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<ul class="summary-list"><li><keyword id="11894337" type="UNKNOWN" weightage="60" keywordseo="russia" source="Orion">Russia</keyword> may start to face consequences for bombing <keyword id="11963694" type="UNKNOWN" weightage="60" keywordseo="hospitals" source="Orion">hospitals</keyword>, according to an expert.</li><li>Gissou Nia, an international human rights lawyer, said that the world is still moving too slow.</li></ul>For decades, international human rights protocols were created and enshrined to protect the bombing of civilian hospitals during wartime – until the war in <keyword id="11896847" type="UNKNOWN" weightage="60" keywordseo="syria" source="Orion">Syria</keyword>, and more recently, in <keyword id="11985141" type="UNKNOWN" weightage="60" keywordseo="ukraine" source="Orion">Ukraine</keyword>. "We see that that taboo is now gone," said Gissou Nia, an international human rights lawyer with the Atlantic Council, who co-authored a report in June urging the international community to do more to hold Russia to account for what international human rights groups have said is a cruel campaign of bombing hospitals in Syria and Ukraine.In just the first 100 days of the war in Ukraine, Russian forces have attacked approximately 200 hospitals, according to the World Health Organization. In a grim parallel, during the Syrian war, 600 medical facilities were attacked, <a href="https://syriamap.phr.org/#/en">according to Physicians for Human Rights.</a> The US, too has <a href="https://www.msf.org/kunduz-hospital-attack-depth">bombed medical facilities in Afghanistan</a>, but Nia said the difference is Russia's systematic campaign of hitting medical centers.Months into Russia's war in Ukraine, a top commander who oversaw bombing campaigns in Syria – <a href="https://www.businessinsider.com/russias-ukraine-top-commander-war-not-seen-2-weeks-report-2022-6">dubbed the Butcher of Syria </a>– was tapped to lead in Ukraine. Russia has also <a href="https://www.businessinsider.com/ukraine-russias-humanitarian-corridors-come-from-syria-playbook-2022-3">targeted humanitarian corridors</a> and employed "double-tap strikes" – bombing a healthcare facility and the subsequent rescue operation – in both Syria and Ukraine. "I think this really shows that Russian forces and the Russian state really tested out the limits of what they could do in Syria," Nia told Insider.Russia has denied that it has targeted hospitals in either country.<a href="https://www.atlanticcouncil.org/in-depth-research-reports/issue-brief/attacks-on-hospitals-from-syria-to-ukraine-improving-prevention-and-accountability-mechanisms/">In their report,</a> the Atlantic Council said that the pattern of attacking hospitals during wartime "undermines long-established and hard-won provisions under international humanitarian law that are intended to protect civilians during conflict."Nia argues that with Russia's war in Ukraine, the problem is rapidly getting worse. And international organizations such as the World Health Organization, the International Criminal Court, and the United Nations are not responding quickly enough, the authors said. Nia, who also works with the ICC around Iran's abuses of human rights, spoke to Insider about how the taboo around Russia's actions is fading and offered potential legal solutions for justice and prevention. This interview has been edited for clarity. Based on the research that you've done and the strategy that Russia has taken in Syria and Ukraine, is Syria the first real conflict where those kind of attacks on medical facilities became systematic, or was there also, specific to Russia, a history of that before as well?I think Syria is, unfortunately, the example of where these centuries-long protections in international humanitarian law were really eroded. It's definitely where we've seen, I think, the worst scale. One thing that really sticks out to me is that we know how grave the situation in Syria was in terms of the breadth and the range of crimes that were committed by the Syrian government, by its allies and also the non-state actors in the conflict. But there were more than 600 attacks on healthcare facilities in the course of that conflict, that of course involved the Assad Regime, but then later the Russians.This is something that you also wrote extensively about in the report, but what recourse do you think the international community has, especially given that <a href="https://www.businessinsider.com/zelenskyy-un-security-council-cannot-function-if-russia-member-2022-4">Russia has had the seat on the security council</a> and blocked a lot of those efforts that would've gone through the security council?I think it's no secret that obviously the international community has failed with respect to preventing atrocity crimes in Syria, and to some degree on the accountability side as well. We debated whether it was even worth putting a recommendation to the security council, given the structure and the challenges there. But what would be interesting is to really look at how some of the human rights bodies at the UN can elevate this issue.There has to be more of a focus with respect to what the World Health Organization is doing. The WHO has their toe in starting to be a little more stern in language and posture on these attacks, but it's really quite something that they're stopping short of really calling out who the actual perpetrators are. I think they'll even say that it's because they're focused on humanitarian goals. But we think with the current state of play, that's not really acceptable. Certainly, from a data collection standpoint, there's a lot of things that could be improved and that doesn't cause problems for them in terms of detailed information about attacks, including the locations and descriptions, impact on the facility, and access to care.I think the real reason that we wanted to put out this brief was to really focus on the accountability point, because there's been a lack of legal accountability for what happened in Syria since 2014 – that the Syrian government was attacked in healthcare. But over what is almost a decade, there's been little to no accountability. There's different reasons for that, including some of the evidentiary challenges in intentionality, because these are the crimes that are happening in conflict and the laws of war, as you know, they do permit death, right? So it's always a challenge. I think without direct admissions that Russian forces are actually intending to target hospitals, you have to prove that through the patterns. So that's why we spend a bit of time in the brief identifying the different patterns that seem to suggest that facilities are actually purposely being targeted as a method of warfare.Then we go into how that could feed into different cases being built to actually hold some of these alleged perpetrators accountable, but