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Interview: Ekaterina Timofeeva, Principal, The Boston Consulting Group, Russia

In last month’s Russian feature, we investigated what looked to be a stunted and troubled market. Just as private healthcare was getting its act together the faltering economy has depleted disposable incomes and driven supply costs sky-high. Of course, the reality is more complex and conceals a number of opportunities. Ekaterina Timofeeva, for one, is optimistic. Margins of 40% or more are gone for now, but don’t give up on Russia just yet. She points to a new international medical cluster outside Moscow that is expected to attract 80bn roubles (€900m) of investment.

Report: East Africa – rising slowly, steadily, surely

The private sector plays a key role in healthcare delivery across Africa. While the East African economies of Kenya, Uganda and Tanzania are experiencing relatively high growth, public sector healthcare facilities are sub-standard. The private sector already accounts for nearly half of total expenditure and is coming up with innovative and affordable ways to provide services. Here we look at the main groups and track trends.

New $9.5m rehab centre in Dubai targets Gulf patients

Austrian high-end rehabilitation provider Wagner Health and Care has opened a new 48-bed centre in Dubai for Dh.35m ($9.5m), targeting Gulf patients travelling abroad. Wagner Health and Care runs 19 rehabilitation facilities in Austria and is part of several high-end rehabilitation projects in China. We speak to Ulrich Schwarzbauer, general manager of the Wagner Health and Care Dubai practice.

Spanish operators target medical tourists

Health tourism in Spain grew sales of €500m, up 20% in 2015. Patients traveling to get treatment are still low - 100,000 per year - but the business cluster Spaincares has set to double the size of the market by 2020.

Competitors angry at Buurtzorg takeover

Dutch nurse-led homecare group Buurtzorg has volunteered to the Ministry of Health to take over domiciliary care/medicalised homecare TSN Thuiszorg. TSN, which is the largest group in the country, is in lenders' hands due to a €400m cutback in the public-private homecare sector. Buurtzorg has committed to admit 75% of TSN's staff in exchange for a favourable €21 hourly tariff. The deal would automatically leave Buurtzorg as the market leader, but competitors tell us that that they are angry.

Czech provider Agel takes over fifth hospital in four months

Agel, the largest private hospital chain in the Czech Republic, is buying the Jesenik hospital in its fifth acquisition in four months. The hospital is located just 50 km away from a facility that Agel lost in January 2015, after it became part of a settlement with previous shareholder Martin Polach.

FREE BLOG The march of medical rating/booking sites

Doctor rating sites are changing fast. Five years ago they were Tripadvisor style sites which sold Yellow Page advertising to individual doctors. Three years ago they moved in to taking online bookings. Two years ago saw a move into back office services offering doctors a streamlined and increasingly sophisticated way of adding patients to their schedule in exchange for a monthly fee - this is the model that Doctorlib has pioneered in France. The next steps are a move into lab tests and the offer of telehealth consultations. They are also becoming much more international in their reach.

Secretive On Clinic hits Belgrade

On Clinic, a chain of nearly sixty outpatient clinics now covers Russia, Ukraine, Romania, Moldovia, Armenia, Bulgaria and the Czech Republic. Its latest opening is its first foray into Serbia. We profile the group.

Rothschild lines up Mater sale

Mater Private, one of the two big Irish private hospital chain, is for sale. A deal with South African giant Netcare is said to have fallen through.

South Africa’s Motsoaledi throws private insurers a bone

A fascinating interview with the South African Health Minister, Dr Aaron Motsoaledi, by Business Day has shed more light on the proposed National Health Insurance (NHI) policy to provide mandatory insurance for all South Africans, rather than the mere 16% covered today. Oddly, Motsoaledi criticised his ministry’s own December 2015 white paper which envisaged private insurers evolving into little more than complementary payors. Instead, he expressly confirmed that this will not happen. The interview also reveals further details of the timetable, funding and plans for low-cost medical schemes.

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