This document provides an overview of several multinational companies operating in the global health care industry, including insurance companies, health care services providers, diagnostic services, and facilities management services. Key companies discussed include ING/Aetna International, Afrox Healthcare, Capio, Parkway Holdings, Quest Diagnostics, ISS, Sodexho, and BUPA. These multinationals have expanded their health care operations across multiple countries and regions through acquisitions and partnerships. The growth of private sector involvement in both public and private health systems around the world has created opportunities for these global players.
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This document provides an overview of several multinational companies operating in the global health care industry, including insurance companies, health care services providers, diagnostic services, and facilities management services. Key companies discussed include ING/Aetna International, Afrox Healthcare, Capio, Parkway Holdings, Quest Diagnostics, ISS, Sodexho, and BUPA. These multinationals have expanded their health care operations across multiple countries and regions through acquisitions and partnerships. The growth of private sector involvement in both public and private health systems around the world has created opportunities for these global players.
This document provides an overview of several multinational companies operating in the global health care industry, including insurance companies, health care services providers, diagnostic services, and facilities management services. Key companies discussed include ING/Aetna International, Afrox Healthcare, Capio, Parkway Holdings, Quest Diagnostics, ISS, Sodexho, and BUPA. These multinationals have expanded their health care operations across multiple countries and regions through acquisitions and partnerships. The growth of private sector involvement in both public and private health systems around the world has created opportunities for these global players.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
This document provides an overview of several multinational companies operating in the global health care industry, including insurance companies, health care services providers, diagnostic services, and facilities management services. Key companies discussed include ING/Aetna International, Afrox Healthcare, Capio, Parkway Holdings, Quest Diagnostics, ISS, Sodexho, and BUPA. These multinationals have expanded their health care operations across multiple countries and regions through acquisitions and partnerships. The growth of private sector involvement in both public and private health systems around the world has created opportunities for these global players.
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GLOBAL PLAYERS IN
HEALTH CARE: PART 2
MULTINATIONAL COMPANIES IN HEALTH CARE JANE LETHBRIDGE PUBLIC SERVICES INTERNATIONAL RESEARCH UNIT (PSIRU) This presentation is part of a set of seven presentations on health care: 1) Global trends in health care 2) Global players: Part 1 3) Global players: Part 2 4) Regional developments and trade union action: Africa & Asia 5) Regional developments and trade union action: Americas 6) Regional developments and trade union action: Europe 7) Venture capital and private equity investments in health care AIMS/ OBJECTIVES Aim: To present an overview of companies in global health/ health care
Objective: To present key companies
and major activities MULTINATIONAL HEALTH CARE COMPANIES • Insurance – ING/Aetna, Cigna • Health care services – Afrox, Capio, HCA, Parkway Holdings, UnitedHealth • Diagnostic and laboratory services – Quest Diagnostics, Unilabs, Euromedic • Support/ facilities management services – Compass, ISS, Rentokil-Initial, Sodexho • Vertically integrated services – Adeslas, BUPA, Medicover, Fresenius MULTINATIONAL HEALTH CARE COMPANIES 1. AETNA INTERNATIONAL / ING • Taken over by ING, a global provider of financial services in 2000 • ING deals with banking, insurance and asset management in 65 countries worldwide • Aetna Financial and International services are being integrated into ING Europe, ING Americas, and ING Asia/Pacific MULTINATIONAL HEALTH CARE COMPANIES 1. AETNA INTERNATIONAL / ING • Europe is seen as ING’s most important region • ING Europe plans to expand further with a strong base in the Netherlands and Belgium • ING sees European social security systems as weak due to increased costs and an ageing population, which will provide new opportunities for insurance providers MULTINATIONAL HEALTH