{"id":94087,"date":"2025-05-06T11:50:30","date_gmt":"2025-05-06T14:50:30","guid":{"rendered":"https:\/\/murray.adv.br\/?p=94087"},"modified":"2025-05-06T11:50:30","modified_gmt":"2025-05-06T14:50:30","slug":"medsenior-and-leve-saude-plan-minority-stake-sales","status":"publish","type":"post","link":"https:\/\/murray.adv.br\/en\/medsenior-and-leve-saude-plan-minority-stake-sales\/","title":{"rendered":"MedS\u00eanior and Leve Sa\u00fade plan minority stake sales"},"content":{"rendered":"
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Senior-focused health insurers seek investors to fund expansion<\/strong><\/em><\/h6>\n<\/div>\n<\/div>\n
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05\/06\/2025<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n

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\"Prevent
Prevent Senior\u2019s network includes 13 hospitals, 4 emergency care units, and 29 clinics, mostly in S\u00e3o Paulo \u2014 Photo: Divulga\u00e7\u00e3o<\/em><\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n
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Health insurers MedS\u00eanior and Leve Sa\u00fade, both focused on Brazilians over 60, are in talks with investment funds to sell minority stakes. While both companies have been growing rapidly, they plan to allocate the funds differently.<\/p>\n<\/div>\n

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MedS\u00eanior, which already has Singapore\u2019s sovereign fund Temasek as a shareholder since 2022, is considering a secondary offering in which the founding family would reduce its stake but retain control. Leve Sa\u00fade, on the other hand, is negotiating a capital raise of between R$300 million and R$500 million to expand its network of clinics and hospitals, Valor has learned.<\/p>\n<\/div>\n

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Most health insurers in Brazil avoid the over-60 population, citing high medical costs, which has led to a shortage of plans for this age group. Currently, 7.7 million Brazilians over 60 have health coverage\u201415% of the total market\u2014but they account for one-third of all medical expenses, according to consulting firm Arquitetos da Sa\u00fade, using data from the national health regulator ANS.<\/p>\n<\/div>\n

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Yet Prevent Senior, MedS\u00eanior, and Leve Sa\u00fade\u2014Brazil\u2019s three leading senior-focused insurers\u2014are defying that trend. Their loss ratios (medical costs relative to revenue) are well below the industry average, which closed 2023 at 83.8%.<\/p>\n<\/div>\n

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In 2024, MedS\u00eanior posted a loss ratio of 56.7%\u2014the lowest in the sector. Leve Sa\u00fade was close behind at 56.78%. Prevent Senior, after peaking during the pandemic, ended 2023 with a ratio of 83.1%, which fell to 74.7% in March\u2014closer to historical levels.<\/p>\n<\/div>\n

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Prevent Senior came under fire during the pandemic over allegations ranging from promoting unproven COVID-19 treatments to negligent care. Some cases were dismissed due to lack of evidence, while one investigation by S\u00e3o Paulo\u2019s public prosecutor is still ongoing. No convictions have been issued. \u201cPrevent Senior has always denied any wrongdoing,\u201d the company said.<\/p>\n<\/div>\n

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Over the past two years, a wave of unilateral cancellations by other insurers has driven many new clients to Prevent Senior, disrupting the balance between supply and demand.<\/p>\n<\/div>\n

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Rapid growth<\/strong><\/p>\n<\/div>\n

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Between 2018 and 2024, MedS\u00eanior\u2019s revenue jumped from R$193.8 million to R$2.1 billion. Net income reached R$297 million last year\u2014more than twice that of Prevent Senior, despite the latter generating around R$7 billion in revenue. Leve Sa\u00fade, founded in 2020, grew from R$2.3 million in revenue to R$383 million by 2024. The company is still posting losses, due to its smaller scale (81,000 clients) and limited operating history.<\/p>\n<\/div>\n

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Founders Maely Coelho (MedS\u00eanior) and Ulisses Silva (Leve Sa\u00fade) argue that serving older adults can be profitable. They entered this underdeveloped segment in response to Brazil\u2019s aging population, which is expected to increasingly demand healthcare services. In 2023, 15.6% of Brazilians were aged 65 or older. By 2070, that figure is projected to rise to 37.8%, according to the Brazilian Institute of Geography and Statistics (IBGE).<\/p>\n<\/div>\n

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Together, the three specialized insurers have about 850,000 members, including a small share of younger dependents. Their market share is still limited, considering the 7.7 million Brazilians over 60 with health plans.<\/p>\n<\/div>\n

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Roughly half of those older members have employer-sponsored coverage, often retained after retirement from companies that allow former employees to keep their benefits. However, more employers are eliminating this option\u2014even for retirees willing to pay out of pocket\u2014creating an opening for insurers offering individual plans. These are scarce for all age groups and particularly rare for older adults.<\/p>\n<\/div>\n

