MD&A acts especially but not exclusively with the healthcare industry, namely with healthcare providers such as hospitals, clinics and other type of institutions. We work in the development of efficiency projects, change management / organizational transformation initiatives, organic and or acquisition growth projects, leading to reachable and visible increments in value creation, starting from a very short term. The guiding principles of MD&A in these projects are on one side quality and satisfaction of the end customer of the client organization and on the other side the efficiency of the operations of the client organization.

As an example, MD&A approach to strategic projects in healthcare providers, is typically built around a value creation agenda framed by two main sustainability axes:

Subjects such as the development of a clinical project for hospital organizations or the improvement in customer experience in the utilization of a particular service in a healthcare provider are critical in many initiatives developed by MD&A in healthcare clients. How to organize services in order to ensure greater predictability of outputs and activity control is also a theme present in most projects.

MD&A recognizes strong consolidation dynamics in its preferred markets and therefore positions itself as an advisor and promotor of market consolidation deals. MD&A has the skills and it is a core part of its strategy to act as an advisor in mergers and acquisitions.

As a natural extension of its Market, MD&A works in projects with healthcare payer companies such as healthcare insurance companies. MD&A has been developing new solutions for unmet needs and for underserved market segments in health insurance, namely transferring experiences and best practices from other markets. From this work, that includes innovative and holistic approaches to healthcare markets, many opportunities emerge namely consolidation opportunities to explore scale effects and to gain market power. MD&A is prepared to facilitate and to advise in such opportunities, building on its accumulated experience and differentiated approach to the market.

MD&A also recognizes several market dynamics that open doors for the development of cooperative strategies between providers and payers in healthcare. One of the main focus of MD&A work is to identify and promote such partnerships and strategic alliances that can create value for the two types of entities, and at the same time constitute an attractive value proposition to significate market segments (and that can also contribute to medium to long term sustainability of the healthcare industry).

	Value creation agendas Efficiency projects Models of clinical governance and of relationship with medical doctors Customer experience Partnerships Market consolidation and growth through mergers and acquisitions both from the buyer or the seller side – identification and evaluation of opportunities / targets; preparing a healthcare company for sale; deal structuring and negotiation		Development of partnerships Innovative network solutions Innovative population risk management solutions		New products in areas such as chronic diseases or the prevention and early detection of diseases New ways to finance risks / needs and new ways to manage claims and claims costs Increasing insurance customer base to unserved or underserved market segments

In detail

What makes us stand out

The commitment MD&A invests in each Project it accepts, the way its team runs “the extra mile” for each client and the value the client perceives and measures, in each step of the project.

MD&A stands out for the trust each client deposits in the MD&A team, for the challenges it takes and for the proven success of the strategies it recommends.

	Transformation of health and safety provider within a large private healthcare group and integration of its activity and operations with the work accidents activity in order to generate synergies and having as a result a substantial improvement in EBITDA and market position starting early on with a group of quick win initiatives implemented during development. The project comprehended the design of new value propositions for two priority segments that were selected, in-depth organizational restructuring with the definition of new requirements, the assessment of existing profiles and the concretization of organizational changes.
	Preparation of healthcare provider (full fledge hospital) for sale with the coordination and the development of the entire operation, including elaboration of info memo and data room, design and implementation of negotiation process end to end.
	Development of a healthcare strategy for a financial institution with unique characteristics and customer base, starting with the launch of one of the most differentiated health plans in the Portuguese Market, with usage rates far above benchmarks and expectations from the onset of the project; development of a value creation agenda and road map for the healthcare strategy, including the development of an ecosystem of strategic partnerships.
	Restructuring and strategic and operational redefinition of a reference private hospital in the second largest healthcare market in Portugal; definition of a value creation agenda and implementation plan; structuring and management of a PMO to support the project.
	Development of autonomous business unit for elderly care working both for private clients, insurance companies and the public sector.