Value creation in Chinese public hospital privatization
Thanks to a subscriber for this report from Deutsche Bank which focuses on the Chinese healthcare sector and may be of interest. Here is a section:
Read entire articleWe expect the private healthcare service sector to outgrow the public sector in the mid/long term. We have identified three key growth drivers for the sector, including favorable policies towards private healthcare services, accelerated growth in capacity expansion and utilization, as well as rapid growth in commercial insurance coverage. We expect approximately 8,000 public hospitals will be privatized over the next 5-10 years due to policy shifts, which will create substantial growth opportunities for private service providers in the mid/long term. From 2005 to 2013, the CAGR of total beds in private hospitals was 22%, much higher than 7% of the public hospitals in the same period. We also anticipate the utilization rate will improve significantly over the next 5-10 years, from mid-60% to 80-90%. Additionally, the rapid growth of commercial insurance is likely to add another leg of growth for the private healthcare service sector.
We anticipate value creation on two fronts in public hospital reform, including growth acceleration after privatization and significant margin improvement, driven by change of incentive mechanisms and efficiency improvement respectively. According to past experience, revenue growth acceleration will be sustained for 3-4 years after takeover while it will take 4-5 years to reach approximately 10% net margin from breakeven. By our estimates, the order of ROI generation among four major business models is as follows: OT, IOT (invest, operate and transfer), equity ownership and greenfield hospitals. We highlight an approximate 4-5 year payback period for the IOT model and 10 years for the equity method.