{"id":5998,"date":"2017-02-10T20:10:20","date_gmt":"2017-02-11T02:10:20","guid":{"rendered":"http:\/\/admin.patheos.com\/blogs\/janetheactuary\/?p=5998"},"modified":"2017-02-10T20:10:20","modified_gmt":"2017-02-11T02:10:20","slug":"profit-hospitals-europe","status":"publish","type":"post","link":"https:\/\/www.patheos.com\/blogs\/janetheactuary\/2017\/02\/profit-hospitals-europe.html","title":{"rendered":"For-profit hospitals – in Europe?"},"content":{"rendered":"\n<\/head>

\"https:\/\/commons.wikimedia.org\/wiki\/File%3ACapio_Aschaffenburg_Street_view.jpg;<\/p>\n

Yeah. \u00a0I don\u2019t know all that much but Deutsche Welle had an article<\/a> about a doctor who refused to perform abortions, and\u00a0sparked debate because,as chief physician for a hospital, decided that no abortions would be performed in that hospital \u2013 something that usually occurs in the context of church-run hospitals, not secular hospitals. \u00a0And I\u2019ll leave the whole abortion angle for later, because it requires a lot more context on the situation in Germany, and instead point to a statement in that article: \u00a0\u201cThe hospital in question is run by the Capio group, one of the major providers of healthcare across Europe.\u201d<\/p>\n

The Capio Group<\/a>? \u00a0Who are they? \u00a0They\u2019re a for-profit chain of hospitals and clinics in Sweden, Norway, France, and Germany. \u00a0My first thought was that they are that sort of clinic that only accepts privately-insured patients (because there is an opt-out provision in Germany, and supplementary insurance in the remaining countries) but the DW article talked about this doctor\u2019s no-abortion decision having ramifications because it is \u201cthe only hospital in the region with a gynecological department,\u201d which would seem to say that it couldn\u2019t be restricted to only private-pay patients, and likewise, in their annual report<\/a>, they talked about being impacted by the French doctors\u2019 strike and a reduction in government reimbursement rates, both of which wouldn\u2019t make sense in terms of providers for private-pay\/supplementarily-insured patients. \u00a0 They also specifically mention that in Norway, they benefit from a government practice of subcontracting to private hospitals. \u00a0And their business model seems to be largely a matter of aiming, through superior business processes and patient care, to make money even with government-dictated reimbursement rates.<\/p>\n

Oh, and they used to own a chain of hospitals in the UK, but in 2007, they sold them to\u00a0an Australian private hospital company<\/a>, or, more specifically, the Ramsay Health Care, \u201cAustralia\u2019s largest private hospital operator and a well-recognised brand in the industry.\u201d \u00a0And this company also has a business unit running 9 hospitals in France.<\/p>\n

So I don\u2019t really know much, but I find it fascinating that there\u2019s a 4-country mega-chain of hospitals in Europe. \u00a0I would have assumed that hospitals were generally as local and government (city)-owned as the hospital my youngest was born in. \u00a0Does Capio purchase existing hospitals, or construct new ones? \u00a0How many such chains are there? \u00a0Anyway, we worry about hospital consolidation the U.S., but this seems to be happening on a regional level and not this much wider level \u2014 and at the same time, the regional consolidations are presumably much more anti-competitive than pan-European hospital systems, to the extent that any given town still has other options.<\/p>\n

So, I\u2019d love to know more, but that\u2019s all I have for you for tonight.<\/p>\n

\u00a0<\/p>\n

Image: \u00a0https:\/\/commons.wikimedia.org\/wiki\/File%3ACapio_Aschaffenburg_Street_view.jpg; By Dtollk (Own work) [CC BY-SA 4.0 (http:\/\/creativecommons.org\/licenses\/by-sa\/4.0)], via Wikimedia Commons<\/p>\n<\/body><\/html>\n","protected":false},"excerpt":{"rendered":"

Yeah. \u00a0I don\u2019t know all that much but Deutsche Welle had an article about a doctor who refused to perform abortions, and\u00a0sparked debate because,as chief physician for a hospital, decided that no abortions would be performed in that hospital \u2013 something that usually occurs in the context of church-run hospitals, not secular hospitals. \u00a0And I\u2019ll […]<\/p>\n","protected":false},"author":2209,"featured_media":5999,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[450],"tags":[133,561],"class_list":["post-5998","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actuarial","tag-healthcare","tag-hospitals"],"yoast_head":"\nFor-profit hospitals - in Europe?<\/title>\n<meta name=\"description\" content=\"Yeah. \u00a0I don't know all that much but Deutsche Welle had an article about a doctor who refused to perform abortions, and\u00a0sparked debate because,as chief\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.patheos.com\/blogs\/janetheactuary\/2017\/02\/profit-hospitals-europe.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"For-profit hospitals - 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