Payor and Operator Models

 

KRY ‘steals’ patients as it moves into capitated model

Swedish B2C telehealth player Kry has registered 14,000 patients in its first health care centre in Sweden, which comes as it's been forced into the capitated funding system. The start-up has been criticised for not making it clear enough to patients that they would be de-registered from their physical healthcare practice.

Insurers record massive savings from deploying telehealth

Traditional hospital business models stand to be massively disrupted as payors adopt front-end telehealth. Early adopters insurers Cigna and Aetna are seeing high patient satisfaction and huge cost savings from the deployment of telehealth in EMEA and emerging markets. Cigna is starting to grade quality at operators outside of the USA, according to the latest HBI-365 panel discussion. Go to HBI-365.com to find out more.

GHP rolls out new deal with insurers

GHP, the Stockholm-listed Swedish and Middle East clinic chain, where shares have risen all but sevenfold in seven years, is rolling out a new outsourced model for health insurers. So far this covers 100,000 patients. We talk to CEO Daniel Ohman.

Interview: Arjan Toor, CEO, Cigna Europe

Cigna now describes itself as “a global health service company” rather than an insurer and has reorganised its European operations. Toor has recently been promoted to CEO Europe. He says that the insurer, which has 15% (US$840m) of its revenue in Europe, doesn't want to verticalise through owning primary care providers but wants instead to provide an end-to-end user experience.

Who is raising money?

Making sense of the money markets isn't easy right now. But some big players - Ramsay, Zur Rose and TPG are still raising money and some sectors such as German outpatient are still seeing M&A consolidation.

Interview: Dr Hugo Stephenson, CEO, Induction Healthcare

The Induction Switch app is used by the majority of hospital doctors in the UK but its owner has only very recently started generating revenue a year after launching on the AIM. That's despite a userbase stretching South Africa, Australia and the USA. Its CEO, an entrepreneur who has founded no less than three health tech companies, talks to HBI about how it plans to turn free-using customers into revenue-generating customers.

Interview: Tony Veverka, CEO, Transform

HBI talks to Tony Veverka, CEO of cosmetic surgery specialist Transform Hospital Group, about his business, and the market pre-and (speculatively) post-COVID.

Health care service write-offs drive losses at Bupa

Bupa, the global healthcare insurer and healthcare operator went from pre-tax profits of £502m in 2018 to a loss of £78m in 2019, thanks mainly to huge write-offs in its UK dentistry business and Australian care homes. But stripping out write-offs, underlying profitability still plunged 31%. Revenue rose just 4%. Why, and what does this tell us about Bupa and its future?

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