Expansion of Private Equity Involvement in Women’s Health Care

Bruch, Joseph Dov; Borsa, Alexander; Song, Zirui; Richardson, Sarah S.

doi:10.1001/jamainternmed.2020.3567

Cited by 20 publications

(28 citation statements)

References 6 publications

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“…10 Insurance acceptance data in PE-run clinics was similar in obstetrics and gynecology, in which a study of several thousand PE-owned clinics found that all accepted private insurance, most accepted Medicare (98%), and some accepted a form of Medicaid (85%). 7 Factors related to cost and quality have been studied in other medical specialties, particularly hospital medicine and longterm care, although the number of studies is limited. Relevant to dermatology, studies in these specialties have found that PE ownership is associated with lower patient satisfaction scores, 12 lower levels of full-time employees per capita, [12][13][14] lower supply levels, 15 greater numbers of reportable deficiencies, 14 albeit with similar publicly reportable quality metrics in some areas.…”

Section: Practice Dynamicsmentioning

confidence: 99%

Surgical Dermatology and Private Equity: A Review of the Literature and Discussion

2021

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BACKGROUND While there has been substantial investment in dermatology by private equity (PE), the relevance of this trend to the dermatologic surgeon has not been assessed. OBJECTIVE The literature on PE investment in medicine was reviewed to provide interdisciplinary data relevant to the dermatologic surgeon. MATERIALS AND METHODS The PubMed database was queried for all peer-reviewed articles containing the term "private equity" and identified 70 unique articles across 18 medical specialties, comprising 20 original research articles and 50 commentary articles. RESULTS Significant PE growth across multiple medical specialties occurred in the 2010s. Private equity ownership was associated with higher levels of nonphysician providers relative to physicians. Pooled data suggest that PE ownership is associated with lower staffing levels, particularly for non-revenue-generating staff, as well as potentially lower levels of medical supplies on hand. Data on financial performance suggests that PE-ownership results in higher profits, revenues, and costs. Surveys of physicians demonstrate concern about autonomy, ethics, and career prospects. CONCLUSION For the dermatologic surgeon, issues related to consolidation, provider scope of practice, support staff availability, and supply management are important due to the nature of procedural intervention and the increased risk of adverse events.

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Section: Practice Dynamicsmentioning

confidence: 99%

Surgical Dermatology and Private Equity: A Review of the Literature and Discussion

2021

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“…Concerns related to the geographical areas targeted by PE were also expressed, since infrastructure needs to allow for quick growth realization [ 2 , 37 ]. Bruch et al [ 60 ] and Appelbaum and Batt [ 2 ] found that PE-backed practices are primarily located in urban or suburban areas with above-average median household income in the US. Haaß et al [ 8 ] and Laschet [ 54 ] present similar findings for Germany.…”

Section: Resultsmentioning

confidence: 99%

Physicians’ Perspectives Regarding Private Equity Transactions in Outpatient Health Care—A Scoping Review and Qualitative Analysis

Nolte

Miedaner

Sülz

2022

IJERPH

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Private equity (PE) investments in health care have increased drastically over the last decade, and the profit interests of these companies have triggered a vivid discussion among medical professions. However, what are the key underlying perceptions among physicians regarding this trend? Unravelling the argumentative structure of this debate is the purpose of this paper. With physicians being a major stakeholder group in the outpatient health care setting, this paper explores physicians’ perspectives regarding increasing PE activities. We systematically searched, selected, and synthesized existing knowledge in a scoping review and complemented the findings through 14 semi-structured interviews with physicians working in the outpatient health care sector in Germany. The results outline a complex network of arguments, concerns, and fears whereby the first intuitive perception of physicians is of critical nature. Arguments cluster around central perceptions of how PE involvement affects the individual autonomy of physicians in their daily work and decision-making, the impact on quality of care, work-life balance considerations, PE investment strategies, lack of medical vs. managerial expertise, and taxation issues. The high number of opinion papers among the literature underlines the actuality of the topic and emphasizes the need for empirical research.

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“…Here, the private equity formula is to buy and enlarge "platform practices," load them up with debt, extract maximal profits, and then sell them at much higher prices than the purchase price. 10…”

Section: Obstetrics-gynecology Practicesmentioning

confidence: 99%

Investor-owned Health Care: The Hidden Blight on America’s “System”

Geyman

2021

Int J Health Serv

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Investor ownership of US health care has grown exponentially in the past 50 years through ever closer ties with Wall Street corporate interests. More recently, private equity firms have accelerated this process, invariably with harmful impacts on access to affordable care, its quality, and profiteering, with little accountability. These impacts are fueled by several concurrent trends: (1) increasing privatization, (2) consolidation and mergers, (3) increasing bureaucracy and waste, and (4) profiteering that may bleed into outright fraud. This article traces the uncontrolled growth of health care costs and prices in recent decades, together with documented examples across the health care delivery system whereby profit-driven, investor-owned interests have compromised patient care. These include hospitals, emergency care, nursing homes, mental health, and practices of such specialities as obstetrics–gynecology and ophthalmology. These practices have compromised patient care in the midst of a pandemic and economic downturn, as reflected by markers of a system needing reform. A larger role of government is called for, together with the advantages of Medicare for All in establishing health care as a human right, not a privilege based on ability to pay.

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Expansion of Private Equity Involvement in Women’s Health Care

Cited by 20 publications

References 6 publications

Surgical Dermatology and Private Equity: A Review of the Literature and Discussion

Surgical Dermatology and Private Equity: A Review of the Literature and Discussion

Physicians’ Perspectives Regarding Private Equity Transactions in Outpatient Health Care—A Scoping Review and Qualitative Analysis

Investor-owned Health Care: The Hidden Blight on America’s “System”

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