Buying and selling healthcare services across borders

Many governments and healthcare organizations around the world are engaged in the buying and selling of healthcare services for their nationals.

Whether delivering medical care that is unavailable in the home country, offering excess capacity to international patients, or combining both purchasing and selling healthcare services, governments and providers around the world are engaged in the strategic provision of healthcare services. Some countries are implementing universal health coverage (UHC) for the first time. For many, UHC and strategic purchasing are new, complex and extremely important endeavors.

New best practices and lessons learned are emerging monthly, public and private sector teams are challenged to stay abreast of changes and best practices. These challenges can result in sub-optimal arrangements that lead to poor quality of care, inflated prices, weak selection of services, and providers with inadequate monitoring and management of contractual obligations. There are no training programs available for advisors that are integral to establishing the necessary business and legal frameworks in order to achieve value for money and high quality health services.

The GEM Consulting team, Graham Elderfield, Elizabeth Ziemba, and Michele Forzley,