Market

Market Dynamics

Market Growth Drivers

The Kenya Healthcare Insurance market is expected to be driven by factors such as:

  1. Rising population- The current population of Kenya population of 54 Mn, is quickly expanding. There is an increasing need for healthcare services, including health insurance, as a result of this rising population
  2. Government support- The Kenyan government has made policies to increase people's access to and affordability in availing healthcare services. This includes the NHIF's expansion and the implementation of Universal Health Coverage (UHC), a program which aims to give all Kenyan citizens access to high-quality healthcare services
  3. Innovation and technology- The Kenyan healthcare sector is using advanced technologies and procedures, which are enhancing patient outcomes and lowering the cost of healthcare. To ease the customer’s access and management of their health insurance plans, health insurance providers have started using innovative technologies to offer digital health insurance solutions
  4. Increasing awareness- In Kenya, people are becoming more educated and aware of the benefits of health insurance. The demand for health insurance products is rising as more people become aware of the advantages of having health insurance

Market Restraints

The following factors are expected to limit the growth of the healthcare insurance market in Kenya:

  1. Low-income levels- Many Kenyans have a low level of income which makes it difficult for them to pay for health insurance premiums. This reduces the number of people who can afford to have health insurance, particularly in the private sector which restricts the market growth
  2. Inadequate healthcare infrastructure- Access to healthcare services is hampered by Kenya's underdeveloped healthcare infrastructure, which is especially the case in rural areas in Kenya. Individuals who don't have access to high-quality medical treatment or who live in places with inadequate healthcare infrastructure might not recognize the benefit of buying health insurance which will hinder the market growth
  3. Limited regulatory framework- Both insurance providers and the customer may experience uncertainty due to Kenya's regulatory framework for the healthcare insurance sector which is still under development

Competitive Landscape

Key Players

  • Jubilee Insurance (KEN)- The largest proportion in Kenya, at about 10%, belongs to Jubilee health insurance. As a result, Jubliee is now well-known in Kenya for its health insurance. J-care, J-seniors, and J-care juniors are some of its insurance programs
  • AAR Insurance (KEN)- Leading health insurance company in Kenya, AAR Insurance provides a variety of products, including medical, dental, and vision insurance
  • APA Insurance (KEN)- Individual health insurance plans from APA insurance come with improved coverage at an affordable price. APA insurance offers Jamii Plus and Afya Naffu as its two alternatives
  • UAP Old Mutual (KEN)- One of the top health insurance providers in Kenya, Old Mutual Insurance offers a variety of health insurance. Afya Imara, Afya Imara Seniors, Afya Imara Executive, and Afya Country are the four cover options offered in Kenya
  • Top Kenyan insurtech startups- MotiSure, Kakbima, Bismart Insurance, Bluewave insurance and Lami InsurTech

Notable Deals

September 2019- AAR Insurance has partnered with CarePay to allow its customers to access their services via Safaricom's M-Tiba platform. In the recent wake of technology improvement, the collaboration provides clients the comfort of utilising their mobile phones to monitor their accounts through access to mini-statements, ensure transparency of medical bills and subsequently, minimise occurrences of bill inflation.

1. Executive Summary
1.1 Service Overview
1.2 Global Scenario
1.3 Country Overview
1.4 Healthcare Scenario in Country
1.5 Healthcare Services Market in Country
1.6 Recent Developments in the Country

2. Market Size and Forecasting
2.1 Market Size (With Excel and Methodology)
2.2 Market Segmentation (Check all Segments in Segmentation Section)

3. Market Dynamics
3.1 Market Drivers
3.2 Market Restraints

4. Competitive Landscape
4.1 Major Market Share

4.2 Key Company Profile (Check all Companies in the Summary Section)

4.2.1 Company
4.2.1.1 Overview
4.2.1.2 Product Applications and Services
4.2.1.3 Recent Developments
4.2.1.4 Partnerships Ecosystem
4.2.1.5 Financials (Based on Availability)

5. Reimbursement Scenario
5.1 Reimbursement Regulation
5.2 Reimbursement Process for Services
5.3 Reimbursement Process for Treatment

6. Methodology and Scope

Healthcare Insurance Market Segmentation

By Provider (Revenue, USD Billion):

It mainly includes healthcare insurance that provides safety against the increasing cost of medical treatments and in case of health emergencies such as critical illnesses. Hence, it is the best way to safeguard medical expenses.

