TRENDS IN THE DEVELOPMENT OF THE MEDICAL SERVICES MARKET IN RUSSIA

The development of healthcare in modern conditions plays a key role in achieving a high quality of life for the population. The specificity of the Russian healthcare model lies in the combination of public and private medicine. This article examines the commercial sector of Russian healthcare through an analysis of the state and dynamics of the medical services market. The study was conducted with regard to the federal and regional levels of the healthcare system. An analysis was conducted of the dynamics of the number and structural changes of medical organizations in the Russian Federation by type of ownership from 2020 to 2025. Based on data from Rosstat, the Russian Ministry of Health, and industry analytics, contrasting trends were identified in the outpatient and hospital segments. It is shown that in 2023, the outpatient sector underwent significant restructuring, with a sharp reduction in the number of non-governmental organizations (-59%), while the share of private hospitals continued to grow steadily, reaching 10.9%. A high regional concentration of private healthcare was identified in Moscow and St. Petersburg, where its share in outpatient care exceeds 60%. The financial performance of key players in the medical services market, market consolidation processes, and key development drivers are examined, including digitalization, rising compulsory health insurance rates, and public-private partnerships. A forecast is made for the market's transition to a mature phase, with the increasing role of large networks and deeper integration into the public healthcare system.