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Payor and Operator Models

 

Dentistry

We are witnessing the creation of major dentistry chains across much of EMEA and in countries like India. But what are the risks? Topics include: regulatory change, payor mix, demand, new treatments and internationalisation. Panellists to include: Ben Faircloth, Partner, L.E.K. Consulting (Overview presentation) Louis Shakinovsky, Chairman, shareholder, co-founder Global Dental Services (Clove). Since its standing […]

Regulatory and Political Risks Post-Covid

This remains the number one issue for investors and operators in most counties, second only to “how do I get staff?” as something liable to keep CEOs awake at night. Here we look in detail at what risks there are in different countries and sectors. what, if anything, can the sector do to allay them? […]

Private insurance premium inflation down, public up

Private medical insurers will likely drop premium increases over the next 18 months on the back of near-record profitability in 2020. In contrast, public insurers warn that its costs will rise to cancel out growing deficits.

State of the Regions: Central and Eastern Europe

From Estonia to Greece and from Slovenia to Romania, this region has been replete with opportunities for for-profit health care over the last decade. How far does populism impact on this? And what are the private pay markets that are likely to remain buoyant? Panelists: Moderator: Tomás Cihula, Partner, Kinstellar Dejan Pesic, CEO, Medigroup Richard […]

Occupational healthcare “cuts cost of absenteeism by half”

The COVID-19 pandemic shifted the working patterns and environments of every type of workforce, resulting in big hits to free-for-service (FFS) business models and new opportunities in remote care. Panellists from Medicover, Medigold and Qualitas discussed this and how good occupational healthcare can reduce the costs of absenteeism by half, at last week's HBI Big Picture Seminar.

State of the regions: MENA

There has been huge change in the core GCC markets. In the UAE, payors are starting to bear down on operators with new payment models and regulation. In Saudi Arabia, we have seen Saudisation coupled with a commitment to out-source to the for-profit sector. And what of the other major markets in the region? This […]

State of the Regions: Nordic Regions

Sweden and Finland have some of the most advanced models for private/public cooperation, particularly in the care arena. Meanwhile, the care sector appears to be opening up in Denmark and even in oil-rich Norway. But what are prospects like for major players? Following the failure of the long-awaited SOTE reform in Finland, will we see […]

State of the Regions: LatAm

This vast market has shown considerable growth with integrated payor/provider models being consolidated by UnitedHealth and others. Elsewhere in Mexico and Brazil, innovative outpatient models are scaling up and, in some cases, are becoming pan-LatAm players. But often the sector has to fight hard against the entrenched union and professional interests which have led to […]

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