Opinion

Six forces reshaping healthcare in the UAE and GCC

Healthcare in the UAE and wider GCC is growing up. And rather than just a growth spurt, this is an inevitable maturing.

For the last decade, the region has been defined by bold investments, massive infrastructure projects, and a willingness to experiment with the latest medical technologies. This has led to extraordinary progress. As we look forward, however, the strategy is changing.

Scale alone is no longer a guaranteed path to success. The next chapter of healthcare in the region will be defined by how well providers manage their governance, the actual health outcomes they produce for patients, and the long-term sustainability of their business models. The region is moving away from a fragmented market of independent players toward a highly regulated, consolidated, outcome-driven ecosystem.

Several forces are driving this transformation, and we can expect to see a very different healthcare landscape over the next two years.

1. AI and stem cell regulation: protecting the patient

Innovation has always been integral to healthcare, but the speed at which new technologies are moving from the laboratory to the doctor’s office is unprecedented. This rapid pace means that regulation needs to play catch-up to ensure that patient safety remains the top priority.

The rise of clinical AI

Of all the innovative applications for Artificial Intelligence that are emerging, the most exciting lies in the medical sector. Tools for diagnostics, decision support, and administrative automation are already mainstream, and the opportunities for further growth are proving boundless. However, this fast adoption has raised serious concerns regarding data security, algorithmic bias, and clinical oversight. As a result, clear, robust guidance in the UAE regarding how AI projects are being introduced.

Regulators are looking for the "breakpoints" or moments in AI-driven processes where human oversight and control are needed. Technology can assist in a diagnosis or a treatment plan, so long as a qualified medical professional remains the final decision-maker. The future will be less about the tech you have and more about how transparent and explainable your systems are to both doctors and patients.

Stem cells and regenerative medicine

A similar shift is happening in the world of stem cells and regenerative medicine. Over the past two years, there’s been a massive proliferation of treatments such as Platelet-Rich Plasma (PRP), anti-ageing therapies, and hair restoration. These started as niche cosmetic offerings but are now used in more complex areas, such as orthopaedic procedures and even the treatment of neurological conditions.

Because of this growth, tighter protocols are being introduced. It’s likely that this year will see a wave of new guidance designed to protect patients from unproven claims and ensure that these interventions are backed by solid clinical evidence.

2. Medical tourism: the arrival of new global brands

The UAE has set its sights on becoming a world-class destination for medical tourism. The region is courting the world’s most prestigious healthcare brands to enter the market through strategic alliances and partnerships with local operators. By bringing in global brands, the region benefits from increased capacity as well as decades of clinical expertise, research standards, and operational excellence from outside organisations.

Making medical tourism seamless

The Dubai Health Authority and the Department of Economy and Tourism are already working together to promote Dubai’s healthcare sector internationally and attract investment into healthcare services and medical travel offerings, showing global players that the UAE is open to healthcare collaboration and integration.

Efforts to grow medical tourism are not limited to Dubai. In Abu Dhabi, the Department of Health launched a medical tourism e-portal, showing its intent to attract global patients and support healthcare tourism.

Beyond internal growth, these partnerships also connect the UAE to wider referral networks across Africa and other emerging markets. All this drives healthy competition, forcing local players to improve their own standards to keep pace.

3. Market correction: closures and business failures

The growth of the healthcare capacity in the UAE has been relentless in recent years. This is certainly a positive trend, but the downside is that, in certain segments such as the private sector in major cities, supply has finally begun to outrun demand.

The pressure on private clinics

In Dubai alone, there are now 67 private hospitals, with more planned. While the population is growing, it’s not growing fast enough to fill every new bed. Many private facilities need high occupancy levels just to reach their break-even point. When you combine high overhead costs with an increasingly crowded market, the financial strain becomes inevitable.

The year of rationalisation

In 2026 and beyond, we will see an inevitable correction point. Facilities with poor locations, fewer specialised services, or a smaller footprint will face the difficult choice of whether to close doors or be bought by a larger group. This isn't necessarily a sign of a weak industry, but rather a sign of a maturing one. The market is moving away from fragmentation toward a model in which only the most viable and differentiated providers survive.

