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Outpatient (ex Primary Care)

 

Nordic chain cracks America and looks to the world

A Nordic addiction clinic chain has cracked America, licensing its methodology to two North American groups and is now looking at international expansion in Far East Asia and the Middle East, including taking equity in partners. It claims that its outpatient approach achieves better results than inpatient rehab at a tenth of the cost and puts the size of the US addiction treatment market at $35bn.

Big Brazilian HMOs mull IPOs or sale

Several big Brazilian vertically integrated insurance/hospital groups are planning IPOs. Meanwhile, big US healthcare insurers and Chinese investors are sniffing around. 

Argentinian healthcare overhaul meets with opposition

Reforms designed to overhaul universal health coverage in Argentina, which will also see the introduction of country-wide electronic health records, are meeting with strong union opposition. We speak to an Argentinian healthcare expert to find out more.

Russian clinic chain owned by lawsuit-threatened group now in profit, but could it sell?

Speculation as to whether Russian investor Sistema could sell its clinic chain Medsi continues as its asset became profitable this year. But it can't sell immediately. Sistema faces paying almost €2bn in damages in an unrelated court case, and the court has "frozen" Medsi, which could be liquidated to pay off the debt. We speak to a well placed local contact to find out more.

Outpatient sector in South Africa and Brazil, psychiatry in GCC + hospitals in India

We continue to add to our database of the Top 1,200 private operators in Emerging markets.  We've just looked at outpatient chains in Brazil and South Africa, which are growing fast offering primary care, some specialist outpatient work and a bit of ambulatory surgery. We've also identified two rare psychiatric hospitals in the GCC where there are huge taboos around mental health. The database gives you a clear and accurate overview of the healthcare services sector from Chile to China.   In South Africa we found a thriving outpatient sector.  Intercare (which we interviewed here) has recently sold a stake to Mediclinic. We identified several direct competitors including Advanced Health, which is listed on the JSE.  In Brazil we found a series of fast-growing outpatient clinics targeting rapid roll outs. They include Dr Consulta, GlobalMed and Clinica Fares. The database now has 90 outpatient chains. In the GCC a good contact identified the two reputable players in psychiatry, a taboo area. We plan to add more private psychiatry units. In India we've added a range of operators including regional players in medicalised homecare. 

Interview: Shamsheer Vayalil, CEO, VPS Healthcare

VPS Healthcare, the GCC/Indian hospital and generic drugs group, with 2017 sales of about $1bn, plans to IPO within 2-3 years. Meanwhile, it wants to invest $150m in Indian hospitals. VPS founder 40 year-old Dr Shamsheer Vayalil, has also just launched a private equity fund Trovant Capital which has made its first investment buying a hunk of Amanat, a GCC fund which is investing (rather slowly) in healthcare and education. We caught up with him in London.

The next frontier – the German outpatient sector

The outpatient sector in Europe, long fragmented into millions of providers, is the new frontier for consolidation. And no market is bigger than Germany where medical offices accounted for €51.5bn of expenditure in 2016 and statutory insurers spent €13.7bn alone on dentistry. Many investors and entrepreneurs have the sector in their sights.

Greece – recovery or zombie apocalypse?

We hear that the debt of Euromedica, the Greek diagnostics chain, is being bid for. So what is the situation at the big three Greek hospital groups and Bioiatriki, the labs to hospital outfit? And is there any sign of better times?

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