The Rising Costs of Health Care in Kerala: A Cause for Concern

Global investments in Kerala's private health sector raise fears about increasing costs and fading affordability in medical services for residents.
SuryaSurya
5 mins read
Kerala healthcare paradox rising costs and corporatisation

Introduction

The Kerala Model of healthcare — built on high life expectancy, low infant mortality, and affordable treatment — is facing a structural stress test as global private equity reshapes its hospital landscape.

"A large number of people seeking medical treatment and their willingness to pay could be driving large private equity firms to Kerala."Dr. A. Althaf, Professor of Community Medicine, GMC Thiruvananthapuram

IndicatorFigure
PE Investment in Kerala Hospitals (recent years)₹5,800+ crore
Per Capita Private Health Expenditure (2013-14)₹7,636
Per Capita Private Health Expenditure (2021-22)₹13,343
Private Share of Total Health Expenditure (2021-22)59.1%

Background: The Kerala Model and Its Foundations

Kerala achieved health outcomes comparable to developed nations — life expectancy ~75 years, infant mortality rate of 5 per 1,000 live births (2024) — through a unique combination of:

  • Extensive public health infrastructure
  • High health literacy and hygiene awareness
  • Strong network of small private, cooperative, and charitable hospitals
  • Relatively affordable out-of-pocket expenditure

This model succeeded not because of corporate hospitals, but despite their absence — through decentralised, community-level care delivery.


The Corporatisation Wave: Key Data Points

TransactionYearInvestorAmount
KKR acquires 70% stake in Baby Memorial Hospital (BMH), Kozhikode2024KKR (USA)₹2,500 crore
Blackstone-backed Quality Care acquires 80% of KIMS Health2023Blackstone (USA)₹3,300 crore
Aster DM Healthcare India merges with Quality Care2024BlackstoneUndisclosed
BMH acquires majority stake in Meitra Hospital, Kozhikode2025KKR (via BMH)Undisclosed
CCI clears Bentley Asia Holdings' additional stake in BMHMarch 2026Bentley Asia/KKRUndisclosed

Corporate hospitals (500+ beds) have grown by at least 65% in the past 10 years in Kerala.


The Other Side: Disappearing Small Hospitals

While large hospitals expand, small private hospitals — the backbone of rural and semi-urban affordable care — are shutting down.

PeriodOP Institutions ClosedIP Institutions Closed
2016–2021148262
2021–20261,306444

Despite closure of small institutions, overall bed count in Kerala rose only marginally — from 80,267 to 82,557 between 2021 and 2026 — indicating that corporate expansion has not compensated for the loss of distributed, affordable care.

Primary cause of closures: Strict enforcement of the Clinical Establishments (Registration and Regulation) Act, 2018 — compliance costs disproportionately burden small operators while large corporates absorb them easily.


Key Analytical Issues

1. Out-of-Pocket Expenditure (OOPE) and Equity

  • Private health expenditure share: 76% (2013-14) → 59.1% (2021-22) — a decline, but still high.
  • Government share rose from 24% to 32.5% — reflecting increased public investment.
  • Yet absolute OOPE per capita nearly doubled in the same period — affordability stress is real.

"A large number of people seeking medical treatment and their willingness to pay could be driving large private equity firms to Kerala."Dr. A. Althaf, Professor of Community Medicine, GMC Thiruvananthapuram

2. Revenue Targets and Clinical Autonomy

Corporate hospitals impose revenue-linked targets on specialist doctors — quotas for admissions, diagnostic tests, and procedures. This creates perverse incentives:

  • Over-investigation and over-treatment
  • Erosion of doctor-patient trust
  • Rise in violence against healthcare workers

A UN University–International Institute for Global Health (2025) background paper flagged that corporatisation introduces managerial oversight driven by business principles, limiting professional medical autonomy.

3. The Insurance Trap

Corporate expansion is closely tied to health insurance growth. Critics argue this creates an insurance-dependent model where:

  • Uninsured patients face denial of care or prohibitive costs
  • Hospitals optimise for insured patients with higher billing potential
  • Government schemes (like Ayushman Bharat, Karunya Arogya Suraksha Padhathi) become captured by corporate billing practices

4. Elimination of General Practitioners (GPs)

The corporate model favours specialists over family doctors. Kerala's traditional strength — accessible primary care through GPs — is being dismantled, pushing even minor ailments into expensive specialist and tertiary settings.

