Originally Posted by bystander

Hi your "tiering" of private groups may have some truth 10-15 yrs ago.
Most of your "Tier 1 & 2" groups have downsized significantly, others are struggling financially or backed by disreputable foreign entities.
Perhaps you should have a chat with relevant folks in MOH, which group is now the most resourceful, potent and can execute national healthcare objectives in double quick time, even outdoing OPS ?