also, some recommendations on the legal frameworks that exist in national systems. So in any jurisdictions that have universal jurisdiction-type laws or have civil litigation that has extra territorial application, we really need to ensure that those laws are able to prosecute and/or hold accountable perpetrators for these crimes. There's a lot of gaps in those laws.I wanted to follow up on that point a little bit around universal jurisdiction and some of the trials that we've seen <a href="https://www.businessinsider.com/syrian-intel-officers-convicted-in-europe-long-road-to-justice-2021-10">successfully prosecuted in Koblenz</a> and the former Syrian intelligence officers. What has been stopping international war crimes trials around these attacks on hospitals, whether they be in Syria or Ukraine?One of the biggest blockages has really been this inability to go after Russian perpetrators. Because even if you go after Syrian government perpetrators that were involved in attacks on healthcare, then the elephant in the room would be like, "Well, why are the Russians not on the dock for this?" So any indictment really needs to reflect the full range of charges, including against what may have happened in Syria, if Wagner Group is involved, what happened in Libya. So I actually think that's the main reason that we didn't see accountability for this sort of crime from a political standpoint. I think this is now a unique moment where European prosecutors who have opened up structural investigations in their countries, those that are working on joint investigative teams and the ones that are also working hand-in-hand with investigators from the International Criminal Court, they're specifically looking at alleged Russian perpetrators, and so there's an ability to now go after them for the full range of crimes. Some of those alleged Russian perpetrators who maybe were commanders and aerial forces that were bombing Mariupol, let's say might also bear responsibility for having bombed Aleppo in 2016.One thing that I'll note that's connected to that, and it's something that we raise in the brief, is that there's obviously a lot of discussions around the freezing, the seizure, and the possible liquidation of Russian state assets and Russian oligarch assets. There's a big discussion around using that for Ukraine's reconstruction. We do believe that part of those monies if they are indeed liquidated ... needs to go to reparations for victims, and that is not only Ukrainian victims; that's also Syrian victims who have suffered violations by the same perpetrator groups. We think any mechanism that's established to do that needs to factor in that recovery. That could be for victims of hospital attacks. What do you think is the boldest strategy being pursued right now? That could include the ICC inquiry as well. I know that ICC inquiry, when it comes to Syria, can be a little bit difficult because Syria's not a member.Well, it's interesting that you mentioned the ICC because in terms of crimes against humanity of deportation, persecution, and other inhumane acts – if any of these crimes were completed in the territory of Jordan, there is a pathway.So basically if Syrian refugees fled to Jordan, then the jurisdictional argument is that then jurisdiction applies, and so you're looking at a very narrow slice of the Syrian conflict, but those folks who flee, the argument is that there are coercive acts that were committed that forced them to flee. Coercive acts can include things like detention. It can also include attacks on healthcare, and so there is actually a way for the ICC Office of the Prosecutor to look at attacks on healthcare in the Syrian conflict, if those constituted the coercive acts that caused Syrian refugees to flee to Jordan.In terms of other bold strategies, what we see with Ukraine is a really welcome development in terms of the justice response. We saw 43 member states of the ICC actually referring the matter to the prosecutor to get him to open an investigation into the situation in Ukraine – that's unprecedented. Prior to that, the highest number of state member state referrals was Venezuela. That was six or seven states, I believe, and that was seen as a lot.So to have this kind of state involvement is a really good sign. It shows that the go-to response was a justice response and that's so important. As part of the strategies of European prosecutors, of Ukrainian prosecutors – because they're the ones that have already commenced and closed trials, right? – they're going to be doing a lot of these trials domestically. And that the ICC and other international justice players all look at attacks on hospitals and elevate that within the justice discussion, I think is key.I guess that's a big difference between Ukraine and Syria too, is that within Syria, there was really no ongoing hope of trying any of those cases within the Syrian justice system, because it's allied with the Russians. But Ukraine is facing an occupying force, and is able to build those cases within Ukraine's borders, and within its own judicial system.Yeah. It makes a big difference in a few ways. Ukraine could give a declaration of jurisdiction to the International Criminal Court. They did so back in 2014. They had two declarations and that was about Crimea. So it was about other things, but they've had this ongoing declaration of jurisdiction. They're not an ICC member state, but they are authorized to let the prosecutor have jurisdiction, so they did that. Obviously, you wouldn't see the Assad regime giving a voluntary declaration of jurisdiction.It also allows access to crime scenes, so I think you see that international independent investigators are given access to visit Boucha and different crime scenes in Ukraine, that kind of access to independent international investigators is obviously not allowed in many regions of Syria, of course; some others maybe, but no government-held part of Syria. So that also affects the forensics that are collected and what evidence can be collected, so there are differences definitely. There's a range of reasons why this is being facilitated a bit more easily in Ukraine, but part of it is that the state is asking for this and cooperating.What do you hope that readers understand about the effect of bombing healthcare facilities? Attacking hospitals and healthcare more broadly just compounds the already existing pain of war. To attack them when they're at their most vulnerable, and then to attack the healthcare providers that are trying to mitigate the worst aspects of these conflicts, this is just really beyond the pale offense. So the globe does need to take this more seriously, because we should be doing everything we can to mitigate civilian harms. We completely failed to do that in Syria, and I do worry that in Ukraine, some of those patterns are repeating because that impunity was there. And the cycle needs to stop now.

