In the Economy Committee, where the draft law on concessions and Public-Private Partnership was discussed, MPs raised serious concerns about the practice of transferring concession contracts between companies, especially in the health sector, where some of them have become de facto monopolies.
At the center of the debate was the hemodialysis concession, granted in 2016 for a 10-year period to the American Hospital and the company “Evita shpk”, linked to businessman Klodian Allajbeu. The two companies then created “Dia Vita”, with which the Ministry of Health signed a contract for the provision of hemodialysis services in five regional hospitals: Shkodër, Lezhë, Vlorë, Elbasan and Korçë.
SP MP Erion Braçe described the process of continuous transfers as favoring the monopolization of services:
"The possibility of transferring contracts from one company to another must be removed. A monopoly has been created in healthcare."
Opposition MPs also expressed themselves along the same lines, including Besart Xhaferri of the Democratic Party, who also spoke of "clear monopolization" of the hemodialysis service.
According to the deputies, the hemodialysis contract has been transferred several times within a closed circle of companies linked to Allajbeu. Just three years after receiving the concession, in 2019, “Dia Vita” transferred the contract to the Swedish company “Diaverum”, which later, according to the data made public, transferred it to a company with Arab capital.
During this period, the management structure of the companies has changed constantly, with Albanian and foreign administrators coming and going, while Allajbeu himself does not officially appear in the documents. Currently, the company is represented by Klodian Shehu, the businessman's brother-in-law.
The MPs demanded a full investigation into the reasons for these transfers, stressing that they may have been used to avoid fiscal burdens and hide legal responsibilities.
The hemodialysis contract has been among the most contested by the Supreme State Audit, which has identified suspicions of abuses of the quality of service and double billing for procedures not provided. According to the Supreme State Audit, the state has paid about 2.3 billion lek per year for service forecasts and not for services actually performed, which has directly burdened the taxpayers' budget.
The hemodialysis concession thus remains one of the most controversial issues in the health sector, where transfer practices, suspicions of abuse, and market concentration are increasing demands for transparency and in-depth investigation.