4. Market consolidation: choosing depth over breadth

It doesn’t pay to be a small, independent clinic in a competitive environment anymore. Larger networks have the muscle to negotiate better rates with insurance companies, the capital to invest in new technology, and the ability to spread their operational risks across multiple locations. If you want to survive, consolidation is a necessity.

Strategic acquisitions

The days of "greenfield" growth, where a company builds a brand-new hospital from the ground up, are gone. Acquisition is the new growth strategy. For the largest operators, it’s often faster and more cost-effective to buy an existing facility that’s struggling and integrate it into their larger, more efficient platform.

This consolidation is about getting bigger, yes, but doing so in a smarter way. We’re seeing groups acquire complementary services, such as specialised clinics or diagnostic centres, to create a more resilient ecosystem where patients can be treated within the same network regardless of their medical needs.

5. Value-based healthcare: a shift in the business model

For a long time, the region has operated on a fee-for-service model, in which providers are paid for each test, consultation, or procedure they perform. However, with rising insurance premiums and insurers struggling with poor loss ratios, this model is under pressure.

Outcomes over activity

The industry is now moving towards Value-Based Healthcare, with a focus on the quality of outcomes rather than the volume of activity. In the future, we can expect to see more partnerships between insurance companies and healthcare providers that prioritise "quality and outcome first" strategies.

It’s a win for hospitals and patients, as hospitals will be rewarded for keeping patients healthy and out of the hospital, rather than just filling a bed. This, however, requires a total rethink of care delivery. There needs to be more investment in preventive medicine, better data tracking to prove a treatment worked, and more integrated pathways for chronic disease management. If executed well, however, the advantages are huge. The alignment between those who pay for care and those who provide it will lead to a more sustainable economic model for everyone.

6. Expansion of growth funds and private equity

The final force at play is the changing nature of investment. Healthcare is no longer viewed as just another service sector but, rather, as a pillar of national security and economic resilience.

Government-backed growth

The expansion of national growth funds signals a deep commitment to the sector. These funds are investing in domestic players to help them become globally competitive. And this goes far beyond simply providing cash – it brings in professional governance, better business structures, and the expertise needed to scale across borders. Such sustained support will play a significant role in shaping the sector’s long-term growth and competitiveness.

International investment giants

As the government is doing its part, international private equity firms that previously avoided the region are also starting to invest heavily. Like so many businesses, they’re drawn by the innovation-friendly environment and the clear, positive trends in the UAE’s regulatory framework. This interest will lead to more specialised healthcare funds being launched by 2026 and will further drive consolidation and the launch of new, highly specialised service lines.

Moving towards a mature future

The healthcare sector in the UAE and GCC has always been dynamic. Tomorrow’s market leaders will be those who balance innovation with strict governance, and ambitious growth with financial sustainability. Regulation will reward those who are responsible, consolidation will favour those who are resilient, and investment will flow toward those delivering real, measurable value to their patients.

The region has already proven it can move at lightning speed. The new challenge is to ensure that every step represents a shift towards a better, safer, and more sustainable healthcare future.

Mark Adams

author
With over 40 years of experience in health insurance and clinical operations, Mark Adams began his career in insurance broking and dental capitation before transitioning to hospital and clinic management in the UK, US, and Middle East. Mark has run organisations including AXA Healthcare, Denplan, Virgin Healthcare, Gulf Healthcare, and Anglo Arabian Healthcare. Currently, Mark is CEO of Dubai’s leading 5-star hospital, the Clemenceau Medical Center. He also serves on the boards of Johns Hopkins Aramco Healthcare and Tibbiyah in Saudi Arabia. He is also the Chair of Renovo Healthcare, a UK Hospital Group. Mark has previously sat on the boards of the NMC Hospitals, the British Quality Foundation, the London Board of the NSPCC, and has run the leading social care charity Community Integrated Care where he was twice voted Healthcare Leader of the Year in the Charitable sector. He has also advised Prudential on entering the health insurance market and sat on the board of PruHealth (Vitality Healthcare) during the launch of this market challenger.