{"list":[{"id":3778261,"hash":"nkl87lwr","type":"List","name":"China Healthcare Logistics - Shock Waves","alias":"china-healthcare-logistics-shock-waves","intro":"Tightly integrated medical ecosystems are upending healthcare logistics in China and around the world","description":"

Tech-enabled healthcare platforms to connect patients digitally with advice, medicine and healthcare services have been forerunners in China

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'Good Doctor', a $3 billion market-cap 'health-tech' industry leader with 440 million registered users as of June 2022, has gained recognition as subsidiary of data-rich insurer Ping An before a spin-off as 'Ping An Health and Technology' - - in April 2018

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Highlighted since January 2022, the Ping An Health stock [1833.HK] was issued a special dividend of HK$9.7 per share in December 2024 - Performance YTD (post dividend) on Hong Kong exchange exceeded 70% (as of August 2025)
Exceptional OTC share performance accounts for this special dividend pay-out

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In healthcare, e-Commerce giants Alibaba and JD.com adopted similar strategies supported by the data troves of their rich ecosystems, combining on-line medical advice with their pharmacies (300 000 consultations per day as of March 2022 for Alibaba)

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With strong performance on the Hong Kong exchange (as of August 2025), both $10 billion marketcap Alibaba Health (0241.HK) and $19 billion market cap JD Health (6618.HK) are very poorly traded on OTC, surprisingly so

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Partnerships between healthcare platforms and majors pharmaceutical firms - of which the March '21 distribution agreement between 111.Inc and BeiGene is an example - squares the circle by integrating medical advice, insurers, drugstores and pharmaceutical companies

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The tech approach has been adopted with gusto around the world, booking major successes during the pandemic for remote delivery of healthcare

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In the U.S., Teladoc Health - - an industry leader, has attracted competition from upstart American Well - - and from tech majors such as Amazon , with the Amazon Care program which is partnering with tele-health providers and Microsoft, with a recently acquired Nuance Communications service that addresses the clinical documentation requirements from doctor-patient interactions

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The selection is presented for information only because the industry segment is of special relevance - OTC pricing, performance and volatility of stocks are subject to major adjustments and require further research before investment

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Since the companies are often very loosely traded on OTC markets, their performance may not reflect the trend and the actual performance on their home market, adjusted for currency shifts, is always the single most important indicator - their track record on OTC is strictly informative and will justify further research

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With low trading volume on U.S. OTC markets for the listed shares, performance, volatility and drawdown calculations will be affected - these ratios do not reflect true performance, volatility and drawdown as these same shares are normally traded on their national exchange

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International themes for China Region are curated selections of majors companies - listed on US markets or investable on liquid OTC exchanges

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Directly accessible to American investors and quoted in US dollars, selections highlight technological or industrial advances and growth stories in foreign markets

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Valuable in the light of portfolio diversification, foreign equities may not offer the same level of accounting transparency as American firms

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OTC traded shares require additional research on accounting data to corroborate market prices

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