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ICHOM Conference: Long wait for outcomes measurement in low-income countries

With a few exceptions, value-based healthcare in the form dictated by the Institute of Clinical Health Outcome Measures (ICHOM), is limited to the rich world. That is not the vision of ICHOM’s founders, however. They want global measurement and benchmarking– essentially, the wider the search for best practice, the more variation and the more sites of competitive selection. Pharmaccess and the Novartis Foundation, who both spoke at the ICHOM conference, are slowly pushing the envelope.

Nigeria looks to encourage private healthcare insurance

A proposed bill that would boost private healthcare insurance in Cross River State, Nigeria is under review, says John Adesioye, president and CEO of Utopian Consulting. A new health insurance bill is being planned and the commissioner of finance described the proposals as a “no-brainer”, he claims. The development shows the direction of travel of health financing in Nigeria.

Interview: Javier Eguiguren, CFO, Banmédica

Santiago-listed payor-provider Banmédica is at the forefront of international expansion in Latin America with six insurers, ten hospitals and eight outpatient clinics in Chile, Colombia and Peru. Sales were up 14.5% to CLP 265bn (US$ 380m) in 2015, with a 9% EBITDA margin. This year it plans to invest over US$100m to expand capacities in all three countries, jumping from 1,900 to 2,500 hospital beds. We talk to CFO Javier Eguiguren.

Luz Saude to implement value-based healthcare

Luz Saude, Portugal's largest private healthcare network, is attempting to implement value-based healthcare through the creation of “specialised multidisciplinary centres”, which focus on conditions such as headaches and diabetes, rather than specialties. From 10 today, the group aims to create 45 of these centres by the end of 2018. Doctors are systematically reporting, measuring and benchmarking quality outcomes - and measuring costs. In a presentation at Healthcare Business International 2016, Isabel Vaz, CEO of Luz Saude, said it was "only a question of time" before private insurers introduced pay for performance.

Asisa heads to Oman

Spanish payor-provider Asisa will operate a 70-bed secondary hospital staffed with 40 European doctors in Oman, starting in 2018.

PMI resilient through Brazil’s recession

Unemployment may have crashed from 4% to 10.9% in the first quarter of 2016, but the number of lives covered by private medical insurance has fallen just 3.1% in 15 months. That is despite a 3.8% drop in GDP in 2015 and forecasts of a similar fall in 2016.

Svet Zdravia bets on more privatisations in Czechia

Although the current Czech government is not keen on hospital privatisations, Penta-owned Slovak chain Svet Zdravia, with €160m revenues and 14 hospitals, expects the mood to change after the 2016 elections. But Central Europe remains marked by strong government interference and the misuse of public funds.

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