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Public-Private Partnerships in Health - Improving Infrastructure and Technology
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Public-Private Partnerships in Health - Improving Infrastructure and Technology
von: Veronica Vecchi, Mark Hellowell
Palgrave Macmillan, 2018
ISBN: 9783319695631
118 Seiten, Download: 1971 KB
 
Format:  PDF
geeignet für: Apple iPad, Android Tablet PC's Online-Lesen PC, MAC, Laptop

Typ: B (paralleler Zugriff)

 

 
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Inhaltsverzeichnis

  Contents 6  
  List of Figures 7  
  List of Tables 8  
  Introduction 9  
  Chapter 1: Public Private Partnerships and the Quality and Efficiency of Healthcare Services 11  
     1.1 Introduction 12  
     1.2 Benefits from Public Private Partnerships in the Health Sector 12  
     1.3 Sources of Additional Costs 14  
     1.4 What Determines the Benefits and Costs? 16  
     1.5 Investment Decisions and Affordability 17  
     1.6 Conclusion 19  
     References 21  
  Chapter 2: Choosing the Right PPP Model 24  
     2.1 Introduction 25  
     2.2 Defining the Main PPP Models 26  
        2.2.1 Turnkey Contracts (BF, DBF and BLT) 29  
        2.2.2 Operation and Maintenance Contracts 31  
        2.2.3 Managed Equipment Service (MES) Contracts 32  
        2.2.4 Availability-Based Contracts (DBFMO, DBFM) 38  
        2.2.5 Concession Contracts 45  
     Bibliography 50  
  Chapter 3: The Key Element of PPP: Risk 52  
     3.1 Risks in PPP Contracts and the Risk Matrix 53  
     3.2 Contract Qualification and Accounting 61  
     3.3 Risk and Value for Money 65  
     References 72  
  Chapter 4: Principles of Capital Budgeting for the Assessment of PPP Projects 74  
     4.1 Introduction 75  
     4.2 Capital Budgeting Tools 76  
        4.2.1 Pro-forma Financial Statements 77  
           4.2.1.1 Cash Flow Calculation 78  
           4.2.1.2 The Time Distribution and Value of Cash Flows 82  
        4.2.2 Profitability Ratios: NPV, IRR and the Appropriate Cost of Capital 82  
           4.2.2.1 The Appropriate Cost of Capital 85  
        4.2.3 Cover Ratios: DSCR 87  
        4.2.4 Sensitivities 88  
     4.3 The Economic and Financial Equilibrium in PPP Transactions 90  
     4.4 The Renegotiation of the Contract and the Restoration of Economic and Financial Equilibrium 91  
     References 93  
  Chapter 5: Assessing the Cost of Capital for PPP Contracts 94  
     5.1 Introduction 95  
     5.2 The Cost of Equity: A Conceptual Framework 95  
     5.3 How the Market Really “Thinks” 99  
     5.4 Applying the CAPM to PPPs in Real-World Markets 100  
        5.4.1 Estimating the Risk-Free Interest Rate 101  
        5.4.2 Estimating Beta 102  
        5.4.3 Estimating the Equity Market Risk Premium 105  
     5.5 Risks in PPP Transactions and Determining the Cost of Equity 109  
        5.5.1 Estimating the Cost of Equity, Step by Step 110  
     5.6 Conclusion 115  
     References 117  


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