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Ontwikkeling PROM
Kwetsbare Ouderen
Stichting Miletus
Verzekeraars Bijeenkomst
17 mei 2013
Voorblad 2014 versie
© 2015 KPMG Advisory N.V.
© 2015 KPMG Advisory N.V.
De financieel wankele positie
van ziekenhuizen sterker dan
voorheen een driver voor
consolidatie, vooral in de vorm
van overnames
Percentage ziekenhuisconcerns dat betrokken is (geweest) bij een fusie, coöperatie of overname
© 2015 KPMG Advisory N.V.
Banken beslissende stem: overtuigende businesscase en controle op realisatie
Verzekeraars steeds intensiever betrokken; vertaling in zorginkoop
Rol en meerwaarde ACM en Nza relatief beperkt
© 2015 KPMG Advisory N.V.
Focus vaker op proces dan op resultaat
Bijzondere positie medische staf beperkt slagkracht en dynamiek
Doelstellingen samenwerking in meerderheid gevallen niet volledig behaald
Fusie niet altijd de heilige graal
© 2015 KPMG Advisory N.V.
Bancaire financiering wordt schaarser en duurder
Toegenomen risicoprofiel ziekenhuizen
Langetermijn financiering vastgoed verhoudt zich slecht met jaarcontracten verzekeraars
Kapitaallasten: inflexibel, beperkend bij veranderingen en een risico voor de continuïteit
© 2015 KPMG Advisory N.V.
(Politieke) stabiliteit en duidelijkheid over de bekostigingssystematiek
Transparant verdienmodel en inzicht in de financiële impact van (beleids)wijzigingen
Commitment verzekeraars ten aanzien van vastgoed
Flexibilisering vastgoed en scheiden zorg en vastgoedexploitatie
Aantrekken van nieuwe potentiële financiers in de zorgsector
© 2015 KPMG Advisory N.V.
Voorzitter Raad van Bestuur CZ
zorgverzekeringen
Voorzitter van de Raad van Bestuur SLAZ/OLVG
Directeur Commercial Banking ING
© 2015 KPMG Advisory N.V.
Meer variatie en strategische keuze in vorm samenwerking en keuze welke partij
Oplossing ligt in transformatie, regio-overstijgende ketens óf aanpassing mededingingswet
Perifere ziekenhuizen redden het zonder sterke partner moeilijk of niet
Meerjarencontracten met verzekeraars essentieel
Professionalisering van strategie, portfoliomanagement en financiën
© 2015 KPMG Advisory N.V.

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Wie doet het met wie in de zorg

  • 1. Ontwikkeling PROM Kwetsbare Ouderen Stichting Miletus Verzekeraars Bijeenkomst 17 mei 2013 Voorblad 2014 versie © 2015 KPMG Advisory N.V.
  • 2. © 2015 KPMG Advisory N.V.
  • 3. De financieel wankele positie van ziekenhuizen sterker dan voorheen een driver voor consolidatie, vooral in de vorm van overnames Percentage ziekenhuisconcerns dat betrokken is (geweest) bij een fusie, coöperatie of overname © 2015 KPMG Advisory N.V.
  • 4. Banken beslissende stem: overtuigende businesscase en controle op realisatie Verzekeraars steeds intensiever betrokken; vertaling in zorginkoop Rol en meerwaarde ACM en Nza relatief beperkt © 2015 KPMG Advisory N.V.
  • 5. Focus vaker op proces dan op resultaat Bijzondere positie medische staf beperkt slagkracht en dynamiek Doelstellingen samenwerking in meerderheid gevallen niet volledig behaald Fusie niet altijd de heilige graal © 2015 KPMG Advisory N.V.
  • 6. Bancaire financiering wordt schaarser en duurder Toegenomen risicoprofiel ziekenhuizen Langetermijn financiering vastgoed verhoudt zich slecht met jaarcontracten verzekeraars Kapitaallasten: inflexibel, beperkend bij veranderingen en een risico voor de continuïteit © 2015 KPMG Advisory N.V.
  • 7. (Politieke) stabiliteit en duidelijkheid over de bekostigingssystematiek Transparant verdienmodel en inzicht in de financiële impact van (beleids)wijzigingen Commitment verzekeraars ten aanzien van vastgoed Flexibilisering vastgoed en scheiden zorg en vastgoedexploitatie Aantrekken van nieuwe potentiële financiers in de zorgsector © 2015 KPMG Advisory N.V.
  • 8. Voorzitter Raad van Bestuur CZ zorgverzekeringen Voorzitter van de Raad van Bestuur SLAZ/OLVG Directeur Commercial Banking ING © 2015 KPMG Advisory N.V.
  • 9. Meer variatie en strategische keuze in vorm samenwerking en keuze welke partij Oplossing ligt in transformatie, regio-overstijgende ketens óf aanpassing mededingingswet Perifere ziekenhuizen redden het zonder sterke partner moeilijk of niet Meerjarencontracten met verzekeraars essentieel Professionalisering van strategie, portfoliomanagement en financiën © 2015 KPMG Advisory N.V.