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Model focused on prevention<\/strong><\/p>\n<\/div>\n

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Prevent Senior, MedS\u00eanior, and Leve Sa\u00fade operate on a prevention-oriented model that emphasizes routine exams and chronic disease management\u2014costs that are far lower than hospital stays or surgeries. In addition, services are offered through proprietary clinics and hospitals designed specifically for elderly care, which is more cost-efficient than outsourced provider networks.<\/p>\n<\/div>\n

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Prevent Senior pioneered this model and remains the market leader, with nearly 600,000 clients\u2014three times more than MedS\u00eanior. Its network includes 13 hospitals, 4 emergency care units, and 29 clinics, mostly in S\u00e3o Paulo. This year, the company plans to open two more hospitals, two new urgent care centers, and a clinic.<\/p>\n<\/div>\n

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\u201cHaving an operation fully focused on this demographic makes a difference. These companies have deep expertise\u2014their entire infrastructure and data systems are tailored for this audience. Industry data shows people over 60 account for 15% of the member base but 34% of medical costs. Yet these specialized players perform far better,\u201d said Luiz Feitoza, a partner at Arquitetos da Sa\u00fade.<\/p>\n<\/div>\n

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Most insurers struggle to maintain a dedicated division for older clients. Not surprisingly, sources say Prevent Senior received acquisition and merger offers from large insurers shortly before the pandemic.<\/p>\n<\/div>\n

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Around the same time, investors were eyeing MedS\u00eanior, which ended up selling a 15% stake to Temasek in 2022. The capital raised\u2014undisclosed\u2014went to shareholders. This time, the new offering would again be secondary, and Temasek\u2019s stake would not be diluted, people familiar with the matter said.<\/p>\n<\/div>\n

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The Singaporean sovereign fund did not invest directly into the operation but opened doors for MedS\u00eanior\u2019s expansion into new markets.<\/p>\n<\/div>\n

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\u201cWe don\u2019t need capital\u2014we generate cash. But we\u2019re a small operator from Esp\u00edrito Santo, and it\u2019s hard to break into S\u00e3o Paulo, for example. Once we say our partner is Temasek, everything changes. It gives us credibility. Temasek did a thorough due diligence process, which proves everything is in order,\u201d Mr. Coelho said. \u201cThey\u2019re a dream partner. They don\u2019t interfere, they know we understand healthcare. They sit on the board and have helped us a lot with introductions,\u201d he added.<\/p>\n<\/div>\n

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MedS\u00eanior is now present in S\u00e3o Paulo, Rio de Janeiro, Minas Gerais, the Federal District (Bras\u00edlia), Paran\u00e1, Rio Grande do Sul, and, more recently, Recife.<\/p>\n<\/div>\n

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Founded during the COVID-19 pandemic in 2020, Leve Sa\u00fade is also growing rapidly. Sources said its capital raise\u2014between R$300 million and R$500 million\u2014will fund hospital acquisitions in its core market of Rio de Janeiro and expansion to other regions of Brazil. The company currently operates 11 clinics, which serve as patients\u2019 first point of care.<\/p>\n<\/div>\n

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Leve also has clients in small and mid-sized business plans (PME), a segment MedS\u00eanior has only recently entered. One of Leve\u2019s strategies is to attract clients from other Rio-based insurers such as Assim Sa\u00fade, which is reportedly in talks to be sold, and Golden Cross, which will be shut down by the ANS in mid-May and must transfer its clients to other providers.<\/p>\n<\/div>\n

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MedS\u00eanior and Leve Sa\u00fade declined to comment on the planned transactions. Prevent Senior also did not comment on past merger and acquisition offers.<\/p>\n

*By Beth Koike\u00a0\u2014 S\u00e3o Paulo<\/p>\n

Source: Valor International<\/p>\n

https:\/\/valorinternational.globo.com<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Senior-focused health insurers seek investors to fund expansion           05\/06\/2025 Prevent Senior\u2019s network includes 13 hospitals, 4 emergency care units, and 29 clinics, mostly in S\u00e3o Paulo \u2014 Photo: Divulga\u00e7\u00e3o Health insurers MedS\u00eanior and Leve Sa\u00fade, both focused on Brazilians over 60, are in talks with investment funds to sell minority […]<\/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":[26095,26096],"class_list":["post-94087","post","type-post","status-publish","format-standard","hentry","category-murray-news","tag-medsenior-and-leve-saude","tag-minority-stake-sales"],"yoast_head":"\nMedS\u00eanior and Leve Sa\u00fade plan minority stake sales - 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\/medsenior-and-leve-saude-plan-minority-stake-sales\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MedS\u00eanior and Leve Sa\u00fade plan minority stake sales - 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