"Family doctors or general practitioners are the most important doctors in the community for providing primary care. However, they have been eliminated."Dr. P.K. Sasidharan, Former HoD General Medicine, GMC Kozhikode


Government Response

  • Chief Minister flagged rising private healthcare costs publicly — signalling political awareness but limited regulatory action so far.
  • Health Minister emphasised strengthening government hospitals with free/subsidised treatment and warned against deliberate patient diversion to corporate hospitals.
  • Kerala's Medisep scheme (health insurance for government employees) and KASP (Karunya Arogya Suraksha Padhathi) are attempts to insulate vulnerable populations from OOPE.

Industry Counter-Argument

Harish Manian (Group CEO, BMH) argues:

  • Private investment represents adaptation, not commercialisation
  • Average Revenue Per Occupied Bed (ARPOB) in Kerala remains the lowest in India despite PE investment
  • Scale improves procurement efficiency, governance, and long-term planning
  • Healthcare financing will remain hybrid — combining government schemes, insurance, and self-pay

This perspective deserves engagement — not all PE investment leads to price escalation, and governance quality, not capital source, is the real determinant.


Comparison: Corporatisation Models

DimensionKerala (Emerging)US ModelThailand Model
Primary DriverPE consolidationInsurance-linked corporatesPublic-private partnership
OOPE LevelHigh but decliningVery highLow
Access for PoorStrainedSeverely limitedProtected via UHC
Regulatory FrameworkWeak enforcementStrong antitrustStrong public oversight
OutcomeModel under stressHigh cost, unequalHigh quality, equitable

Implications and Challenges

  • Equity erosion: Consolidation concentrates quality care among the affluent and insured, leaving the poor dependent on underfunded public facilities.
  • Regulatory vacuum: India lacks a comprehensive law to regulate pricing, clinical standards, and PE participation in healthcare — the Clinical Establishments Act is inadequate.
  • NCD burden: Rising diabetes, hypertension, cancers, and mental health issues increase demand for expensive specialist care — a structural driver of corporatisation that public health alone cannot address.
  • Ageing population: Kerala's demographic profile — one of India's oldest populations — will sustain demand for costly geriatric and long-term care, further incentivising PE entry.
  • CCI's limited role: Competition Commission approvals focus on market dominance, not healthcare equity — a critical gap in regulatory architecture.

Conclusion

Kerala's healthcare paradox — world-class indicators coexisting with rising costs and declining access — is a warning sign for India's broader health governance debate. Private equity investment is not inherently harmful; but without robust regulatory architecture, transparent pricing norms, and a strengthened public health system, corporatisation risks converting a public good into a market commodity. The solution lies not in rejecting private participation but in ensuring that governance, not profit, drives clinical decisions. Strengthening primary care, reviving the GP ecosystem, enforcing the Clinical Establishments Act equitably, and expanding universal health coverage are the policy imperatives — failing which the Kerala Model risks becoming a cautionary tale rather than a template.

Quick Q&A

Everything you need to know

The Kerala model of health care is globally recognised for its strong public health foundation, high social development indicators, and emphasis on preventive care. Key features include high life expectancy, low infant and maternal mortality rates, widespread primary health infrastructure, and high levels of public awareness regarding hygiene and nutrition.

However, recent trends reveal significant paradoxes. Despite a robust public health system, there is increasing dependence on private and corporate hospitals, even for minor ailments. This has led to rising out-of-pocket expenditure, as seen in the anecdote where treatment costs varied drastically between corporate and cooperative hospitals. Additionally, private equity investments are accelerating the corporatisation of healthcare.

This duality creates structural tension: while the public system ensures affordability and equity, the private sector offers advanced care but at higher costs. The decline of small private hospitals and the rise of large corporate chains further deepen inequality. Thus, Kerala’s model is transitioning from a welfare-oriented system to a mixed but increasingly market-driven system, raising concerns about accessibility and affordability.

Out-of-pocket expenditure (OOPE) in Kerala is rising due to a combination of structural, demographic, and behavioural factors. While the State has strong public health indicators, a significant proportion of healthcare services is still accessed through the private sector, which often involves higher costs.

Key reasons include:

  • Rising disease burden: Increasing prevalence of non-communicable diseases (NCDs) such as diabetes, cancer, and hypertension
  • Ageing population: Higher proportion of elderly requiring long-term and costly care
  • Preference for private care: Perception of better quality and faster service in private hospitals
  • Advanced medical technologies: Use of expensive diagnostics and treatments

For example, patients often undergo multiple diagnostic tests in corporate hospitals, significantly increasing costs.

