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Outpatient (ex Primary Care)

 

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).

Bergman still in talks with bank

After more than six months Bergman Clinics, the largest Dutch private clinic chain, is still in talks with its lender Rabobank after ambitious expansion plans went awry.

Revolutionary health wallet app targets low income patients

M-Tiba, a ‘mobile health wallet’ aimed at low-income patients to spend on healthcare, is launching in Kenya. Created by PharmAccess Foundation and CarePay, it works in partnership with Safaricom, the largest mobile operator in the country with 25.1m users and 1,800 public and private healthcare services providers. We look at its possible impacts.

Meinian ups bid to over $1.7bn for iKang

The consortium led by quoted outpatient operator Meinian has raised its bid for rival Chinese outpatient group, iKang, from $23.50 to US$25 per American Depository Share (ADS). That is 40% higher than the offer of US$17.80 from the management-backed consortium led by former iKang CEO, Zhang Ligang which is backed by Canadian pension fund, Ontario Teachers’ Pension Plan (OTTP), and the founder of Chinese online giant, Alibaba.

FREE BLOG Canadian pension funds sniffing around healthcare

We know that there is no shortage of institutional money destined for healthcare. For long term and defensively minded funds the attractions are obvious. The glut may also be about to grow as Ontario Teachers’ Pension Plan (OTPP) joins the consortium looking to take Chinese operator, iKang, private. OTPP was also interested in the German lab group, synlab, last year. So are investors increasingly building portfolios across European and Emerging Market healthcare?

Christus deal first of many in Colombia

Texas healthcare group Christus Health is investing $35m in Coomeva, the second largest payor in Colombian public healthcare as well as some provision. It will pump cash into Coomeva's faulty insurance operation and grow its provider network once the sector liberalizes in 2016. Industry expert Carlos Felipe Muñoz thinks that this is the first of many deals as the sector opens up to foreign private investment.

Finnish group Pihlajalinna expands clinic chain

Pihlajalinna, the recently listed Finnish healthcare to care chain, has bought Itä-Suomen Lääkärikeskus which owns six clinics across several towns in Eastern Finland. Pihlajalinna says the €6.8m is a net debt-free acquisition sum. The company will be added to Pihlajalinna's Dextra chain of clinics in the first quarter of 2016.

Falck gambles on Africa

Danish healthcare provider Falck is starting a primary care operation in Sub-Saharan Africa. The investment is backed by the World Bank's investment arm, IFC, and the Danish Investment Fund for Developing Countries, IFU, The total investment is $100m with the first clinic expected to open in the first half of 2016.

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