David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct “IT’S A PARTNERSHIP” THE PRIVATE HEALTHCARE SECTOR AND THE DUBAI HEALTH AUTHORITY

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 AGENDA The Mission of the Dubai Health Authority The importance of long term policy certainty Setting an enabling regulatory Framework Value Proposition Similarities of Healthcare Systems 2

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 “The UAE’s economy is the most transparent and liberal in the Arab world, and the one most closely linked to free-market factors. The country’s public sector is therefore at the service of the people and the private sector. It is not competing against the latter and never will. The performance of most government-owned companies and corporations is comparable to that of similar private businesses, but this does not justify the expansion of the public sector at the expense of the private sector nor reducing the latter’s share of the national economy.” MY VISION His Highness Sheikh Mohammed bin Rashid Al Maktoum 3

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 THE MISSION OF THE DHA 4

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 “Develop an integrated and sustainable healthcare system that ensures delivery of comprehensive and excellent services to achieve the highest international standards in health of individuals and community” 5 MISSION STATEMENT

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 “Better health, access, quality and efficiency are central themes of the DHA to ensure we fulfill our objectives.” His Excellency Engineer Essa Al Haj Al Maidoor Director-General Dubai Health Authority 6

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 THE IMPORTANCE OF LONG TERM POLICY CERTAINTY 7

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 POLICY CERTAINTY CREATES PREDICTABILITY AND FOSTERS HEALTHCARE INVESTMENT 8

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 SETTING AN ENABLING REGULATORY PLATFORM 9

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 THE DHA IS IN A UNIQUE POSITION TO MAINTAIN A BRISK PACE OF REFORM Small geographical area Opportunity to create a legacy Small population E-Commerce drive in other sectors Strong mandate The market’s ability to adopt to these changes will be the main determinant of pace of reform 10

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 MANDATORY HEALTH INSURANCE FUTURE CHANGES… AND POTENTIAL IMPLICATIONS 11 E-HEALTH DECREASE IN REINSURANCE LIMIT SELF SUSTAINING INSURANCE PLANS? QUALITY REGULATIONS (EJADA) PRICE REGULATION/DRGs FUNDER CONSOLIDATION Drive for scale and sophistication PROVIDER IMPACT Consolidation? Cost and price pressure Emergence of high quality providers

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 A VALUE DRIVEN HEALTHCARE MARKET REQUIRES AN ENABLING REGULATORY ENVIRONMENT 12 Regular publication of accurate industry data Standardised industry data definitions Ensures whole industry uses common ‘language’ One “version” of the truth E.g. IP admission, day case, occupancy rates, LOS Effective and accurate implementation of regulatory changes by funders and providers Engage DHA and assist in pilots Phased approach Industry forums Create an Ethical Framework

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 THE VALUE PROPOSITION 13

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 Value in Healthcare 14

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 SIMILARITIES OF HEALTHCARE SYSTEMS 15

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct

“ The evolution of healthcare models has accelerated accordingly – models in which the care is delivered by teams rather than individuals, is measured on outcomes rather than activity, and is purchased as packages rather than pieces.” George Halvorson, CEO Kaiser Permanente Professor the Lord Darzi of Denham PC THE FUTURE OF HEALTHCARE IS CHANGING TO ONE WHERE VALUE WILL BE IMPORTANT 18

David Hadley, Chief Executive Officer, Mediclinic Middle East – DHRC Workshop 23 Oct 2014 THANK YOU 19