Evidence map›Paper›PMID 39415209›Full record

ArticleBMC health services research2024

Market concentration of the Brazilian hospital medical supplementary health system.

June Alisson Westarb Cruz, Arivelton Loeschke Gomide, Felipe Francisco Tuon, Alex Sandro Quadros Weymer, Janice Alexandra da Costa Manuel

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

June Alisson Westarb CruzPontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Arivelton Loeschke GomideSchool of Business, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Felipe Francisco TuonPontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Alex Sandro Quadros WeymerPontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Janice Alexandra da Costa ManuelInstituto Superior Politécnica de Administração e Finanças, Av. Comandante Loy, Edíficio A - Academia BAI, Entrada A, R/C Morro Bento, Luanda, Angola. jacmanue@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Brazilian supplementary health market has undergone transformations in recent years due to constant mergers and acquisitions of by large corporations, contributing to the increase in market concentration, especially in the poorest and least developed regions of the country. Thus, given the care it provides and its economic relevance, understanding the fundamentals of these movements, the likely consequences and trends for the health market are relevant, important, and strategic.

objectiveTo understand the general and specific context of Brazilian supplementary health, its scenarios, and trends, with emphasis on the analysis of market concentration and recent mergers and acquisitions. METHODOLOGY: The research is applied, descriptive and exploratory and uses secondary data from various sources, submitted to quantitative data analysis methods. The data are organized into three groups: historical and regulatory documents; industry data; and market.

resultsThe results show the growing concentration of the market promoted by large publicly traded corporations, the growing relevance of tech startups on the healthcare landscape, the predominant use of the relative valuation model, with implicit multiples for asset pricing and the prevalence of corporate health plans.

conclusionThe growing concentration of the system projects a market with fewer options and less competitiveness, since the growth of large operators is evident, in addition to the relevant increase in the number of complaints from users of the system, which signals the growing gap between the expectations of users and the levels of quality care offered. The study also highlights the predominance of corporate health plans, revealing the direct relationship between access to supplementary health services and employability rates. The analysis of M&A operations, in addition to the increase in market concentration, reveals the prevalence of the use of the relative valuation model and implicit multiples for the pricing of traded assets. This denotes the future expectation of wealth generation, at least equivalent to the historical series of the sector, on the part of investors, whose frustration may signal the decreasing attractiveness of resources and M&A operations in the sector in the coming years.

Indexed as

Health Facility MergerBrazilEconomic CompetitionHealth Care SectorHumansHealth managementMarket concentrationMergers and acquisitionsOrganizationsSupplementary health in Brazil

Identifiers

PMID39415209
PMCPMC11483984

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.