Natalia Diatlova has attended a forum in Kazan on the development of projects in the field of healthcare using PPP models

On 28 October Kazan hosted the third industry forum on public-private partnership INVEST IN HEALTH, organised by the Investment Development Agency of the Republic of Tatarstan with the support of the National Centre for PPP. The event brought together more than 250 participants from 15 regions of Russia, the CIS countries, as well as South Korea. The key issues discussed this year were the experience of the Russian Federation in implementing PPP projects in the healthcare sector, the reasons for ending concession agreements, attracting private investment in the industry, as well as improving the regulatory framework.

Natalia Diatlova, Partner, Head of PPP Practice at Maxima Legal, became one of the invited experts of the forum and spoke in a panel discussion titled “Why do projects fail? Regulatory framework of PPP projects in healthcare”, describing the specifics of providing guarantees from the public side. In particular, as a way to minimise risks, Natalia commented on special circumstances that could adversely affect the parties abilities to fulfil their concession agreements, among which there is a demand risk (a smaller number of patients or medical assistance under compulsory medical insurance), a tariff risk (not setting the compulsory medical insurance rate or the absence of indexation with inflation) and others issues.

“The forum dedicated to PPP issues in the healthcare sector reflects the urgent need to improve the quality of healthcare services, as well as the intention to develop the healthcare sector in Tatarstan, including through PPP. Effective cooperation between the state and business is necessary for the implementation of projects in the healthcare sector in modern economic conditions, which can be facilitated by the use of the PPP model as a way of doing business”, explained Natalia.