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Health financing

Australians spend over nine per cent of GDP on health each year. Financial design for health care organisations is a complex issue with many different aspects to consider, each of which needs to be controlled. Implementation of most reform involves financial risk and while in many cases change is warranted it needs to be properly developed and administered effectively.

Putting evidence into practice

Our team uses advanced methodologies, industry knowledge and an evidence based approach to evaluate, design and implement sustainable processes that improve operations and patient outcomes within realistic cost frameworks. Our experience includes:

  • Design of lifetime health cover – we advised the DHA on the introduction of lifetime health cover
  • M&A and valuation – we advised parties in most health insurance transactions occurring since 2003
  • Capital requirements – we review capital adequacy requirements
  • capital management – we assist health funds in the development of their capital targeting, management and monitoring processes
  • Hospital procedure costing – we assisted a hospital to better understand the true cost of undertaking certain procedures, involving not only assessing marginal costs but appropriate allocation of overheads and capital charges.
  • Evaluate strategic benefits – we assisted a health fund to identify and evaluate the strategic benefits arising from their ownership of a private hospital, and whether these would in future justify holding the asset as a “strategic” investment instead of simply one of the assets in the fund’s investment portfolio.
  • Hospital growth strategy – we advised a private hospital on their growth plans, marketing strategy and likely financial outcomes
  • Hospital recovery – we assisted a group of hospitals to turn from a loss making position to a profit position.  This included the analysis of cost and revenue drivers and the implementation of a range of quick wins and short-term recovery strategies.
  • Evaluation of public health programs
  • Brand and product valuation – we used industry profiling, analysis of referral patterns, and an actuarial model to assist in the valuation of our clients products.

A trusted advisor

Stuart RodgerLed by Stuart Rodger, our combination of actuaries and a network of experienced healthcare professionals allows us to add depth and value when serving our clients. Our functionally rich approach has enabled us to successfully manage health care initiatives in Australia, New Zealand and Asia.

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