Additionally, systemic factors such as inadequate strengthening of primary care and the decline of small affordable hospitals contribute to this trend. Although government interventions have reduced costs in public hospitals, the growing dominance of private providers means that many households still face financial vulnerability due to medical expenses.

Corporatisation of healthcare in Kerala is being driven by significant investments from private equity firms such as KKR and Blackstone. These investments have led to consolidation of hospitals, expansion of infrastructure, and the emergence of large multi-specialty hospital chains.

Key transformations include:

  • Hospital consolidation: Smaller hospitals are being acquired or replaced by large corporate chains
  • Advanced infrastructure: Investment in modern diagnostics, digital systems, and specialised care
  • Managerial practices: Introduction of business-oriented governance and performance targets

For instance, the acquisition of Baby Memorial Hospital and mergers involving Aster DM Healthcare illustrate the scale of consolidation.

However, this transformation has mixed implications. While it improves quality and access to advanced care, it also introduces profit-driven practices, such as revenue-linked targets for doctors. This can lead to over-prescription of tests and treatments, raising costs. Thus, corporatisation is reshaping Kerala’s healthcare into a more capital-intensive and market-driven system, necessitating regulatory oversight.

The closure of small private hospitals in Kerala is a significant trend driven by regulatory, economic, and competitive pressures. According to the Indian Medical Association (IMA), hundreds of outpatient and inpatient facilities have shut down in recent years.

Key reasons include:

  • Strict regulatory norms: Compliance with the Clinical Establishments Act increases operational costs
  • Competition from corporate hospitals: Larger institutions attract patients with advanced facilities
  • Financial constraints: Smaller hospitals struggle to invest in modern equipment and specialist staff

For example, many 20-bed hospitals in rural areas have either closed or scaled down due to inability to compete with corporate chains.

The implications are गंभीर:
  • Reduced accessibility: ग्रामीण and semi-urban populations lose nearby affordable healthcare options
  • Increased burden on public hospitals: More patients shift to government facilities
  • Healthcare inequality: Gap widens between urban and rural healthcare access

This trend highlights the need for policies that support small and medium healthcare providers to maintain a balanced and inclusive healthcare ecosystem.

The corporatisation of healthcare has significantly altered the doctor–patient relationship, introducing both efficiencies and ethical challenges. Traditionally, this relationship was based on trust, professional autonomy, and patient welfare. However, corporate hospitals often operate under business-driven models.

Negative impacts include:

  • Reduced autonomy: Doctors may face pressure to meet revenue targets
  • Over-medicalisation: Increased use of diagnostic tests and procedures
  • Erosion of trust: Patients may perceive treatment as profit-driven

For instance, anecdotal evidence suggests that unnecessary tests are sometimes prescribed in corporate settings, raising ethical concerns.

However, there are also positive aspects:
  • Improved infrastructure: Access to advanced medical technology
  • Standardised care protocols: Better quality control and outcomes

The challenge lies in balancing efficiency with ethics. Strong regulatory frameworks, transparent pricing, and emphasis on medical ethics are essential to ensure that corporatisation does not undermine the core objective of healthcare—patient welfare.

As a policymaker, addressing the challenges of rising healthcare costs and corporatisation requires a multi-dimensional strategy that strengthens public systems while regulating private participation.

Key policy interventions would include:

  • Strengthening public healthcare: Invest in infrastructure, staffing, and advanced treatment options in government hospitals
  • Regulating private sector: Implement price caps and standard treatment guidelines
  • Promoting insurance coverage: Expand schemes to reduce out-of-pocket expenditure
  • Supporting small hospitals: Provide financial incentives and regulatory relaxation

For example, schemes like Medisep and other insurance programmes can provide financial protection to patients.

Preventive healthcare must be prioritised by strengthening primary care and promoting healthy lifestyles to reduce disease burden. Additionally, ensuring transparency in pricing and accountability in private hospitals can build trust.

Ultimately, Kerala must preserve its legacy of equitable healthcare while adapting to modern challenges, creating a balanced system that integrates public leadership with responsible private participation.

Attribution

Original content sources and authors

Sign in to track your reading progress

Comments (0)

Please sign in to comment

No comments yet. Be the first to comment!