This report assessed the spectrum of facility-based healthcare public-private partnerships (PPPs) implemented globally to develop a typology of common PPP business models. Drawing on research and findings from prior reports in the UCSF Global Health Group/PwC PPP report series and other sources, this report looks closely at cases highlighted in the series to identify leading practices and innovations in healthcare PPPs to develop supporting criteria for successful implementation.
Historically, governments have engaged the private sector to deliver services through healthcare PPPs to achieve one or more of six functions:
The majority of facility–based PPPs bundle these functions into three models:
Looking ahead, healthcare systems will be under ongoing pressure to increase quality and efficiency of care, and find new ways to use data, systems and distributed networks of providers focused more on wellness and disease prevention rather than on the acutely ill. Health systems will need to become more integrated, addressing care needs across the continuum, while utilizing technology to enhance delivery.
PPP models are adapting to these changes. Where early PPPs focused on building and replacing critically-needed hospital infrastructure, integrated PPPs were the next evolution, adding clinical service delivery and private sector management practices to improve the quality of care delivered, as well as access to specialty care.