Payor and Operator Models

 

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.

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.

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.

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.

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.

Expanding Care at Home

Care delivered at home is set to soar as new monitoring, diagnostic and telehealth technology creates new models of care. In this session we’ll explore how operators are managing the transition and the impact on inpatient care, their asset base, care pathways, etc. What are the implications for the traditional healthcare enterprise? Speakers include: Thierry […]

The Truth about AI

Has AI delivered for healthcare – yet? In this session we’ll explore what we know about AI today and how we can best shape our thinking about AI as a tool in the transformation toolkit. Through case studies we’ll look at scenarios where AI is delivering impact, providing a deep-dive into the practicalities of implementation. […]

It’s all about the Patient Experience…

Digitalisation has forced a paradigm shift in the meaning of ‘patient experience’. In a blended model of face-to-face and hybrid interactions and care plans – how to research, manage and measure customer experience needs a rethink; how to engage, communicate and build loyalty needs a reset. With more touchpoints, now is the time to unlock […]

Seeking Consensus in the Payor / Provider Relationship

Finnish insurers have stopped health care insurance costs rising for a decade, which is a major achievement given that health care inflation often runs at 3-8% a year. In this session, we’ll explore the story behind the headlines. What is the dynamic of the payor/provider relationship that drives this result? Where is the win-win in […]

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