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Payor and Operator Models

 

Kenyan NHIF C-section costs soar

C-sections now account for a third of all maternity costs under Kenya's national health insurance scheme, with some experts concerned that operators have been cashing in on inflated prices.

UnitedHealth replaces CEO of Brazilian operations

UnitedHealth Group (UHG), the largest private healthcare company in the world by revenue ($226bn) and owner of Brazilian insurer Amil, has replaced the CEO of its Brazilian operations with an executive from Amil itself. The change coincides with the group's Q3 results.

Unilabs and Ribera Salud JV loses lab outsourcing contract

BR Salud, the Spanish JV owned by Unilabs and Ribera Salud, has lost its multi-million euro public contract to the country's fourth-largest lab group Analiza. It was worth, HBI estimates, 15-20% of Unilabs' Spain revenue.

DomusVi wins contract and expands into Colombia

Spain's largest PE-backed nursing home group by revenue, DomusVi, has won a public tender in the Basque Country to provide residential nursing home care and opened its first facility in Colombia through subsidiary Acalis.

AAR Healthcare teams up with e-payment platform in Kenya

Kenyan insurer and healthcare service provider AAR Healthcare says it is tackling low uptake and fraud by allowing customers to pay for treatment and manage medical payments with their mobile through a new partnership with e-payment system M-TIBA.

UK applies €1.5bn band aid to care sector in crisis

The UK government has pledged £1.5bn (€1.6bn) to local authorities' social care budgets in order to tide the care sector over for another year (which includes both nursing homes and homecare). But while councils welcome the funding, a market investor tells us it won't be sufficient to patch up a system in crisis. A provider tells us the amount is in line with what the sector expected but is a tempory solution.

Insurers in Croatia trying to verticalise polyclinics

HBI hears that some of Croatia's private health insurers have been buying polyclinics in a bid to verticalise the outpatient market, but an investor says that it can be difficult to make the model work.

Interview: Julian Andriesz, CEO, Verita Healthcare

The massive latent demand to live longer is being tapped by a new generation of health care providers. British entrepreneur Julian Andriesz, 53, made a first fortune building business in SE Asia and got into prevention after watching his mother die of ovarian cancer, diagnosed late. He says his intention is to help his clients, whether they are healthy, have cancer or auto-immune diseases, to live longer, better lives. Verita has a chain of 10 clinics, believes its digital health disease prevention and management platform is about to become the largest in the world and owns IP, and research and manufacturing in Europe, Asia and Australia.

Parnassia struggles as Dutch psychiatry “bleeds money”

The largest Dutch psychiatric providers are struggling to turn a profit with Parnassia, the biggest of the bunch, reporting losses of €29m for 2018. We speak to the company about the reasons behind the sector's troubles.

How insurers are delivering preventative care through tech

HBI speaks to Hong-Kong-based insure tech startup CareVoice about how its solution supports insurers to deliver more bespoke plans in China, following its $10m Series A. As most global insurers are trying to pivot from being gatekeepers to caregivers, can solutions that provide preventative support help?

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