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Introduction to Ramsay Générale de Santé and Capio Group Henrik Brehmer, Group Chief Strategy and Public Affairs Officer Ramsay Générale de Santé and Capio form a leading HC provider in Europe The combined group is the 2nd largest private HC provider in Europe Pan european
2019-06-19 Main health actors in Europe, Turnover EURbn, 2017 3 The Group at a glance
89 general hospitals 21% private market share in 71 specialized clinics France ; 4% marketshare in 27 sub-acute facilities Sweden
6 healthcare transport companies 36,000 FTEs 45 emergency departments 7,600 liberal doctors > 200,000 short-term contracts 133 primary care centers 49 mental health facilities 7m patients 20m consultations
800 operating rooms 80 imaging equipment 36,000 deliveries
15 robots 4 2019-06-19 Substantial annual investments in HC
The Group invest 150-200 MEUR (capex) on annual basis – facilities, medtech, medical devices etc. of which
the Nordic market carry 25-35 MEUR annual capex spend.
5 2019-06-19 What we want to accomplish together
Building a true European healthcare provider, leader in terms of medical quality, security and innovation
Recording sustainable and diversified growth
Increasing competitiveness through a complementary service offering – Operational excellence with Best Practice sharing!
Creating value by realizing a joint company of >EUR 3.8 bn in sales
Offering an at attractive workplace for doctors and employees (research, carrier path, …) 6 2019-06-19 The Click to edit Master title style Swedish market Capio Sweden today 50% of population in 3 of the 21 regions Medical, surgical and MSEK 8,216 psychiatric healthcare Net sales 2018
services provided via our 454 hospital, specialist clinics and 775 primary care units
3,444 A clear medical strategy 1,193 driven by an empowered organization
~3.9 million patient visits 2,358 ~6,400 employees (FTE) Proximity Care Elderly & Mobility S:t Göran’s Hospital Orthopedics Specialist Clinics Leader in Swedish healthcare
Note: Internal eliminations of MSEK 8 => net sales of MSEK 8,216 We mainly provide healthcare in the publicly financed system
Revenue model for Capio Sweden 2018
Public and private Agreement structure Reimbursement form reimbursement
4% 4% 31%
46% 50% 69% 96%
Public Private Contracts Fee for service Care choice authorization Capitation Private Swedish market have attractive fundamentals strengthened by strong tail-winds
Continued growth in private healthcare provision Market Shifting healthcare fundamental needs within population s
Digital and automation adoption
Stong market … supporting positive tail- fundamentals winds
10 Historically Scandinavian healthcare markets have grown above OECD median Scandinavian healthcare amounted to ~1,000 SEK bn in 2017 – growing by 3-6% p.a
Total healthcare spend % of GDP % annual growth, % annual growth, 12 2000-13 2013-172 OECD median excl. USA Denmark Sweden1 Norway 6.9% 4.7% 11
6.8% 5.7% 10 4.7% 2.8% 9 4.2% 2.0%
8 3.1% 4.5%
7.7% 3.6% 7 0 6.0% 5.1% 1990 1995 2000 2005 2010 2015 2020 1 Adjusted down from 2011 onwards to account for a change in repotring to include care of elderly and persons with disabilities 2 Available country data for 2017 disrespected due to estimates/provisional SOURCE: OECD Health statistics 11 Cost for healthcare is growing without corresponding production
1,25 Net cost, kronor per capita 1,20
1,15
1,10
1,05
1,00 Visits per capita
0,95
Inpatient episodes per capita 0 2008 2009 2010 2011 2012 2013 2014 2015 2016
1 Nettokostnad för hälso- och sjukvård per invånare och år, exklusive tandvård. Med nettokostnader avses de kostnader som finansieras med landstingsskatt, generella statsbidrag och finansnetto. Patientavgifter och specialdestinerade statsbidrag är fråndragna 2 Antal vårdtillfällen per 100 000 invånare. Ålderstandardiserade värden, dvs. att det i beräkningarna har korrigerats för skillnader i patienternas åldersstruktur mellan olika landsting 3 Antalet producerade läkarbesök per 1 000 invånare. All verksamhet som finansieras av landsting/region ingår oavsett driftform och organisation. Besök redovisas oavsett om det är avgiftsfritt eller inte men endast besök som har dokumenterats i patientens journal ingår 12 Source: SKL, Vården i Siffror The digital opportunity will reform HC provision Click to edit Master titlefundamentally style Strong digital focus - for patients, employees and management Patients • Communication • Access to information and care • Engagement and involvement in own care
eCapio
Employees Management/Steering • Structured documentation • Real-time information • Decision support • Automated Q register • EHR • Control/Follow-up • Overviews • Knowledge base
Digital tools requiers new ways14of working to be successful Our digital platform in development
• Consumer oriented • Build on Partnership (modular) • Open to connect & share (for those who are authorized by the patient) • Scalable
19/06/2019 We have an integrated offer with high quality and access
Acute 0.3m • Downstream transfer of contacts via LEON and patient choice Specialist • Digital care an important point of access 0.7m • Integrated pathway management and on- going contact – cross referrals/care chains Primary care 2.7m • Integrated patient support and guidance
Digital/Self-care
2019-06-19 0.03m* 16 Thank you!
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