  • Public
  • Private

By Coverage Type (Revenue, USD Billion):

In terms of sales and market share, it is anticipated to rule the market over the projection period. This is explained by a number of benefits provided by life insurance, including guaranteed death payout and permanent coverage. Additionally, investing in these kinds of plans enables working professionals to save taxes

  • Life Insurance
  • Term Insurance

By Health Insurance Plans (Revenue, USD Billion):

  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)
  • Exclusive Provider Organization (EPO)
  • Point of Service (POS)
  • High Deductible Health Plan (HDHP)

By Demographics (Revenue, USD Billion):

  • Minors
  • Adults
  • Seniors

There is a high prevalence of lifestyle disease in the adult population that can increase health risks in the future. The population is more prone to cardiac and other diseases that require hospitalization. Healthcare insurance plans for seniors are more of a necessity, especially in the case of retirement. Also, it carries various advantages such as no medical screening before buying plans, includes coverage of the outpatient department, and provides the benefit of fee annual checkups along with lifetime renewability.

By End-user (Revenue, USD Billion):

  • Individuals
  • ?Corporates

A large number of people buy individual health plans as they are also customizable. Also, it gives more control over deductibles, co-pays, and benefits limits and is not dependent on employment status.

Insights10 will provide you with the reports within 10 key parameters which are:

  1. Market Overview
  2. Market Growth Drivers & Restraints
  3. Epidemiology of Disease Type
  4. Market Segmentation
  5. Market Share
  6. Competitive Landscape
  7. Key Company Profiles
  8. Healthcare Policies & Regulatory Framework
  9. Reimbursement Scenario
  10. Factors Driving Future Growth

Based on our many years of experience, we believe that these are the parameters that are critical to decision-making for business stakeholders. Our focused approach to developing reports focused on 10 key parameters, enabled us to arrive at the name “Insights10”.

 

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Stage II: Market Data Analysis and Statistical Model

Market Trends: We generally look at macro parameters and micro indicators. The macro parameters include changes in government policies, demand and supply of the market, government intervention programs, and major market share. The micro indicators are GDP growth, market size, market volume, etc. We also understand nuances specific to each country like the US, Canada, India, Germany, etc., and have worked across 60+ countries and hence not only understand global trends but how these differ by country, how payment models, market structure, cultural parameters, etc. differ in each country.

Market Sizing and Analysis: Our expert data analytics team has created various market forecast models by employing the top-down approach i.e. starting with the large overall market and segmenting different areas and the bottom-up approach i.e. starting with population and epidemiology and rolling up based on spend, etc., estimating the size of the market, and distributing among the geographic and/or product segments.

The top-down approach is mainly used for new product forecasting and the bottom-up approach is used for demand estimation of any product for different countries summed up to form the total market. We are able to round off insights and build stronger forecasts because we always do both these methods and triangulate the final numbers.

The study on the market covers the analysis of the leading geographies such as Asia-Pacific, Africa, Europe, Middle East, North America, and  Latin America for the period of 2022 to 2030. The qualitative analysis covers the industry landscape and trends, market opportunities, competitive landscape, and policy and regulatory scenario, and the quantitative analysis covers different market estimates and forecasts.

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We make sure to finalize the numbers in alignment with the market research. Firstly, our internal experts ensure thorough validation and checking to ensure accurate and precise analysis and then validation is also done using a multiple-data analysis model. Two-level validation is done and entails the finalization of the report scope and the way of representation pattern.

 

 

Stage III: Interpretation and Presentation

Analysis & Interpretation: The information gathered is then analyzed and synthesized. The second series of interviews are done if necessary to check and validate. The future opportunities are analyzed by understanding product commercialization and many other factors. It also comprises the analysis of data discrepancies observed across various data sources. Information procured from secondary and primary results is then, interpreted by considering the following parameters: (a partial list)

  • Establishing market drivers and trends
  • Analyzing the regulatory landscape to understand future growth
  • Market Segment based analysis to obtain revenue/volume
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Data curated from the analysis and interpretation are drawn to portray all in one consolidated report.

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The foreign exchange rates are calculated on the respective dates and for the respective regions covered in the study.

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Last updated on: 28 March 2023
Updated by: Vidhi Upadhyay

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