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RIO DE JANEIRO, BRAZIL - Brazilian health plan and hospital operator Hapvida on Friday, January 8th, offered to buy rival Notre Dame Intermedica for R$49 billion (US$9.04 billion) in an all-share deal that would create the country’s largest hospital chain.

The companies, if combined, would have 8.4 million health insurance clients, spanning from the country’s north and northeast, where Hapvida is concentrated, into the wealthier south and southeast where Intermedica operates, according to a document reviewed by Reuters.

The joint entity will likely be able to cut costs, given that it serves some of . . .

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