The taboo around Russia bombing hospitals is fading and the WHO needs to do more, international legal expert says

<ul><li><keyword id="928516" type="COMPANY" weightage="20" keywordseo="Barbeque-Nation-Hospitality">Barbeque Nation Hospitality</keyword> has received market regulator SEBI’s approval to raise about ₹1,000-1,200 crore through an initial public offering. </li><li>The company is backed by private equity investor CX Partners and ace <keyword id="9574593" type="UNKNOWN" weightage="20" keywordseo="investor-rakesh-jhunjhunwala">investor Rakesh Jhunjhunwala</keyword>’s investment firm Alchemy Capital. </li><li>The promoters hold 60.24%, CX Partners owns 33.79% and renowned stock market investor <keyword id="6398943" type="PERSON" weightage="20" keywordseo="rakesh-jhunjhunwala">Rakesh Jhunjhunwala</keyword>’s investment firm Alchemy Capital holds 2.05% in the company. </li></ul>One of India’s most popular barbeque joints is ready to sell shares in the market. And just like the patrons of the chain, who dig the<a href="https://www.tripadvisor.in/ShowUserReviews-g297687-d12850093-r599225012-Barbeque_Nation-Dehradun_Dehradun_District_Uttarakhand.html"> high-priced buffets</a>, the investors too will demand ‘value for money’. The market regulator, <keyword id="139797" type="COMPANY" weightage="20" keywordseo="The-Securities-and-Exchange-Board-of-India">the Securities and Exchange Board of India</keyword> (SEBI), has approved the company’s plan to raise ₹1,000-1,200 crore through an initial public offering. The IPO is coming at a time when the COVID-19 pandemic has made many restaurants unviable. “Food ordering can meaningfully increase and share of trusted brands is bound to go up vs random mom-pop restaurants that may not be able to assure hygiene. However, out-of-home eating and loss of ordering at office/social interactions may not be made up by such shifts for the shorter term,” according to an Ambit Capital report in June. <table style="border-width: initial; border-style: none;"></colgroup><tbody><tr><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Particulars </td><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Amount </td></tr><tr><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Total IPO size </td><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">₹1,000-1,200crore </td></tr><tr><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Fresh issue </td><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">₹275 crore </td></tr><tr><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;"> Pre-IPO fund raising </td><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">₹150 crore </td></tr></tbody></table> The company will use the IPO proceeds to repay an outstanding loan of ₹205 crore, in part or full, and for general corporate purposes. <table style="border-width: initial; border-style: none;"></colgroup><tbody><tr><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Bidders </td><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">IPO allocation </td></tr><tr><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Qualified institutional buyers (QIBs) </td><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">50% </td></tr><tr><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Non-institutional bidders </td><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">15% </td></tr><tr><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">Retail individual bidders </td><td style="border-left:solid #000000 0.9960975000000001pt;border-right:solid #000000 0.9960975000000001pt;border-bottom:solid #000000 0.9960975000000001pt;border-top:solid #000000 0.9960975000000001pt;vertical-align:bottom;padding:5pt 5pt 5pt 5pt;overflow:hidden;overflow-wrap:break-word;">35% </td></tr></tbody></table> Here’s all you need to know before investing in this IPO Investors