CARE COMPANIES 2. AFROX HEALTH CARE LTD • Southern Africa's leading provider of private healthcare • Listed as AHealth in the healthcare sector on the Johannesburg Stock Exchange • Formed in 1999 when the healthcare interests of African Oxygen Limited (Afrox) was merged and reverse listed into President Medical Investments Limited (PresMed) • Afrox, one of South Africa's top 100 companies, is the majority shareholder MULTINATIONAL HEALTH CARE COMPANIES 2. AFROX HEALTH CARE LTD • Afrox Healthcare competes in both the managed care and fee for service markets in South Africa, Zimbabwe and Botswana • Operates and has interests in 73 acute care hospitals and some surgical centres with over 7000 hospital beds • Also active in long term chronic care, emergency response and medical care services network, occupational health care MULTINATIONAL HEALTH CARE COMPANIES 3. CAPIO • Floated as an independent company on the Swedish stock exchange in late 2000 • Previously owned by financial investment group Bure • Provides healthcare services in Scandinavia and other European countries • Healthcare services: hospitals, outpatient healthcare and psychiatry; 73% sales • Diagnostic services: provision of laboratory and radiology services; 19% • Elderly care services: care services for the elderly. 8% MULTINATIONAL HEALTH CARE COMPANIES 3. CAPIO • Capio is currently operating in Sweden, Norway, Denmark, the UK, Switzerland and Poland • Annual turnover SEK 3,300 million. • Following the acquisition of the Community Hospitals Group in the UK (now Capio UK division), Capio’s operations outside Sweden now generate more sales than operations within Sweden • September 2002 acquired French clinics -Clininvest MULTINATIONAL HEALTH CARE COMPANIES 3. CAPIO • 150 operating units with 10,000 employees, of which 2,000 are physicians. • Sees the public/private health care relationship as a significant factor in the future growth of the private health care sector • Has identified a growing role for the private sector in delivering services to the public health sector in Nordic countries and the UK MULTINATIONAL HEALTH CARE COMPANIES 4. PARKWAY HOLDINGS • Based in Singapore • Owns and operates private hospitals, and provides healthcare services in Singapore, Malaysia, Indonesia, Sri Lanka, India and until August 2001 in the UK • Also owns and manages medical clinics and radiology clinics; deals in medical supplies, equipment and healthcare products; dental clinics; provides clinical research centre; provides comprehensive diagnostic laboratory services; and investment holding and trading MULTINATIONAL HEALTH CARE COMPANIES 4. PARKWAY HOLDINGS • The Group’s healthcare business is owned and managed by the wholly owned subsidiary Parkway Group Healthcare Pte Ltd. • The Group also provides contract research services through subsidiary Gleneagles Clinical Research Centre Pte Ltd, which serves the research needs of physicians, multinational pharmaceutical companies, contract research firms and biotechnology companies in Asia. • Apollo Gleneagles Hospitals is a recently agreed joint venture between Parkway Group and Apollo Hospitals (India) hoping to attract patients from SE Asia • Government hospitals are proving to be challenging competitors in Singapore. MULTINATIONAL HEALTH CARE COMPANIES 5. QUEST DIAGNOSTICS • A laboratory testing business that provides diagnostic tests to patients, doctors and health care institutions through a network of laboratories • Provides routine tests and esoteric tests • Manufactures diagnostic test kits for esoteric testing • Runs two clinical trials testing centres in the US and the UK as well working in partnership with two centres in Australia and South Africa MULTINATIONAL HEALTH CARE COMPANIES 5. QUEST DIAGNOSTICS • Owns one of the largest privately owned clinical laboratories in the UK which was developed in partnership with an NHS trust/ hospital • Mexico - Quest owns three laboratories and provides testing services throughout Mexico • Brazil – a centre and aiming to set up additional laboratory services in Brazil • Provides esoteric testing services to the Nichols Institute, involved in clinical trials, which operate worldwide • 29,000 people employed in 2001, the majority in the United States. MULTINATIONAL HEALTH CARE COMPANIES 5. QUEST DIAGNOSTICS • Recently established an alliance with Roche Diagnostics to develop gene based medical testing • Recent acquisitions and alliances show the shared interests between the laboratory divisions of pharmaceutical companies and diagnostic testing businesses • Growing demand for esoteric tests, including