Payor and Operator Models

 

Interview: Anuschka Coovadia, CEO, Usizo Advisory

HBI talks to Anuschka Coovadia, CEO at South-Africa based advisory group Usizo Advisory, about payor-provider relationships in Africa and ongoing efforts to improve healthcare coverage.
April 13, 2023

Reconciling payor-provider tensions

Relationships between payors and providers can be notoriously tricky. As attendees at the recent IFC conference in Cape Town, South Africa heard, the difference is often over how value is defined - and as providers grow, the balance of power is shifting.
March 9, 2023

End to French labs strike as agreement struck with government

The unions representing French labs groups called an end to their strike on Tuesday, January 10, after reaching an agreement with the government on tariff cuts for 2023. The agreement specifies that up to €250m of labs’ funding can be cut in 2023, but that no further cuts will be made during the year. While this deal ends the immediate problem, HBI hears it has only delayed further conflict.
January 13, 2023

Walgreens pharmacy splashes on $9bn outpatient merger

Walgreens, the US’ second largest pharmacy chain, is expanding its outpatient network with the acquisition of urgent and primary care chain Summit Health, for $9bn. Evernorth, a subsidiary of Cigna, one of the US’ largest health insurers, is also taking a stake in the merger, effectively creating a major new integrated payor-provider with a national footprint. HBI speaks to three experts on the US health system to understand the implications.
November 11, 2022

Inflation hits margins for Medicover and Terveystalo

Poor results have seen big share price drops at two of the sexier listed health care service groups. Medicover, the pan-emerging markets outpatient operator, saw shares fall 11% on Q3 figures showing a net loss of €18.4m and Terveystalo, the Finnish and Swedish outpatient group, fell 23% to €6.23 after revealing a net loss of €19.6m. Since the start of the year both have seen their share prices halve or worse. Inflation, labour shortages, Ukraine and a big shift in how health care is delivered post-Covid are behind the poor results.
November 4, 2022

Swiss Medical Network subsidiary to become country’s first payor-provider

Hôpital du Jura Bernois, a subsidiary of Switzerland's second largest hospital group Swiss Medical Network, is to become the country's first integrated payor-provider, after health insurer Visana bought a 32.4% stake. From January 1 2023 it will offer insurance alongside its hospital and outpatient services to inhabitants of the Jura Arc region.
October 28, 2022

Saudi healthcare insurance boom

According to the Saudi Central Bank, gross healthcare insurance premiums in Saudi Arabia rose 32% to SR25.1 billion (€6.78 bn) between 2017 and 2021. Healthcare now totals as much as 59.7% of total insurance in the rich oil state.
October 7, 2022

HBI 2022: Who will win the Subscription War?

Subscription health models were a popular conversation and "subscription" a bit of a buzzword at HBI2022. A panel of experts looked at how three different companies are making these models work.
July 14, 2022
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