and Promoters The company is backed by private equity investor CX Partners and ace investor Rakesh Jhunjhunwala’s investment firm Alchemy Capital. Alchemy Capital bought about 3.5% stake in Barbeque-Nation Hospitality for ₹90 crore last year. It is also promoted by $3 billion Sayaji Hotels, Sayaji Housekeeping Services, Kayum Dhanani, Raoof Dhanani and Suchitra Dhanani. <div type="image" title="BBQN" msid="76961414" hostid="261"></div> It filed for an IPO in 2017 with Sebi seeking to raise ₹700 crore. However, the regulator kept the processing of the company’s proposed IPO in abeyance <a href="https://www.businessinsider.in/business/corporates/news/barbeque-nation-files-ipo-papers-to-raise-rs-1000-1200-cr/articleshow/74189528.cms">“pending regulatory action for past violations</a>” and finally approved the IPO plan in January 2018. <div type="image" title="_Barbecue Nation Revenue" msid="76962277" hostid="261"></div> The long chain of restaurants The company owns and operates <keyword id="9571662" type="COMPANY" weightage="20" keywordseo="barbeque-nation-restaurants">Barbeque Nation Restaurants</keyword> at 138 outlets across India and seven outlets in the UAE, Oman and Malaysia. Although, the company could not launch the initial share-sale due to adverse market conditions. The restaurant chain has seen compounded annual growth of 14.29% in its dining covers in India, according to <a href="https://www.barbequenation.com/investor">company financials</a>. It has grown from ₹68.60 crore in FY17 to 89.60 crore in FY19, <a href="https://economictimes.indiatimes.com/markets/ipos/fpos/jhunjhunwala-cx-partners-backed-barbeque-nation-refiles-for-rs-1000-1200-crore-ipo/articleshow/74188490.cms?utm_source=contentofinterest&amp;utm_medium=text&amp;utm_campaign=cppst">pillared by referrals and recommendations of customers</a>. <div type="image" title="Barbecue Nation" msid="76961916" hostid="261"></div> Recent acquisitions It also acquired 61.35% stake in <keyword id="9574592" type="COMPANY" weightage="20" keywordseo="red-apple-kitchen">Red Apple Kitchen</keyword>, which owns Toscano, a casual dining Italian restaurant chain that has ten outlets operating across Bengaluru and Chennai. Barbeque Nation also launched UBQ through its existing kitchen infrastructure, in November 2018 to provide a la carte Indian cuisine in the value segment, which is also being availed by delivery across 71 cities in India. The chain is 14-years old and has been fairly popular throughout its existence. However, the overall gloom in the restaurant industry may cap the potential value that could be unlocked through this IPO. "The restaurant &amp; hospitality sector, despite being amongst the worst hit due to COVID 19 has tremendous potential in a growing economy like India. With the rise of nuclear families, changing habits, increasing urban population with higher disposable income coupled with strong growth of food related e-commerce platforms,a strong branded player like Barbeque Nation stands to gain in the future. If the IPO is priced well, it could attract a lot of interest among both retail &amp; institutional investors leading to a strong listing at the bourses," said Abhijeet Ramachandran, Independent Analyst/ Co-Founder and trainer at Tips2trade SEE ALSO: <a href="https://www.businessinsider.in/business/corporates/news/barbeque-nation-files-ipo-papers-to-raise-rs-1000-1200-cr/articleshow/74189528.cms" data-type="tilCustomLink">Barbeque Nation looking to raise ₹1,000-1,200 crore from IPO, files papers with SEBI</a> <a href="https://www.businessinsider.in/stock-market/markets/news/rossari-biotech-ipo-analysis-and-comparison-with-camlin-fine-srf-and-clariant/articleshow/76953016.cms" data-type="tilCustomLink">Rossari Biotech IPO⁠— 40 scientists, China, and other factors that make the share sale hot</a>

