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Payor and Operator Models

 

State of the regions: Russia and Former CIS

The Russian state remains supportive of the for-profit health care sector which continues to grow fast. Elsewhere the sector is also growing fast across the Ukraine and in many of the ‘Stans. So what are the business models that work best? What are the prospects for fast-growth outpatient models that incorporate diagnostics and primary care? […]
November 18, 2020

State of the regions: DACH

By far Europe’s largest market, Germany, Austria and Switzerland offer unique opportunities. But how fast is the German outpatient sector changing? What sectors are investable? How squeezed are hospitals in Germany and Switzerland? And will a new Austrian government lead to better prospects? Panellists include Dr Reinhard Wichels, Managing Director, WMC Healthcare; Wolf Kupatt, CEO, […]
November 18, 2020

Integrated model ‘alive and kicking’ despite Banmedica closures

Greater scrutiny is being brought to bear on the use of integrated models in Chile - a practice where any impropriety is sidestepped through the use of holding companies. Where does this leave the likes of UnitedHealth Group-owned Banmedica, which has just closed four health centres in its Vidaintegra network - and why is public concern mounting about private insurers profits?
October 30, 2020

Digital Health – Case Studies in Acceleration

New digital health applications are scaling up fast. But how fast? And what will be the impact on health care systems? How should operators best embrace and deploy the new technologies? Ralph Wiener, Global Head of Digitalising Healthcare, Siemens Healthineers Daniel Nathrath, Co-founder and CEO, Ada Health Anna-Karin Edstedt Bonamy, CEO, Doctrin Moderated by Rachel […]
October 21, 2020

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.
October 15, 2020

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.
September 17, 2020

Payor/Provider Relationships – Who owns the Patient?

Moves to integrated healthcare and payment by the outcome are accelerating. This panel brings together payors and operators to discuss what new models really work and who owns the customer. Panellists: Carlos Araujo, Global Provider Contract Lead, Cigna Daniel Ohman, CEO, GHP Healthcare Sneh Khemka, VP Population & Health, Aetna International Moderated by Max Hotopf, […]
September 9, 2020

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.
September 2, 2020

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.
July 21, 2020
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