Despite soaring stock markets, IPO activity remains sluggish, with many international exchanges experiencing a drought. The disconnect stems from a lack of compelling companies and a shift in investor preference towards stable cash flows over speculative ventures. While some emerging markets show signs of life, overall, the IPO landscape is parched, reflecting deeper systemic issues.
The Brazilian supplementary health market is experiencing significant concentration, with large operators increasing their beneficiary bases by 41% from 2011 to 2022, while smaller operators decline. This trend raises concerns about service quality and user dissatisfaction, evidenced by a 138% rise in complaints over five years. Mergers and acquisitions are prevalent as companies seek operational efficiencies and market consolidation, particularly among health tech assets.
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