Barbeque Nation IPO must be priced the same way as its menu—value for money

<div class="KonaFilter image-container display-table"><div><div class="image on-image">Courtesy Walmart</div></div></div><ul class="summary-list"><li><a href="https://www.businessinsider.com/health-strategies-of-cvs-health-walmart-amazon-kroger-and-walgreens-2019-9">Retailers</a> like Walmart and CVS are pushing deep into healthcare, betting they can boost sales and offer more convenient healthcare. </li><li>The retailers stand to win out on the big percentage of Americans that don't have a <a href="https://www.businessinsider.com/disruptive-primary-care-companies-iora-health-one-medical-chenmed-2019-8">go-to doctor</a>, potentially threatening health system's future revenues. </li><li>Here's why that should make health systems nervous. </li><li><a href="https://www.businessinsider.com/prime?module=article&amp;area=summary" target="_blank" rel="noopener">Click here for more BI Prime stories</a>.</li></ul>The way Americans go to the doctor is changing. <a href="https://www.businessinsider.com/urgent-care-is-changing-how-americans-access-healthcare-2018-11">Options promising convenient care</a> at all hours have popped up at drugstores and strip malls across the country. <a href="https://www.businessinsider.com/how-one-medical-tia-warby-parker-smiledirectclub-compare-to-traditional-healthcare-2019-4">They promise American consumers</a> the same easy experience navigating the healthcare system that they get shopping on Amazon.Take CVS Health and Walmart. Over the past year, the biggest pharmacy chain and the dominant US retailer have both pushed deeper into providing healthcare, revealing plans for new health clinics.The inroads from the retailers, as well as urgent care clinics that can provide a broader array of health services, are forcing major hospitals to rethink how they appeal to patients. Of course, retailers like CVS and Walmart aren't likely to offer surgeries or overnight stays. But medical centers used to be able to rely on their reputations for providing cutting edge medical treatments and top quality care to drawn in patients. As Americans are increasingly able to get health needs taken care of at clinics, it threatens to make them less loyal to big health systems, which could threaten those systems' profits."This does represent the beginning of competition at the top of the funnel. which will in the long term hurt health systems," Tom Charland, the CEO of <a href="https://www.merchantmedicine.com/">Merchant Medicine</a>, a consulting firm that tracks <keyword id="6354851" type="UNKNOWN" weightage="60" keywordseo="retail">retail</keyword> clinics, told Business Insider.<div class="KonaFilter image-container display-table"><div><div class="image on-image">Courtesy CVS HealthA CVS Pharmacy store in Houston that's been turned into a Health Hub</div></div></div><h2>Where CVS and Walmart could gain on health systems</h2>Historically, clinics in stores like CVS and Walmart have employed nurse practitioners or physicians' assistants who offer a fairly limited range of services, like checkups, shots, and care for coughs and colds.Now, though, one of the ways retailers stand to gain ground from health systems is by expanding the types of care they provide. One area they're focused on is managing the care of patients living with chronic conditions. In February, shortly after the completion of its merger with health insurer Aetna, CVS <a href="https://www.businessinsider.com/cvs-health-health-hub-national-expansion-2019-6">began setting up its HealthHub stores,</a> which have an increased focus on health services, including a wellness center and more chronic care management for people with diseases like diabetes.By the end of 2021, the company plans to turn <a href="https://www.businessinsider.com/cvs-health-health-hub-national-expansion-2019-6">1,500 pharmacies</a> into locations that can provide an array of healthcare services.Walmart in September opened a "prototype" <a href="https://www.businessinsider.com/walmart-testing-health-clinic-in-georgia-with-counseling-dentistry-2019-8">health center</a> in northern Georgia, offering primary care, dental, lab testing and counseling services at lower prices. For instance, a primary care visit <a href="https://corporate.walmart.com/newsroom/2019/09/13/in-dallas-georgia-walmart-unveils-enhanced-store-experience-and-first-ever-walmart-health-center">costs $40</a>, while a dental visit costs $25. <a href="https://www.linkedin.com/in/seanslovenski">Sean Slovenski</a>, Walmart's president of health and wellness, <a href="https://www.businessinsider.com/sean-slovenski-on-walmart-healthcare-strategy-clinics-home-care-2019-9">told Business Insider in September</a> that Walmart could quickly become the <a href="https://www.businessinsider.com/sean-slovenski-on-walmart-healthcare-strategy-clinics-home-care-2019-9">largest provider of basic healthcare</a> in the region.Both CVS and Walmart say they want to work with existing health systems, and that they'll refer patients to those partners for some more complex or ongoing care needs. Walmart is partnering with other healthcare firms to offer some of the services in its stores."Health systems have to be more innovative and forward looking, or they stand to lose what they would historically, they would say is 'These are our patients, This is our community, This is where we're investing." Todd Latz, the CEO of urgent care chain GoHealth, which partners with health systems, said in an interview on the sidelines of the HLTH conference in Las Vegas in October. "That's all true. But you can have that taken away from you."