About Us
International Work
Our Team

Our Work

Residents in Wenchuan, China receive healthcare services after the 2008 earthquake. A case study on the Wenchuan earthquake is part of the PPP Initiative Ltd.'s Healthcare PPP Case Study Program.

Our research addresses complex public policy challenges, primarily in developing countries. We work with many different kinds of stakeholders—governments, multinational corporations, multilaterals, non-profits, and foundations.

The PPP Government Guide

The PPP Government Guide: Designing Healthcare Solutions with PPPs

After nearly a year of development, PPPI’s newest core curriculum document, the PPP Government Guide: Designing Healthcare Solutions with PPPs, is now available on the website of the Office of Global Affairs (OGA), US Department of Health and Human Services.

The Guide is a 135-page primer in the incentives, motivations, skills, and frameworks that underpin successful public-private partnerships. It represents the clearest distillation of our 17 years of expertise in the study of healthcare PPPs. Designed for government executives and professionals, the Guide offers a clear message: with a solid understanding of the economic, political, and policy issues associated with complex healthcare challenges—such as non-communicable diseases, aging populations, and Covid-19—governments can engage the private sector in innovative partnerships to address these challenges effectively and sustainably.

The PPP Government Guide has been made possible by the generous support of the Office of Global Affairs, US Department of Health and Human Services. In its capacity as the healthcare diplomacy arm of the United States, OGA has worked constructively with the WHO High-level Independent Commission on NCDs for the past two years, developing solutions to the growing crisis of non-communicable diseases. The Guide represents OGA’s main contribution to the execution of the Commission’s recommendations.

White Papers

Lessons Learned: Healthcare PPP Case Studies and Forums in Asia

This 2018 white paper reflects on PPPI’s Case Development Program and on our series of Healthcare PPP Forums in China and Singapore. It touches on many key issues, including the necessity of case-based curricula for teaching PPP. The paper centers on three key recommendations involving the convergence of NCDs and eldercare, a flexible PPP model, and capacity-building for PPPs.

Download in English

Mapping PPPs Across Countries (China and India)

This 2015 study was researched and published during PPP Initiative’s affiliation with Johns Hopkins University’s School of Advanced International Studies. Over the course of 18 months, a research team lead by Professor Trager and principal researcher Molly Guan identified China and India’s varying constraints and abilities to leverage PPP, using a data-driven approach. The study found that the two countries faced many similar challenges and three key hurdles: execution, financing and innovation.

The Eli Lilly Foundation provided funding for the research and preparation of the Mapping Study.

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Healthcare PPP Case Study Program

Amgen, Inc. supported an independent research project by PPP Initiative Ltd. to create a set of healthcare PPP case studies that would have specific relevance to Asia. The case studies aim to be the definitive model for building PPP capacity in China and beyond. The Case Study Program included five forums: two in Beijing; two in Singapore and one in Washington D.C.

Public-Private Partnerships: Conditions and Applications in the United States

by Alan M. Trager and Lubna Anantakrishnan

Pilot Project for Beijing’s Elderly: A Public-Private Partnership

by Kristen Lundberg for Alan M. Trager

Do the Elderly Have to be Ailing? Singapore’s Health Promotion Board

by Kristen Lundberg and Alan M. Trager

The National Kidney Foundation (NKFS): Charity juggernaut or semi-public agency?

by Alan M. Trager, Christine Kng, and Melania Lotti

Additional Case Studies

Partnership for Life: Wenchuan Rebirth

A case study about China’s recovery from a catastrophic earthquake in 2008 (58,000 people were injured or dead in two minutes).

Hongqiao International Medical Center

A case study about a city medical park formed as a PPP in Shanghai.

Steward Health Care System: Betting on Low-Cost, High-Quality Healthcare

A case study about the transformation of the Boston Archdiocese Hospital System as a result of a $900 million private equity transaction and the recruitment of a Harvard Medical School cardiovascular surgeon as CEO.