{"id":89616,"date":"2024-06-21T11:09:45","date_gmt":"2024-06-21T14:09:45","guid":{"rendered":"https:\/\/murray.adv.br\/?p=89616"},"modified":"2024-06-21T11:09:47","modified_gmt":"2024-06-21T14:09:47","slug":"health-sector-faces-structural-changes-amid-rising-costs","status":"publish","type":"post","link":"https:\/\/murray.adv.br\/en\/health-sector-faces-structural-changes-amid-rising-costs\/","title":{"rendered":"Health sector faces structural changes amid rising costs"},"content":{"rendered":"\n<h6 class=\"wp-block-heading has-text-align-center\"><em>Regulatory, demographic, economic shifts trigger transformations in a market worth over R$300bn<\/em><\/h6>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>06\/21\/2024 <\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img decoding=\"async\" src=\"https:\/\/s2-valorinternational.glbimg.com\/57vePtAjiHhZa2jdKvmbNtzcf9o=\/0x503:3840x2560\/984x0\/smart\/filters:strip_icc()\/i.s3.glbimg.com\/v1\/AUTH_37554604729d4b2f9f3eb9ad8a691345\/internal_photos\/bs\/2023\/u\/B\/LyVnBQSGA9R4ngKYJHqg\/040423torelly7.jpg\" alt=\"Fernando Torelly \u2014 Foto: Silvia Zamboni\/Valor\" style=\"width:602px;height:auto\" \/><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center\"><em>Fernando Torelly \u2014 Foto: Silvia Zamboni\/Valor<\/em><\/p>\n\n\n\n<p>Since the pandemic, the health sector has undergone significant changes involving regulatory, demographic, and economic-financial issues, leading to structural transformations in a more than R$300 billion market. These changes are directly related to the soaring cost of healthcare, which reached R$239 billion last year considering only medical expenses paid via health plans.<\/p>\n\n\n\n<p>From 2019 to 2023, the accumulated average adjustment of corporate health plans, which represent 70% of the sector, reached 68.72%\u2014more than double the official inflation index for the period. The cost of healthcare is rising faster than the client\u2019s ability to pay, putting the sustainability of this market at risk.<\/p>\n\n\n\n<p>In this context, two noticeable changes are occurring in the sector: the depreciation of health plans, with a reduced offer of services such as reimbursements, services networks, and coverage scope; and a new wave of consolidation, now involving large groups.<\/p>\n\n\n\n<p>With escalating costs and difficulties in passing prices on to consumers, hospital groups and health plan operators, historically on opposite sides, are now merging assets. In this market, when a hospital\u2019s revenue rises, the health plan loses because it has a higher bill to pay. Ultimately, the patient may receive inadequate medical care and face steep price increases.<\/p>\n\n\n\n<p>\u201cPreviously, there was a lot of fat in the sector, and costs were passed on to the client, but that\u2019s no longer possible. Operators are now pressuring large hospital groups as well, which didn\u2019t happen before,\u201d said Vinicius Figueiredo, an analyst at Ita\u00fa BBA.<\/p>\n\n\n\n<p>Dasa and Amil have merged their hospitals, and Rede D\u2019Or and Bradesco Seguros have created a hospital company. The insurer also has partnerships with Mater Dei and Albert Einstein, BP, and Fleury, and is a shareholder of Grupo Santa in Bras\u00edlia. Porto Sa\u00fade and Unimed Nacional have joined forces with Oncocl\u00ednicas to build specialized cancer hospitals. Medical cooperatives are also merging. \u201cNow, we will see operations involving large groups, followed by smaller deals,\u201d said Os\u00edas Brito of BR Finance.<\/p>\n\n\n\n<p>\u201cThis movement was triggered by Rede D\u2019Or\u2019s acquisition of SulAm\u00e9rica in 2022. At the time, there were questions about the sector\u2019s future, and Rede D\u2019Or provided an answer by creating a hospital company with Bradesco,\u201d said Fernando Kunzel, co-founder of JGP Financial Advisory, the advisory arm of investment manager JGP. Also in 2022, Hapvida and NotreDame Interm\u00e9dica announced a merger to create a vertically integrated operator with a national presence and potential to capture the clientele of insurers. This phenomenon has been occurring for about a year.