<h2>Delivering care at CVS's HealthHubs</h2>In a recent interview with Business Insider, CVS CEO Larry Merlo recounted a story that he said illustrates how the company's HealthHubs can help people with chronic diseases.He told us about an instance in which a patient came to the CVS MinuteClinic at a HealthHub more than two years after being diagnosed with diabetes. The patient hadn't been back to see a primary care doctor since, and when the nurse practitioner at the MinuteClinic took a blood test to get a better picture of the patient's disease, it showed the situation was serious.From the MinuteClinic, CVS linked the person back up with their primary care doctor, who could help the patient manage their diabetes on an ongoing basis. Merlo also pointed out that about 50% of the patients who visit MinuteClinics don't have a go-to primary care provider."There is an important complementary role that we can play to ensure that those care plans are in fact being followed," Merlo said. "We're confident that executing the strategy will make a difference in the health of those we're serving and in doing so reduce overall healthcare costs."Read more: <a href="https://www.businessinsider.com/cvs-health-ceo-larry-merlo-on-how-healthhubs-are-working-2019-11">The CEO of CVS Health just gave us one key example that shows how it plans to use its 10,000 pharmacies to upend healthcare</a>As an insurer, CVS stands to benefit from managing the care of those living with chronic conditions. If the HealthHubs help Aetna decrease the amount it spends on healthcare for its members, by better managing chronic conditions like heart disease or diabetes, for instance, that would result in higher profits for the company.Some analysts have said that CVS should go deeper into healthcare to wring more benefits from operating the clinics."We believe the value is in having primary care at retail taking full medical risk for patients and having greater convenience and ability to manage chronics," Bernstein analyst Lance Wilkes wrote in a note Wednesday. "Management comments that HealthHubs are not a replacement for PCPs, and that they are Nurse Practitioner focused, which is not aggressive enough in our opinion."<h2>What health systems are doing instead to compete</h2>Going toe-to-toe with retailers by opening competing clinics might not be the way forward for hospitals. The business is expensive to run and often loses money, Charland said, and health systems run into the issue of competing against themselves for providers. Walgreens, the <a href="https://www.drugchannels.net/2019/11/a-tale-of-two-chains-walgreens-exits.html#more">second-biggest operator</a> of retail clinics in the US, is shrinking its footprint. The company said in October that it's closing more than 150 clinics and plans to work with health-system partners to run about 200 others.Walmart and CVS are both in the early stages of rolling out their new clinic strategies. Walmart for its part has taken a number of stabs at building clinics in the past without much success. While the company has announced plans in the past to have as many as 2,000 clinics, it currently has about 20 clinics over three states. "Everybody is still trying to figure out the whole concept of a retailer participating in what I would call traditional healthcare," Charland <a href="https://www.businessinsider.com/sean-slovenski-on-walmart-healthcare-strategy-clinics-home-care-2019-9">told Business Insider in September.</a>There are a number of ways health systems are working to compete with retailers and make sure they own their relationships with patients. Health systems have been betting heavily on <a href="https://www.businessinsider.com/gohealth-ceo-todd-latz-future-of-urgent-care-challenges-threats-2019-7">urgent care as a way to capture more</a> of the first patient interactions as both a less-expensive alternative to emergency rooms and a way to gain referrals. GoHealth, for instance, collaborates with health systems in each area that it operates. In New York, it partners with <a href="https://www.businessinsider.com/northwell-healths-michael-dowling-on-the-future-of-the-hospital-2019-5">Northwell Health, the largest health system in the state</a>. It has about 135 urgent care clinics around the US. Health systems are also working with some newer entrants. For instance, <a href="https://www.businessinsider.com/what-its-like-to-use-one-medical-for-primary-care-in-new-york-review-2019-4">One Medical, a primary care service that comes with a $200 annual fee</a>, has been partnering with health systems in different geographies. <a href="https://www.businessinsider.com/one-medical-partners-with-providence-st-joseph-health-2019-1">The idea is to offer services that go beyond primary care</a> but can often be done by a primary-care doctor, as well as give One Medical users access to the larger health system.<a href="https://www.businessinsider.com/mount-sinai-strategy-booking-a-visit-talking-with-doctors-easier-2019-5"></a>Then there's the decision to hire tech talent and try to disrupt yourself before anyone else can do it, <a href="https://www.businessinsider.com/providence-st-joseph-plans-to-avoid-being-disrupted-by-tech-2018-12">a method West-Coast based health system Providence St. Joseph Health is deploying.</a> Providence has upgrade the <a href="https://www.businessinsider.com/tech-challenges-facing-hospitals-like-providence-st-joseph-health-2019-6">health system's technology,</a> partnered with tech giants like Microsoft and <a href="https://www.businessinsider.com/amazons-alexa-adds-healthcare-skills-2019-4">Amazon</a> to design health clinics, and made it easier to <a href="https://www.businessinsider.com/providence-st-joseph-healths-aaron-martin-on-disrupting-primary-care-2018-12">schedule appointments.</a><a href="/intelligence/digital-health?IR=T&amp;itm_source=businessinsider&amp;itm_medium=ctgr_bii&amp;itm_term=ctgr_subscription&amp;itm_content=health&amp;itm_campaign=digital-health-3"></a>Featured Digital Health Articles: - <a href="/telehealth-industry-explained">Telehealth Industry: Benefits, Services &amp; Examples</a> - <a href="/value-based-care-pay-for-performance-healthcare-model">Value-Based Care Model: Pay-for-Performance Healthcare</a> - <a href="/senior-care-market-trends">Senior Care &amp; Assisted Living Market Trends</a> - <a href="/wearable-technology-healthcare-medical-devices">Smart Medical Devices: Wearable Tech in Healthcare</a> - <a href="/artificial-intelligence-healthcare">AI in Healthcare</a> - <a href="/remote-patient-monitoring-industry-explained">Remote Patient Monitoring Industry: Devices &amp; Market Trends</a> <div class="margin-top"> <h3>NOW WATCH: <a href="https://www.businessinsider.com/how-much-skin-blood-saliva-does-body-make-lifetime-2019-10">The human body replaces millions of cells every day. Here's how much skin, blood, and saliva it can produce in a lifetime.</a></h3> <div> </div> </div>

