As the Italian healthcare privatization industry strives to become an economic pillar, it faces the risk of losing control over itself. The economic crisis has made it more difficult to manage private enterprises, especially those in the healthcare sector. Founders of such enterprises, often external investors, have had to face problems of capital shortage and lack of expertise, causing a series of failures and investment withdrawals.

The Dermopatico Istituto of Rome, acquired by Luigi Maria Monti Foundation, was one of the most recent cases. Its sale to Ream Sgr for 475 million euros was followed by a long crisis where the extraordinary administration of 2013, the passing to the Foundation in 2015, and the restructuring agreement of 80 million in 2022 were only elements of proof of a situation where management was in difficulties. The Reale Group case is another example of success in healthcare privatization.

The acquisition of around 80% of Lifenet Healthcare from Exor and founder Nicola Bedin allowed to integrate the therapeutic field, but did not achieve the expected results. Furthermore, the declared motivation was to pass from insurance to true therapy integration, integrating the field. The Columbus Clinic of Via Buonarroti, founded in 1949, was acquired by entrepreneur Daniele Schwarz in 1986.

This led to a significant growth, with a total of 10,000 people and a 33,000 access emergency department. However, its operations have been influenced by various factors, including the lack of sufficient capital and expertise to face problems such as the lack of robotics and client base. The Italian healthcare privatization industry has had a significant impact on society.

However, there has been an increase in failures and investment withdrawals, causing a series of incidents and capital losses. This has led to economic crises that have made it more difficult to manage private enterprises, especially those in the healthcare sector. Today, the future of this trend seems uncertain.

The companies that strive to become country pillars are risking losing control over themselves because they do not have either the patrimonial strength or the managerial skills necessary to handle the problems that have come out. This has led to incidents and failures, as demonstrated by the Dermopatico Istituto of Rome and the Reale Group cases, which have shown the difficulty of managing private enterprises in this field. In conclusion, while healthcare privatization can represent a step forward in improving healthcare services quality, it is important to carefully consider the associated risks and find ways to ensure effective management of private enterprises in the healthcare sector.