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Rating and booking sites: Threats or Friends?

There are growing signs that a new generation of rating and booking websites will change the face of outpatient care in many Emerging Markets. New players, sometimes backed by hundreds of millions of dollars, are investing in telehealth platforms that promise instant access to patients, partnering with pharmacies and making access to healthcare easier for patients. Some are active in dozens of countries. Here we talk to the major players about their strategies and how they see the market.

Contrasting healthcare markets in the GCC

Too reliant on revenues from the petroleum industry, the GCC countries are pushing for economic diversification – and competing for foreign investment. As a result, the healthcare industry is seeing major government incentives and huge PPP projects. We look at how Saudi Arabia, the UAE and smaller Gulf states are drawing investors.

Gulf States to boost PPPs, eHealth, preventive care and long-term care

In its comprehensive annual report on the healthcare industry in the Gulf Cooperation Council (GCC) states, private equity house Alpen Capital explores current trends. Projecting the GCC total private and public healthcare market to grow 12.1% to $71.3bn in 2020, it highlights population growth, the introduction of health insurance and rising healthcare costs as key drivers –resulting in the development of PPPs, eHealth, preventive care and long-term care.

Mediclinic completes Al Noor deal

South Africa’s Mediclinic has finalised its reverse takeover of Emirati rival Al Noor, outbidding local chains VPS Healthcare and NMC. The new group will have pro-forma sales of around US$4bn for the year ended March 31, 2016, operates 73 hospitals and has over 10,000 beds. The deal is valued at US$2.3bn.

Pantheon stalks the managed equipment services market

Entire countries are moving from buying medtech and consumables outright to service models using new intermediaries - so-called managed equipment and multi vendor service integrators. These can service, buy, run and finance all medtech products. Pantheon Healthcare Group, backed by a company owned by the Permira Funds, is moving into Saudi Arabia, where it sees huge potential and hopes to be closing many large contracts in the near term. Founder and Director Rob Piconi and Chief Scientific Officer Stephen Hodgson say that the public sector in Hungary, Saudi Arabia, the Netherlands, Canada, Sweden, the UK, Italy and New Zealand are among many developed and emerging market countries that have adopted or are looking to adopt the new healthcare service model.

Exuberant international expansion

Operators in Emerging Markets are increasingly moving into other countries, often nations halfway around the world. There is a big IPO pipeline to fund all this growth. And investors like TVM Capital and Abraaj are planning massive greenfield site developments.

Aster DM ups stake in Saudi group Sanad Hospital to 97%

While rivals Al Noor, Mediclinic and NMC Health are engrossed in a bid war, Aster DM also wants to strengthen its presence in the Gulf states. It has bought an additional 57% stake in Saudi group Sanad Hospital, taking ownership to 97%, for $245m (AED 900m).

Newly branded Avivo Group plans $300m expansion across five Gulf countries and 2017 London IPO

Pan-Gulf expansion could be the new business model for big private operators. We talk to Amitava Ghosal, the CEO of Avivo, the new name for Healthcare Mena, the operator backed by private equity house Al Masah Capital about his plans. He wants to expand out of the UAE and Kuwait and into Qatar, Oman and Saudi Arabia with a specialist outpatient clinic chain. Future steps include hospitals and SE Asia.

Report: All listed healthcare service companies active in Emerging Markets

Here we present the first comprehensive list of all 57 quoted healthcare service companies which are active in Emerging Markets. The list includes companies headquartered in the Developed World, who have interests in Emerging Markets, such as Air Liquide, Fresenius or Ramsay Health Care, as well as quoted operators from the region, such as IHH, Apollo or Integrated Diagnostic Holdings. It covers everyone from Chilean hospitals to Egyptian lab operators and from NYSE quoted operators in China to big groups in Malaysia and Indonesia.

Interview: Helmut Schuehsler, Chairman & CEO, TVM Capital Healthcare Partners

In 25 years TVM Capital, the business where Schuehsler is at the helm, has invested over $1.5bn in life sciences. Yet, five years ago, he took the remarkable personal decision to move from Munich to Dubai and to build a completely new arm to invest in healthcare services in Emerging Markets. Since then, Dubai-based TVM Capital Healthcare Partners and co-investors have invested some $150m in five investments, ranging from Egypt to India. He is now raising a third fund of $300m for another dozen investments.

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