CVS and Walmart are betting they can change how Americans get healthcare. Here's why that should worry hospitals.

<ul class="summary-list"><li>US Navy hospital ship <a href="https://www.businessinsider.com/new-york-1000-hospital-bed-navy-hospital-ship-coronavirus-2020-3">USNS Comfort</a> docked on Pier 90 in Manhattan on the morning of March 30 to alleviate the burden that New York City hospitals have been facing amid the coronavirus pandemic.</li><li>The ship houses 1,000 hospital beds, 12 operating rooms, 80 intensive care units, a pharmacy, and a medical laboratory, to name a few features.</li><li>No <a href="https://www.businessinsider.com/china-virus-everything-we-know-deadly-2019-ncov-wuhan-spread-2020-1">coronavirus</a>-positive patients will be treated on the ship.</li><li>Its sister ship - <a href="https://www.businessinsider.com/coronavirus-usns-mercy-hospital-ship-deployed-los-angeles-2020-3">the USNS Mercy</a> - docked in Los Angeles on March 27.</li><li><a href="https://www.businessinsider.com/?hprecirc-bullet">Visit Business Insider's homepage for more stories</a>.</li></ul>The USNS Comfort - a 1,000-bed Navy Hospital ship - docked in New York City on March 30 to alleviate the burden that New York hospitals have been facing amid the coronavirus pandemic as the state's<a href="https://www.businessinsider.com/china-virus-everything-we-know-deadly-2019-ncov-wuhan-spread-2020-1#spains-caseload-is-the-third-highest-in-the-world-and-the-country-has-the-second-most-deaths-6"> COVID-19 death toll nears 1,000</a>.While New York is now considered the US epicenter of COVID-19, no coronavirus-positive patients will be treated aboard the USNS Comfort. Instead, the ship will serve as a "<a href="https://www.navy.mil/submit/display.asp?story_id=112508">referral hospital</a>" to free up New York City's hospital beds, intensive care units, and ventilators as <a href="https://www.businessinsider.com/coronavirus-patients-filling-nyc-hospitals-ahead-of-the-peak-2020-3">local hospitals are becoming increasingly inundated</a> with COVID-19 patients. "This is like adding another hospital here in New York City," New York City Mayor Bill de Blasio <a href="https://www.nytimes.com/2020/03/30/nyregion/coronavirus-new-york-update.html#link-4d11c8fa">said on NY1</a>. "It's such a boost to see the military arrive to help us out."Keep scrolling to see the ship as it sails into Pier 90 in Manhattan on March 30:Do you have a personal experience with the coronavirus you'd like to share? Or a tip on how your town or community is handling the pandemic? Please email <a href="mailto:covidtips@businessinsider.com">covidtips@businessinsider.com</a> and tell us your story.And get the latest <a href="/coronavirus-covid19">coronavirus analysis and research</a> from Business Insider Intelligence on how COVID-19 is impacting businesses.

Photos show the 1,000-bed Navy hospital ship USNS Comfort arriving in New York to support the city in its flight against coronavirus