gene testing, provides opportunities for expansion • Expensive tests to provide requiring high technology equipment and staff MULTINATIONAL HEALTH CARE COMPANIES 5. ISS • A Danish company providing facilities services including cleaning, catering, and services for hospitals and older people’s care homes • Cleaning and maintenance - office cleaning for private and public sectors • Services for the health sector - targeted at hospitals and other institutions within the health sector • Services for the food industry • Services for airports • 259,739 employees worldwide MULTINATIONAL HEALTH CARE COMPANIES 5. ISS • Facility services represent 87% of sales in 2000/1 • Hospital services contribute 14% of sales • Over 80% of hospital sales take place in Europe • The development of the facilities services package is most developed in the UK Specialisation of cleaning concepts is most developed in Germany • ISS has also lost several contracts with the public sector in Denmark due to poor standards of delivery MULTINATIONAL HEALTH CARE COMPANIES 5. ISS • ISS has made a large number of acquisitions in the last few years • In the health sector, it has acquired a number of older people’s facilities and medical facilities but in some cases it has also divested of recent acquisitions in the health care sector • The CarePartner division, which delivers medical facilities and older people’s care in Denmark, Sweden, Norway and Finland is being reviewed in 2002 which suggests that ISS’s overall role in health care provision is still unclear MULTINATIONAL HEALTH CARE COMPANIES 6. SODEXHO • A French company – delivers services – cleaning, catering, to a range of sectors including the health care sector • Provides a range of services (often described as multi- service) to hospitals and to older people’s care homes • These services may include, catering, cleaning, housekeeping, building maintenance and management of paramedical staff • Services delivered within the health care sector provide 18% of revenue • 313,469 employees worldwide with 45% of employees in Europe. MULTINATIONAL HEALTH CARE COMPANIES 6. SODEXHO • Sodexho sees opportunities in global multi-site, multi-service contracts • Partnerships with public and private sector organisations in order to deliver services • Involved in several Private Finance Initiatives involving hospital building and management MULTINATIONAL HEALTH CARE COMPANIES 7. BUPA • International health and care specialist • Provides worldwide health insurance and care services to nearly four million people and 40,000 companies with members in over 180 countries around the world • Offices in Ireland, Hong Kong, Saudi Arabia, Spain, Thailand, Singapore, Malaysia, Australia • BUPA is a provident association with no shareholders • Any profits are reinvested back into the company MULTINATIONAL HEALTH CARE COMPANIES 7. BUPA • BUPA Hong Kong provides insurance for over 145,000 people and over 1,500 companies • BUPA Middle East, established in 1997, is a joint venture partnership between BUPA International and the Nazer Group, a leading Saudi Arabian company with interests in the health care, computing, retail and electro-mechanical engineering fields • BUPA owns the Spanish health care organisation Sanitas • Blue Cross joined with BUPA in 1996 to form BUPA Blue Cross, the largest health insurer in Thailand • In 2001, BUPA recently bought primary healthcare businesses in Australia, Malaysia, Hong Kong and Singapore MULTINATIONAL HEALTH CARE COMPANIES 8. FRESENIUS • Integrated kidney care company • Provides kidney dialysis equipment, products and services • Fresenius AG has operations in Asia, Europe, Latin America, and North America • North America and Europe are the main focus of sales with 57% and 32% respectively • South America and Asia-Pacific account for 5% and 6% of sales MULTINATIONAL HEALTH CARE COMPANIES 8. FRESENIUS • 49,974 staff employed in 2000 • 52% of the labour force in North America and 35% in Europe • 4,000 employees joined Fresenius in 2000 as the result of acquisitions • Fresenius Medicare (clinics) employs 71% of the labour force and has a 74% share of sales MULTINATIONAL HEALTH CARE COMPANIES 8. FRESENIUS • Renal care is a growing area of healthcare and part of a very competitive market worldwide • Growing evidence that companies, which manufacture drugs and /or equipment for the treatment of kidney diseases are also involved in the provision of health care • Multinational companies involved in renal care have combined operations that include Gambro, Baxter CONCLUSION
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