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Outpatient (ex Primary Care)

 

PPPs back down in Spain, private sector grows

Anti-PPP regional governments in Spain are pushing hospital groups to the purely private higher-end sector. After Ribera Salud in Valencia and Quirón in Catalonia, the latest to lose a big contract is Clínica Universidad de Navarra (CUN). Groups like HM Hospitales have become highly acquisitive, whilst CUN itself will open a new hospital in Madrid's business district in 2017.

Siloam to invest $100m in expansion

Indonesia's largest hospital group PT Siloam International has a two-year plan to expand regionally with 13 new emergency hospitals. We talk to Managing Director Dr. Grace Frelita about the challenges faced by healthcare in the country.

Apollo Sugar to open 30 clinics this year

The specialist Indian diabetes group, Apollo Sugar, plans to open 30 new clinics in five cities this fiscal year. The JV between Apollo Hospitals and pharma giant Sanofi is moving into second-tier Indian cities by opening smaller clinics funded by internal accruals and spare capital. “This model is more capital efficient,” CEO Gagan Bhalla told the local press.

Abraaj close to $1bn target

Abraaj is close to its $1bn target for its mammoth Global Healthcare Fund. And its ambitions are becoming clearer.

So what really happened at Bupa?

After four years, in which he transformed Bupa with a £1.8bn M&A drive, the company announced that CEO Stuart Fletcher is to leave after failing to meet expectations. His departure follows 2015 results which saw a fall of pre-tax profits of 39% to £347m. Where does that leave his plans to build an international brand with strengths in services as well as insurance? What really went wrong? With 2015 sales of £9.8bn, Bupa still has heft. Outside the USA, it remains one of the two largest international private medical insurers, the largest international dentistry player, one of the largest care home groups and, probably, the largest player in outpatient care – certainly the only one with scale in four continents.

Bupa CEO quits

Bupa chief executive Stuart Fletcher has stepped down after four years after presiding over an ambitious M&A drive which saw the company spend over £1.6bn on buying healthcare service companies from Chile to Poland. Chief financial officer Evelyn Bourke will be appointed as acting CEO and the board will conduct an internal and external search for a successor "in due course", Bupa said in a statement.

Apollo’s expansion plans stumble on regulations

Apollo Hospitals is proposing a Rs 750 crore ($112m) rights issue to fund its five-year plan to expand its hospital network. But after a first failed attempt in October 2015, India's Foreign Investment Promotion Board (FIPB) is turning down Apollo's proposal again.

Gulf States to boost PPPs, eHealth, preventive care and long-term care

In its comprehensive annual report on the healthcare industry in the Gulf Cooperation Council (GCC) states, private equity house Alpen Capital explores current trends. Projecting the GCC total private and public healthcare market to grow 12.1% to $71.3bn in 2020, it highlights population growth, the introduction of health insurance and rising healthcare costs as key drivers –resulting in the development of PPPs, eHealth, preventive care and long-term care.

Bain buys Chinese hospital group

Private equity house Bain Capital has bought Chinese hospital group Asia Pacific Medical (APM) for $150m, according to press reports. The deal marks Bain's entry to China after raising $3bn for its Asia fund in December 2015.

Tunisia to launch major healthcare reform programme in 2017

Tunisia benefits from a healthcare system better than many countries with similar income levels. In 2013, total healthcare expenditure amounted to 7.1% of GDP –or 493 TND ($246) per capita and 90% of the population has access to a form of universal insurance. Yet, Moncef Boussannouga Zammouri, head of KPMG Tunisia, says the country suffers from a poorly performing public healthcare sector.

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