Private Equity Investments In Health Care: An Overview Of Hospital And Health System Leveraged Buyouts, 2003-17

dc.citation.firstpage719
dc.citation.issueNumber5
dc.citation.journalTitleHealth Affairs
dc.citation.lastpage726
dc.citation.volumeNumber40
dc.contributor.authorOffodile, Anaeze C. II
dc.contributor.authorCerullo, Marcelo
dc.contributor.authorBindal, Mohini
dc.contributor.authorRauh-Hain, Jose Alejandro
dc.contributor.authorHo, Vivian
dc.date.accessioned2021-05-24T19:14:59Z
dc.date.available2021-05-24T19:14:59Z
dc.date.issued2021
dc.description.abstractPrivate equity firms have increased their participation in the US health care system, raising questions about incentive alignment and downstream effects on patients. However, there is a lack of systematic characterization of private equity acquisition of short-term acute care hospitals. We present an overview of the scope of private equity–backed hospital acquisitions over the course of 2003–17, comparing the financial and operational differences between those hospitals and hospitals that remained unacquired through 2017. A total of 42 private equity deals occurred, involving 282 unique hospitals across 36 states. In unadjusted analyses, hospitals that were acquired had larger bed sizes, more discharges, and more full-time-equivalent staff positions in 2003 relative to nonacquired hospitals; private equity–acquired hospitals also had higher charge-to-cost ratios and higher operating margins, and this gap widened during our study period. These findings motivate evaluations by policy makers and researchers on the impact, if any, of private equity acquisition on health care access, spending, and risk-adjusted outcomes.
dc.identifier.citationOffodile, Anaeze C. II, Cerullo, Marcelo, Bindal, Mohini, et al.. "Private Equity Investments In Health Care: An Overview Of Hospital And Health System Leveraged Buyouts, 2003-17." <i>Health Affairs,</i> 40, no. 5 (2021) Project HOPE: 719-726. https://doi.org/10.1377/hlthaff.2020.01535.
dc.identifier.doihttps://doi.org/10.1377/hlthaff.2020.01535
dc.identifier.urihttps://hdl.handle.net/1911/110639
dc.language.isoeng
dc.publisherProject HOPE
dc.rightsThis is an author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by Project HOPE.
dc.subject.keywordPrivate equity
dc.subject.keywordleveraged buyouts
dc.subject.keywordhospital markets
dc.titlePrivate Equity Investments In Health Care: An Overview Of Hospital And Health System Leveraged Buyouts, 2003-17
dc.typeJournal article
dc.type.dcmiText
dc.type.publicationpost-print
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