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KPMG report: Global trends in aged care

In its Global trends in aged care report, KPMG identifies five key themes that are likely to shape the elderly care market - based on interviews with experts in 20 countries.
June 2, 2016

Why the UK care home market is different

Despite the travails of Four Seasons and Bupa's well publicised comments about not being able to make money from UK care homes, EBITDAR margins are surprisingly high for operators and US REITs love the sector.
May 13, 2016

“Fast and furious growth” – A survey of private healthcare operators in Europe and Emerging Markets

Big for-profit healthcare operators expect to grow sales at over 10% annually for the next five years in Developed and Emerging Markets, but what do they see as their main challenges? A fascinating picture is revealed in a new survey of 81 mainly CEOs and CXOs in 37 countries of predominately large hospital chains, diagnostic labs and imaging players, commissioned by Siemens Healthineers (the new name for Siemens Healthcare) from Healthcare Business International. The quantitive survey was followed up with depth interviews with a dozen respondents.
May 4, 2016

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.
April 6, 2016

So what really happened at Bupa?

After four years, in which he transformed Bupa with a £1.8bn M&A drive, the company announced that CEO Stuart Fletcher is to leave after failing to meet expectations. His departure follows 2015 results which saw a fall of pre-tax profits of 39% to £347m. Where does that leave his plans to build an international brand with strengths in services as well as insurance? What really went wrong? With 2015 sales of £9.8bn, Bupa still has heft. Outside the USA, it remains one of the two largest international private medical insurers, the largest international dentistry player, one of the largest care home groups and, probably, the largest player in outpatient care – certainly the only one with scale in four continents.
March 30, 2016

Report: Teleconsultation – the future of healthcare?

In the United States, teleconsultation reached sales of $100m in 2015 and is expected to hit 1m online visits this year. In Europe, things are moving much slowly. Regulations are not yet in place in most countries, payors have enormous reservations and doctors are not willing to get paid less for online consultation. But apps like Meedoc and Min Doktor in the Nordic countries are creating patient bases and insurers are starting to incorporate telehealth as a differentiator. Big private operators such as Medicover, Terveystalo and José de Mello are all deploying telehealth today.
March 3, 2016

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.
February 11, 2016

Report: Colombia – Tax free zones, HMOs and a friendly government

Few countries offer such exciting opportunities for private healthcare as Colombia. The government has set up a series of tax-free medical tourism hubs for Central America, the Caribbean, Venezuela and Peru. Meanwhile the mandatory insurance system which covers 97% of the 48m population is creaking and big payor/providers could be sold to private investors. Colombia's amalgamation of public, private and not-for-profit insurers and operators faces a severe crisis. Small wonder private equity houses such as Tribeca, SEAF Colombia and Advent International are eyeing the sector.
February 1, 2016

Report: Russian national survey – weak go to the wall

The oil crisis is smashing up public sector healthcare in Russia and many private operators are strangling on dollar-denominated debt. A third could disappear. Many cash-strapped consumers are turning to the grey market of gifts and bribes, rather than paying private operators. The next few years should bring a wave of consolidation as the strong in the private sector, which still enjoys huge tax breaks and strong demand, take control. We name the top 20 players and look at market forces.
February 1, 2016
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