Understanding private equity-owned HHAs in the U.S.: A performance comparison between pe-owned and non-pe-owned agencies

Health Policy, Год журнала: 2025, Номер 153, С. 105250 - 105250

Опубликована: Янв. 22, 2025

Язык: Английский

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Association of Private Equity Firm Acquisition of Ophthalmology Practices with Medicare Spending and Use of Ophthalmology Services

Ophthalmology, Год журнала: 2023, Номер 131(3), С. 360 - 369

Опубликована: Сен. 29, 2023

Язык: Английский

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Private equity expansion and impacts in united states healthcare

Health Policy, Год журнала: 2025, Номер 155, С. 105266 - 105266

Опубликована: Март 3, 2025

Язык: Английский

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What are the policy options for regulating private equity involvement in health care? A review of policies implemented or considered in seven high-income countries

Health Policy, Год журнала: 2025, Номер unknown, С. 105312 - 105312

Опубликована: Апрель 1, 2025

Over the past two decades, private equity investment in health care has increased substantially. Proponents argue that can optimize and improve services, while critics warn business model of these firms is not aligned with social values delivery harmful consequences for systems patients. It remains unclear to what extent - how subnational, national supranational governments have attempted regulate this activity. The purpose study therefore was identify examples implemented proposed policy options regulating activity within care, goal elucidating available regulators. We conducted a narrative review or instruments selected high-income countries, grouping them by type using conceptual framework based on works Milton Friedman Avedis Donabedian. Our search identified several addressing countries under review. Most intervention fall into category disclosure, only one focused regulation outcomes. suggests some started develop interventions directly address role other do specifically

Язык: Английский

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Associations between corporate ownership of primary care providers and doctor wellbeing, workload, access, organizational efficiency, and service quality

Health Policy, Год журнала: 2024, Номер 142, С. 105028 - 105028

Опубликована: Фев. 19, 2024

Traditionally, in many countries general practices have been privately-owned independent small businesses. However, the last three decades has seen rise of large corporate medical groups defined as private companies which are able to non-GP shareholders and with branches across locations. The greater prominence profit motives may implications for costs, access care quality care. We estimate that 45% GPs Australia worked a practice was company, within this group over one third (19.9% total) (a company 10 or more locations). examine association between being 19 outcomes classified into five groups: GP wellbeing, workload, patient access, organizational efficiency, service quality. who such were likely be older, qualified overseas, conscientious personality. There mixed evidence on reporting higher turnover but similar levels job satisfaction. workload terms hours after work they reported lower work-life balance. Patient better fees charged patients there weak waited longer. organisational efficiency because spent less time administration management, had nurses per GP, despite undertake tasks someone could do suggesting complements not substitutes. no differences (teaching, complaints, consultation length, hour). Corporate become substantial part primary provision Australia. is efficient, out pocket costs our measures quality, concerns remain about GP's wellbeing Further research needed continuity experiences health outcomes.

Язык: Английский

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Access to Treatment Before and After Medicare Coverage of Opioid Treatment Programs

Health Affairs Scholar, Год журнала: 2024, Номер 2(6)

Опубликована: Май 30, 2024

Abstract Since January 2020, Medicare has covered opioid use disorder (OUD) treatment services at programs (OTPs), the only outpatient settings allowed to dispense methadone for treating OUD. This study examined policy-associated changes in acceptance and availability of four OUD (ongoing buprenorphine, HIV/AIDS education, employment services, comprehensive mental health assessment), by for-profit status, county-level Medicare-accepting-OTPs access, sociodemographic characteristics (racial composition, poverty rate, rurality). Using data from 2019-2022 National Directory Drug Alcohol Abuse Treatment Facilities, we found increased 21.31% 2018 80.76% 2021. The increased, but no increases were significantly associated with coverage. While OTP access improved, counties higher rates non-White residents experienced an additional average increase 0.86 (95% CI, 0.05–1.67) compared those without populations. Overall, coverage was improved not ancillary services.

Язык: Английский

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Private Equity and Its Increasing Role in US Healthcare

Advances in Surgery, Год журнала: 2022, Номер 56(1), С. 79 - 87

Опубликована: Сен. 1, 2022

Язык: Английский

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The Role of Private Equity in Health Care for Older Adults

Public Policy & Aging Report, Год журнала: 2023, Номер 33(2), С. 41 - 43

Опубликована: Апрель 6, 2023

Journal Article The Role of Private Equity in Health Care for Older Adults Get access Lauren R Bangerter, PhD MedStar Research Institute, Hyattsville, Maryland, USA Address correspondence to: R. PhD, 6525 Belcrest Rd #700c, MD 20782, USA. E-mail: [email protected] Search other works by this author on: Oxford Academic Google Scholar Public Policy & Aging Report, Volume 33, Issue 2, 2023, Pages 41–43, https://doi.org/10.1093/ppar/prad002 Published: 06 April 2023 history Received: 16 January Editorial decision: 10 February

Язык: Английский

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What Explains Changes in Availability of Specialty Mental Health Services in Organized Settings?

Milbank Quarterly, Год журнала: 2022, Номер 100(4), С. 1166 - 1191

Опубликована: Дек. 1, 2022

Policy Points Community mental health facilities often do not offer the full range of evidence-based clinical and support services for individuals with serious illness. Facilities were no more likely to six seven studied in 2019 compared 2010 both Medicaid expansion nonexpansion states. For-profit generally experienced largest declines service availability, while public smallest small increases availability select services. New payment models that incentivize specialty may be needed encourage adoption by organizations.Community This creates equity issues, particularly when low-income minority communities have access fewer facilities. might these However, this decision also affected facility ownership type or mediated cost structure, absence innovative mechanisms. In study, we determine whether how are associated changes organized settings over time.We estimated two-way fixed effects using cross-sections National Mental Health Services Survey facility-reported offering from (54,885 years): psychotropic medication, case management, family psychoeducation, psychiatric emergency walk-in services, supported employment, assertive community treatment, illness recovery We tested (private for-profit, private not-for-profit, public) differential 2019.Overall, nearly all than 2010. found smaller medication among states non-Medicaid (6.3 (95% CI 95% = 1.8-10.7) 5.5 0.2-10.8) percentage points respectively). 2019, some services.Specialty still widely offered outpatient despite significant investments Medicaid, although was slower availability. needed.

Язык: Английский

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Private equity’s intrusion into US healthcare

BMJ, Год журнала: 2023, Номер unknown, С. p1827 - p1827

Опубликована: Авг. 29, 2023

Язык: Английский

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