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Payor and Operator Models

 

Amil under pressure as business is restructured

UnitedHealth Group (UHG) is implementing cost-cutting measures to improve Brazilian insurer Amil's balance sheet and has laid off 300 employees as it restructures operations.
August 29, 2019

MedMa invests in radiotherapy

The Russian investor behind Citilab, Nefroline and Genome is set to invest RUB350m ($5.5m) in a radiotherapy centre in western Russia.
July 17, 2019

DomusVi: Insurers need to see the value in homecare

Europe's third-largest nursing home operator by revenue, DomusVi, claims its homecare business saves 35% on hospitalisation costs for private Spanish insurers. So why do they still need convincing to pay for homecare services? We speak to the director of DomusVi Healthcare, David Fernández.
June 4, 2019

Improving insurance and pricing models in South East Asia

Both overtreatment and lack of access in South East Asian healthcare systems are pushing stakeholders to find innovative solutions to improving care. At HBI 2019 we heard key insights into these challenges from investor Fosun Healthcare Holdings and the CEOs of two care providers, teleconsultations platform MyDoc and homecare specialist Lotus Eldercare.
May 17, 2019

Does Value Health have a future?

Value health is the revolutionary idea pioneered by Harvard guru Michael Porter. He had the temerity to suggest providers should be rewarded for quality, rather than activity and that the patient should be viewed and consulted as customers. Invented in the early noughties, it hit a high water mark 7-8 years ago when Obamacare was rolled out incorporating the concept. Then it felt like an inexorable river.
May 16, 2019

Portugal’s public insurer close to announcing new price list

The health insurer for Portugal's 1.2 million civil servants says it will soon announce its new price list for services rendered by the country's private hospitals, the biggest of which briefly cut ties with the body at the start of 2019. We talk to one of their executives.
May 8, 2019

UK healthcare market – surprisingly strong

How is Europe's largest private equity invested market faring in these uncertain times, as staff shortages and the continuing uncertainty of Brexit make forecasting the future difficult? In most cases, better than you might think! This was the general response from HBI 2019's learned panel of UK and Ireland experts - but as always there were exceptions that proved the rule.
May 8, 2019

UnitedHealth’s Amil de-lists chunk of Brazil’s biggest hospital chain

Brazilian payor-provider Amil, owned by UnitedHealth, has partially or fully de-listed almost half of Rede D'Or's hospitals, the country's largest operator, while its president talks about "not referring patients to anyone who is wasting money". One local source thinks this is the beginning of a massive tussle between the two giants, while another says their size makes a swift compromise inevitable.
May 2, 2019
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