Building a strong, sustainable healthcare industry

Private Health Insurance

Consumer perceptions around a lack of affordability, the shift towards management of chronic illness and out of hospital care, heightened regulatory scrutiny and increasing cost pressures all provide a challenging landscape for health insurers.


Supporting the sustainability of the sector

With a focus on enhanced offerings and improving uptake, our team works with clients on:

  • contracting arrangements with hospitals and other parties;
  • innovating and expanding product and service offerings;
  • implementing changes to reflect ongoing regulatory reform;
  • promotional and marketing initiatives; and
  • leveraging technology and data to improve services.

With consolidation across the sector, we bring our private health insurance regulatory and M&A expertise together to achieve the best outcomes for our clients on transactions. We approach deals with an understanding of the sector and client nuances, which may require demutualisations and the navigation of key stakeholder relationships such as union relationships.

Our market-leading practice is unique and at the forefront of sector changes, as we continue to assist insurers navigate legal and commercial implications of COVID-19 and private health insurance reforms. This, alongside our work with the peak industry body, Private Healthcare Australia, enables our team of specialists to offer solutions for day-to-day problems, and over-the-horizon thinking to ensure the sustainability of the sector long term.

We help clients successfully manage risk, ensuring that risk considerations are automatically being factored into decision making at all levels of the organisation. This includes managing consumer law risks by providing legal approval of consumer-facing content from both a consumer law and health regulatory perspective.

Case studies

Short image

Honeysuckle Health, NIB

Advising Honeysuckle Health and nib on the application to the ACCC for authorisation for Honeysuckle Health to form and operate a buying group to collectively negotiate and administer contracts with healthcare providers on behalf of participants.

Short image

Private health insurers and financial services companies

Advising private health insurers and financial services companies on the purchase or sale of a health insurance business including obtaining APRA approval for a merger of health benefits funds.

Short image

Private Healthcare Australia

Advising Private Healthcare Australia on regulatory aspects of private health insurance law reforms, on exposure draft legislation, competition law advice and drafting commercial contracts.

Short image

Privacy Impact Assessments

Conducting Privacy Impact Assessments for a PHI in relation to data-related projects, including the establishment of a joint venture entity to provide data analytics, client profiling and related services to nib, as well as the broader public in future. 


Knowledge and expertise

We have a deep understanding of the sectors across healthcare, and importantly, how they interact and impact each other. This knowledge and experience allows us to provide comprehensive advice that considers both sector nuances and system-wide issues.