Payor and Operator Models


Spain’s Alzira costs double after Ribera ejected

Spain may regret dismantling its pioneering Alzira model. HBI hears that costs have nearly tripled since it booted Ribera Salud out of the Valencian project. A similar fate might await Torrevieja, which expires next month.

German election threat to whole healthcare system

Potential winners of Germany's upcoming elections are pledging to abolish private medical insurance (PKV). The move could spell disaster for the whole healthcare sector: it accounts for 37% of all expenditure.

Still unclear where for-profit sector will benefit from EU funds

European countries will spend about €50bn on healthcare infrastructure spending thanks to loans and grants from the EU. However, we are months down the line and it's still not clear how the for-profit will benefit. Some operators are also worried that a flood of public sector capex spending will make them less competitive.

UK NHS dental activity may never return to pre-Covid levels

There were strong opinions at HBI 2020 on the key question as to whether NHS activity in the UK will ever return to pre-pandemic levels; UK CEOs and investors at HBI 2021 were less than optimistic about its chances, but double digit private growth is filling the gap.

Payors & Providers – Strengthening ties

Bupa, Cigna and Axa all have very different approaches to healthcare delivery. Yes, all three are moving strongly towards owning the diagnostic first mile of the patient journey. But Bupa has developed a model with a lot of vertical integration, owning assets as varied as dentistry, hospitals and outpatient, Axa has bought some assets where […]

Keynote: The Future of Healthcare

Helios Fresenius is by far the largest European for-profit hospital operator with over €9.8bn of revenue in Germany and Spain. It is also active in Latin America and its digital health platform, Curalie, is a global contender in diagnosis, physician selection, treatment and rehabilitation. Its acquisition of Eugin also makes it one of the largest […]

International Hospital Chains: Sector Analysis

Day surgery combined with digital health and far more sophisticated homecare will force this conservative sector to change. How can hospitals build stronger lifetime relationships with patients? How far are they deploying value health and successfully cutting costs? And how do you best manage all this change? Confirmed speakers include: Ronnie van der Merwe, Mediclinic […]

Portugal’s PPP experiment all but dead

Politics has finally ended Portugal's public-private partnership (PPP) hospital experiment. Just one operator, Ribera Salud, bid for the renewal of the final contract rendering the competition process invalid. By the end of the year, all four of the once-privately managed hospitals will likely return to the public sphere.

The new group building a hospital for millennials

Portugal has a new private hospital company which is building specialised acute care framed around the consumer behaviour of millennials. Why does the sector need a new player? Because the traditional operators have more difficulty in deploying good digital transformation, the project's CEO tells HBI.

Global names on Saudi imaging PPP shortlist but ‘no decision yet’

Alliance, Affidea, Ribera Salud and InHealth are all among the eight name shortlist for Saudi Arabia's massive radiology private public partnership. However, a source in the market tells HBI that progress is still slow and a decision has not been made on a winner.

Find Us