This study considers four categories of business models in healthcare in India and Ireland, using Porter’s generic strategies concept as a framework. The study finds that in both countries, business models exist in all four categories – broad low-cost, broad premium, focused low-cost and focused premium. However, the mechanism of implementation of the business models is different in each country and the mode of implementation is matched to each country’s economic and social circumstances. The paper concludes that cross-country learning in healthcare is not one-way: that developed economies have much to learn from emerging economies, and vice versa.