<\/p>\n\n\n\n<p>\u201cCompanies\u2019 health plan expenses average 14%, potentially reaching 20%, of payroll. Maintaining an adjustment at the current level could lead to companies canceling the benefit. There is a risk that only those who need and use the health plan the most will remain in the system. However, without risk dilution, the cost will be even higher,\u201d said Luis Fernando Joaquim, a partner at Deloitte.<\/p>\n\n\n\n<p>The increase in healthcare prices is a global phenomenon due to an aging population, the emergence of new treatments and drugs, and long COVID cases. In Brazil, legislative changes have further intensified the rise.<\/p>\n\n\n\n<p>\u201cThere was a failure to understand the impacts of COVID on the sector. Immediately after, in 2021 and 2022, regulatory changes allowed the inclusion of mandatory medical procedures by health plans, unlimited therapy sessions for autism spectrum disorder (ASD), and a national minimum wage for nursing. Additionally, several mergers and acquisitions were completed. In short, there were many movements in a short period, and the sector is still in the adjustment phase,\u201d said Fl\u00e1via Pareto Conrado, partner and founder of Setter Investimentos, a consultancy and adviser.<\/p>\n\n\n\n<p>\u201cThe impacts of therapies for ASD patients are being measured now. It\u2019s complicated to price a product with an unlimited number of therapies,\u201d said actuary Luiz Feitoza, a partner at the consultancy Arquitetos da Sa\u00fade.<\/p>\n\n\n\n<p>Those who have not closed a partnership agreement are forming commercial alliances. HCor, for example, conditioned the start of new unit construction on pre-approval from health plans to guarantee revenue. \u201cThe future lies in large clusters. Today, it\u2019s necessary to form partnerships or strategic acquisitions,\u201d said Fernando Torelly, CEO of HCor, noting that with the crisis, operators are avoiding licensing more hospitals.<\/p>\n\n\n\n<p>Antonio Britto, president of Anahp, a hospital association, believes vertically integrated units, networks, and independent hospitals with strong reputations can coexist. Mr. Britto said that despite the improvement in operators\u2019 results in the last quarter of 2023 and the first three months of 2024, pressure on hospitals remains.<\/p>\n\n\n\n<p>Abramge, the health plan association, said that the recovery is partial and that more than a third of operators still report negative results.<\/p>\n\n\n\n<p>*Por Beth Koike\u00a0\u2014 S\u00e3o Paulo<\/p>\n\n\n\n<p>Source: Valor International<\/p>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/valorinternational.globo.com\/\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Regulatory, demographic, economic shifts trigger transformations in a market worth over R$300bn 06\/21\/2024 Fernando Torelly \u2014 Foto: Silvia Zamboni\/Valor Since the pandemic, the health sector has undergone significant changes involving regulatory, demographic, and economic-financial issues, leading to structural transformations in a more than R$300 billion market. These changes are directly related to the soaring cost [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8106],"tags":[25191,25190],"class_list":["post-89616","post","type-post","status-publish","format-standard","hentry","category-murray-news","tag-amid-rising-costs","tag-health-sector-faces-structural-changes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Health sector faces structural changes amid rising costs - Murray Advogados<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/murray.adv.br\/en\/health-sector-faces-structural-changes-amid-rising-costs\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Health sector faces structural changes amid rising costs - Murray Advogados\" \/>\n<meta property=\"og:description\" content=\"Regulatory, demographic, economic shifts trigger transformations in a market worth over R$300bn 06\/21\/2024 Fernando Torelly \u2014 Foto: Silvia Zamboni\/Valor Since the pandemic, the health sector has undergone significant changes involving regulatory, demographic, and economic-financial issues, leading to structural transformations in a more than R$300 billion market. 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