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Outpatient (ex Primary Care)

 

GHG boosts profits, opens outpatient centres

Georgia Healthcare Group (GHG), which dominates the Georgian healthcare market, saw net profits for 2015 soar 78% year-on-year to GEL 23.6m (€8.5m). Sales also grew by 22.5%, to GEL 242.7m (€87m), reflecting a buoyant and increasingly state driven market. GHG’s CEO, Nikoloz Gamkrelidze, revelled in reaching 30% EBITDA margins ahead of time and now wants a third of the market by sales.

Interview: Ekaterina Timofeeva, Principal, The Boston Consulting Group, Russia

In last month’s Russian feature, we investigated what looked to be a stunted and troubled market. Just as private healthcare was getting its act together the faltering economy has depleted disposable incomes and driven supply costs sky-high. Of course, the reality is more complex and conceals a number of opportunities. Ekaterina Timofeeva, for one, is optimistic. Margins of 40% or more are gone for now, but don’t give up on Russia just yet. She points to a new international medical cluster outside Moscow that is expected to attract 80bn roubles (€900m) of investment.

Report: East Africa – rising slowly, steadily, surely

The private sector plays a key role in healthcare delivery across Africa. While the East African economies of Kenya, Uganda and Tanzania are experiencing relatively high growth, public sector healthcare facilities are sub-standard. The private sector already accounts for nearly half of total expenditure and is coming up with innovative and affordable ways to provide services. Here we look at the main groups and track trends.

Spanish operators target medical tourists

Health tourism in Spain grew sales of €500m, up 20% in 2015. Patients traveling to get treatment are still low - 100,000 per year - but the business cluster Spaincares has set to double the size of the market by 2020.

Secretive On Clinic hits Belgrade

On Clinic, a chain of nearly sixty outpatient clinics now covers Russia, Ukraine, Romania, Moldovia, Armenia, Bulgaria and the Czech Republic. Its latest opening is its first foray into Serbia. We profile the group.

Report: Colombia – Tax free zones, HMOs and a friendly government

Few countries offer such exciting opportunities for private healthcare as Colombia. The government has set up a series of tax-free medical tourism hubs for Central America, the Caribbean, Venezuela and Peru. Meanwhile the mandatory insurance system which covers 97% of the 48m population is creaking and big payor/providers could be sold to private investors. Colombia's amalgamation of public, private and not-for-profit insurers and operators faces a severe crisis. Small wonder private equity houses such as Tribeca, SEAF Colombia and Advent International are eyeing the sector.

Rival Filipino conglomerates Ayala Corp. and MPIC pour millions into healthcare

Ayala Corp., one of the largest conglomerates in the Philippines, is to launch a network of 100 outpatient clinics in the next three years. Called FamilyDoc, these facilities will contain a pharmacy as well as diagnostics and lab units – even a shop, aiming to cater for the primary care needs of a growing middle class. And it is not the only one looking into healthcare.

Interview gives insight into the Dutch private clinic market

In a far-reaching interview with a leading financial daily, Bart Malenstein, the young CEO of Bergman Clinics, the largest Dutch private clinic group, reveals the pressures faced by the private clinic sector in the Netherlands. He even goes so far as to say that "more than once" he toyed with the idea of shutting the door and not coming back. He refused to reveal 2014 results which have yet to be published. But he says that Bergman has reached an agreement with Rabobank.

Ribera and Centene are still buying

Spanish operator Ribera Salud wants to expand its 35% stake to full ownership in the controversial Alzira-style hospital concession in Dénia, in the Valencian autonomy of Spain. German insurer DKV own the remaining 65% and would almost certainly be willing to sell cheap. The concession is unprofitable, the Valencian government is set to terminate it and, according to Spanish press reports, even refuses to meet the CEO of Ribera. The puzzle is why Ribera and its backer American giant Centene would want to pump more money into what looks like a doomed model.

Medstar invests $100m in UAE

Emirates-based day surgery group Medstar is investing $100m to open new facilities in Dubai, Sharjah, Ras al-Khaimah and Al-Ain. It opened its first clinic in Dubai in late 2015, and is working with insurers to cut costs by 25-30% compared to hospital groups, founding doctor Sajid Burud says. Day surgery clinics are set to proliferate, as the UAE implements Mandatory Health Insurance (MHI).

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