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Stream/Area:
-
Subject:
-
Paper ID:
10.55041/IJSREM.GSTCOS011
Volume:
10 |
7 |
Jul 2026
Pages:
1-8
Publication Frequency:
Monthly (12 issues per year)
License:International Journal of Scientific Research in Engineering and Management follows the Creative Commons Attribution 4.0 (CC BY 4.0) License, allowing free use and distribution with proper attribution.
Department of Tourism Management
Kakatiya University, Warangal
The Goods and Services Tax (GST) regime in India, which came into effect in 2017, has been a significant change for the healthcare and medical tourism industry. Given its status as one of the most favored medical tourism hubs in India, it is worth exploring what impact the preparedness of digital GST has on the competitiveness of hospitals and ancillary service providers in Hyderabad. This paper examines three interrelated aspects using the primary survey data from 47 hospitals and secondary sources from the Ministry of Tourism reports, GSTN compliance data, and published literature: extent of the digital GST compliance ecosystem in the healthcare sector in Hyderabad, effect of different GST rates on the pricing of medical value travel packages, and structural obstacles to full compliance and competitiveness. The findings show that large corporate hospitals have high e-invoicing and GSTN adoption, while the mid-tier hospitals have a huge burden of compliance. The paper concludes that GST rationalisation, Input Tax Credit allowances that are proportional, and digital literacy programmes for specific sectors are policy choices that can help build Hyderabad's competitiveness in medical tourism.
KEYWORDS
This paper has examined the interface between digital GST readiness and service competitiveness in Hyderabad's medical tourism sector, drawing on primary survey data and a comprehensive secondary source analysis. The key findings are: (i) Hyderabad's medical tourism sector is growing robustly, with its share of national arrivals rising to an estimated 11.2 per cent in 2023–24; (ii) digital GST compliance infrastructure is strong among large corporate hospitals but unevenly distributed across the sector; (iii) the asymmetric GST rate structure imposes a significant cost burden on bundled medical tourism offerings and restricts ITC utilisation; and (iv) delayed IGST refunds and complex classification norms constitute the principal compliance barriers. The paper adds to the burgeoning body of literature on the sectoral effects of GST and to the policy debate on the economic development path that the state of Telangana would take. Its suggestions – GST rationalisation for medical tourism packages, a proportionate ITC allowance benefit, fast-track IGST refund mechanisms, and an IT compliance support programme by the state – are implementable in the current constitutional and legislative frameworks. Together, they can make a big difference to the city's ability to cater to the medical tourism needs of the world, provide employment opportunities, generate foreign exchange, and other socio-economic benefits to the State of Telangana.
Bookman, M. Z., & Bookman, K. R. (2007). Medical tourism in developing countries. Palgrave Macmillan. https://doi.org/10.1057/9780230605657 Central Board of Indirect Taxes and Customs (CBIC). (2022). Circular No. 177/09/2022-GST: Clarification on various issues pertaining to GST. Ministry of Finance, Government of India. https://cbic-gst.gov.in/ Confederation of Indian Industry (CII). (2023). Healthcare committee report on GST rationalisation for the Indian healthcare sector. CII National Healthcare Committee. Connell, J. (2006). Medical tourism: Sea, sun, sand and ... surgery. Tourism Management, 27(6), 1093–1100. https://doi.org/10.1016/j.tourman.2005.11.005 Connell, J. (2015). From medical tourism to transnational health care? An epilogue for the future. Social Science & Medicine, 124, 398–401. https://doi.org/10.1016/j.socscimed.2014.08.003 Crush, J., &Chikanda, A. (2015). South–South medical tourism and the quest for health in Southern Africa. Social Science & Medicine, 124, 313–320. https://doi.org/10.1016/j.socscimed.2014.06.025 Datta, A., & Bhattacharyya, S. (2021). Digital readiness and GST compliance: Evidence from Indian service firms. Journal of Tax Research, 19(2), 214–238. Federation of Indian Chambers of Commerce & Industry (FICCI). (2023). Indian healthcare sector: Navigating GST complexities. FICCI Health Services Committee Report. Government of Telangana. (2023). Telangana healthcare investment and medical tourism report 2022–23. Industries & Commerce Department, Government of Telangana. GST Council Secretariat. (2024). GSTN analytics dashboard: Sector-specific compliance data FY 2023–24. Goods and Services Tax Council, Government of India. https://gstcouncil.gov.in/ Gupta, S., & Aggarwal, R. (2018). Impact of GST on the Indian healthcare sector: A cost analysis. Indian Journal of Finance, 12(8), 43–55. https://doi.org/10.17010/ijf/2018/v12i8/130478
Publication Date
7/5/2026
Peer Review Type
Double-Blind Peer Review
Review Rounds: 2
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The authors declare no conflict of interest related to this research work.
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