<div><div class="KonaFilter image-container display-table"><div><div class="image on-image">Aïda Amer/Axios</div></div></div><ul><li>Federal fraud settlements from the health care industry totaled $2.5 billion in the 2018 fiscal year alone, according to <a href="https://www.justice.gov/opa/pr/justice-department-recovers-over-28-billion-false-claims-act-cases-fiscal-year-2018">newly released figures</a>.</li><li>The 2019 fiscal year is off to a fast start, with a few prominent settlements involving allegations of hospitals purposely <a href="https://www.documentcloud.org/documents/5662787-Aurora-Health-Care-DOJ-Settlement.html">overpaying</a> for physician practices, orthopedic providers willfully <a href="https://www.documentcloud.org/documents/5662786-Coordinated-Health-DOJ-Settlement.html">gaming</a> the billing system, and a broadening investigation into <a href="https://www.justice.gov/opa/pr/government-intervenes-false-claims-act-lawsuit-against-sutter-health-and-palo-alto-medical">Medicare Advantage coding.</a></li></ul>Every year since 2010, the Department of Justice has recovered at least $2 billion from hospitals, doctors, pharmaceutical firms and other health care companies for allegedly defrauding the federal government.The big picture: Federal fraud settlements from the health care industry totaled $2.5 billion in the 2018 fiscal year alone, according to <a href="https://www.justice.gov/opa/pr/justice-department-recovers-over-28-billion-false-claims-act-cases-fiscal-year-2018">newly released figures</a>. A look at those settlements shows the wide variety of tactics health care companies have allegedly used to steer money to themselves.</div><div id="hidden-25a64f5c-a040-459d-97cf-8f2a8f6a8b60" aria-hidden="false" aria-expanded="true"><div>The details: A slew of allegations in large cases cropped up this year.<ul><li>Exaggerating how sick Medicare Advantage patients are, leading to a <a href="https://www.axios.com/the-legal-clouds-hovering-over-medicare-advantage-8466ad7a-6a7e-48af-88bb-11f1f292400f.html">$270 million</a> settlement against DaVita.</li><li>Pressuring doctors to admit patients from emergency rooms, leading to a <a href="https://www.justice.gov/opa/pr/hospital-chain-will-pay-over-260-million-resolve-false-billing-and-kickback-allegations-one">$260 million</a> deal against a hospital system that is now owned by Community Health Systems.</li><li>Using a charitable foundation as a way to fund patients' drug copays, leading to a <a href="https://www.axios.com/pfizer-24-million-copay-kickback-settlement-1527178452-620afbd2-d232-4a68-8ac9-e92876002d25.html">$24 million</a> settlement against Pfizer.</li><li>Numerous settlements against hospitals and other providers for things like <a href="https://www.justice.gov/opa/pr/prime-healthcare-services-and-ceo-pay-65-million-settle-false-claims-act-allegations">false billing practices</a> or <a href="https://www.justice.gov/opa/pr/detroit-area-hospital-system-pay-845-million-settle-false-claims-act-allegations-arising">paying kickbacks</a> for physician referrals.</li></ul>What's next: The 2019 fiscal year is off to a fast start, with a few prominent settlements involving allegations of hospitals purposely <a href="https://www.documentcloud.org/documents/5662787-Aurora-Health-Care-DOJ-Settlement.html">overpaying</a> for physician practices, orthopedic providers willfully <a href="https://www.documentcloud.org/documents/5662786-Coordinated-Health-DOJ-Settlement.html">gaming</a> the billing system, and a broadening investigation into <a href="https://www.justice.gov/opa/pr/government-intervenes-false-claims-act-lawsuit-against-sutter-health-and-palo-alto-medical">Medicare Advantage coding.</a><ul><li>The health care industry is asking for <a href="https://www.nytimes.com/2018/11/24/us/politics/trump-health-care-kickbacks-medicare-medicaid.html">more wiggle room</a> on the federal law that outlaws kickbacks.</li><li>But government watchdogs will more closely scrutinize <a href="https://www.axios.com/cms-oig-medicare-hospitals-upcoding-review-8f8dee4a-4c60-4724-888c-d7063c1dbc40.html">overbilling</a>.</li></ul>The bottom line: Large settlement amounts indicate the government is willing to hunt down bad actors, but also that the industry knows the health care system is still ripe for abuse - or, as the industry argues, overly burdened with regulations.<ul><li>That likewise makes it unclear if DOJ penalties deter fraudulent behavior, or if corporate health care just views settlements as the <a href="https://www.propublica.org/article/why-manafort-and-cohen-thought-theyd-get-away-with-it">cost of doing business</a>.</li></ul></div></div><a href="http://www.businessinsider.com/intelligence/ai-in-us-healthcare?IR=T&amp;utm_source=businessinsider&amp;utm_medium=ctgr&amp;utm_term=ctgr_leadgen&amp;utm_content=dhealth_ctgr_leadgen&amp;utm_campaign=dhealth_ctgr_leadgen_ai_in_us_healthcare"></a></hr> <div class="margin-top"> <h3>NOW WATCH: <a href="https://www.businessinsider.com/mistletoe-tradition-history-kiss-under-parasites-2016-12">Mistletoe is actually a tree-killing parasite - here's how it became a Christmas icon</a></h3> <div> </div> </div>

You Searched For "Referral hospital" and got 5 results

The taboo around Russia bombing hospitals is fading and the WHO needs to do more, international legal expert says

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CVS and Walmart are betting they can change how Americans get healthcare. Here's why that should worry hospitals.

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Photos show the 1,000-bed Navy hospital ship USNS Comfort arriving in New York to support the city in its flight against coronavirus

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Doctors, hospitals and big pharma are paying billions in federal fraud settlements, and it shows the healthcare industry has a big problem

Bob Herman, Axios

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