Investimento de capital estrangeiro em hospitais brasileiros: o ambiente institucional e os prováveis cenários para 10 anos

Abstract

This research attempts to map the probable scenarios that may develop over the next ten years in the Brazilian hospital market, considering the institutional environment of the country from the Law change No 8080/1990, art. 23, which allowed in January 2015, foreign direct investment in health care services. This research was released to a panel of experts comprised of 13 national representatives of Hospitals groups, operators, government, health workers and foreign investors. The information derived from this panel, scenarios were built and submitted through a survey to a sample of 134 stakeholders who indicated the probability of each variable to the final constructor of prospective scenarios. The main results of the study indicate that the complexity of the hospital market will be the biggest challenge for the foreign investor. Currently, there are no signs of barriers that would prevent foreign investment in hospitals, however, in the future, whether there will be regulations and which agency will be responsible. The entry modes adopted by foreign equity investors will be joint venture with Brazilian companies at first, then, potentially brownfield investments, or acquisitions. Investments will be implemented gradually, mainly in cities with high GDP per capita and strong performance of private health insurance companies.