A study of leveraged buyouts sheds new light on the impact of such acquisitions.
of 42 leveraged buyouts of hospitals by PE firms from 2003 to 2017 suggests that these competing views do not fully characterize the reality of these acquisitions. Instead of framing PE’s influence in health care as simply “good” or “bad,” we believe that future policy discussions around PE should do the following:
Make recommendations specific to each provider community because the issues — potential benefits, risks, and what’s inciting investments — raised by PE acquisitions may vary considerably across them. Focus on strategies aimed at aligning economic incentives, penalties, and oversight so that PE’s capital resources and management expertise can be redirected to maximizing benefits for patients .
In this article, we provide an overview of the existing research on the effects of PE ownership of U.S. hospitals and health systems. Specifically, we highlight the key changes in health systems after they’ve been acquired by PE firms with respect to their financial health, staffing levels, care quality, and availability of service lines. We conclude by calling attention to the key issues that should shape future policy deliberations on PE in health care.
When we looked at the 42 leveraged buyouts of hospitals by PE firms, several clear patterns emerged. First, relative to their non-acquired counterparts, acquired hospitals were concentrated in the southern United States and tended to be slightly larger, had higher margins, and were in more populated areas.
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