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Original Alzira model project under threat

The project which gave its name to the Alzira model, in which a private consortium delivers all the healthcare needs of a town for a fixed per capita sum, is in danger of expiring, if the greens and socialists win Valencia in May 2015. Madrid, the other big centre for concessions, is also under threat. Altogether the concessons meet the needs of some 1.5m Spaniards. Elsewhere, electoral prospects look brighter for the right. And what is US Medicaid administrator Centene planning with Ribera, the hospital operator who runs Alzira and eight other concessions, where it took a 50% stake earlier in 2014?
October 23, 2014

Aleris to launch video doctor service for Scandinavia

How does video conferencing change patient behaviour and the range of services that can be offered? Aleris, the big private operator who spans primary, hospitals, elderly and disabled care, is set to launch Video Doktor as a Pan-Scandinavian service. This allows patients to talk directly to family doctors and specialists by video link. We look at the model and how Aleris might monetise it. We explore the implications of having a doctor just a click away.
October 23, 2014

Norway starts to open up to private sector

The new centre right Norwegian government has announced plans for a voucher system and is encouraging the four health care regions and the municipalities who handle elderly care to further utilize the private sector.
October 21, 2014

Specialist care for people with intellectual disabilities remains special for adaptable providers

Small group homes in the community have long since become the norm for state paid care for people with intellectual disabilities, at least in western Europe. This gave private residential providers long term residents at attractive margins. But this relatively straightforward model has seemed under threat as policymakers and funders have pushed for more individualised services. By Adam Scott and Dr Vishaal Virani of Mansfield Advisors.
October 17, 2014

Chinese buy Espirito Santo Saúde

Chinese conglomerate Fosun International has won the four-way bidding war for the second largest Portuguese hospital chain, Espirito Santo Saud. Its Portuguese subsidiary, Fidelidade, the largest insurer in Portugal, has bought a 51% stake in ESS held by Rioforte and Healthcare Investments for €5.01 a share. Fosun later announced that it has bought shares with 96% of voting rights for a total of €460m.
October 17, 2014

Waterland buys Median

Waterland Private Equity has bought a majority stake in Median Kliniken, one of the largest German residential rehabilitation (reha) chains. It already owns RHM Kliniken, another top 5 reha chain. Reliable sources say that the deal values Median’s equity and debt at just under €1bn, giving seller, private equity house Advent International, a return of nearly 2.5 times on the €400m it paid for Median in 2009. We look at prospects for reha generally and the plight of not for profit in the acute sector.
October 17, 2014
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