Last week, the Private Equity Stakeholder Project (PESP) published a study on the role of private equity (PE) in Medicare Advantage. The study found that PE investment has fallen since the increase of interest rates and the implementation of stricter regulations.
The study looked at PE activity between 2016 and 2023, and analyzed...
A new study published in JAMA has found a correlation between private equity acquisitions of hospitals and an increase in adverse events among Medicare patients.
The adverse events events rose 25% in a three year period following acquisition and included surgical infections and bedsores. The JAMA Network study analyzed 662,095...
The independent dispute resolution (IDR) process is a voluntary forum for healthcare providers and health insurance issuers to resolve disputes about how much should be paid for out-of-network care. A GAO report found six of the top 10 initiating parties submitting emergency and non-emergency disputes were owned, at least in part, by...
With nearly 50 organizations claiming ACO status in Arizona, the market for value-based payment arrangements is accelerating, Medicare is saving and ACO profits are growing within the Medicare Shared Savings Program (MSSP) and the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model.
In 2022...
The American Medical Group Association (AMGA) argues that requiring commercial payers to share pharmacy data with providers is a major move for value-based care as some physicians are pushing back on profit-focused private-equity firms investing or buying providers. And whether you're in a group or a private practice, healthcare...
The for-profit Ensign Group has kept up its pace of acquisitions in 2023 reporting 19 new facilities in neighboring states California and Colorado. A giant in the skilled nursing facility space, a local analysis found Ensign owns about 30% of SNF beds in Arizona.
Ensign's national footprint includes 290 healthcare operations, 26 of...
Nursing homes will be required to disclose outside investors in their ownership or operations management if a new proposed rule issued on Monday by the Centers for Medicare and Medicaid Services (CMS) is finalized.
Last week, the Government Accountability Office (GAO) issued a report calling for increased transparency on nursing home...
Moody's Investors Services reports 34 healthcare organizations, including a dozen hospitals in North America, are now reporting $65 billion in outstanding debt and rated as B3 negative - meaning obligations are considered speculative and subject to high credit risk. Bright Health Group's financial health is also taking a hit; after...
A white paper from UC Berkeley School of Public Health and the American Antitrust Institute looks at the astronomical growth of private equity’s investment in healthcare, characterizing the boom as focusing on short-term profits and not the well-being of patients, and its consequences.
According to the report, annual private equity...
A new study from Weill Cornell Medicine investigators published in JAMA Health Forum suggests quality of care in long-term care facilities declined when private equity firms took over the facilities.
According to Skilled Nursing News, the study found private equity acquisition of nursing homes to be tied to increases in emergency...National News
This week, health insurance company Humana, Inc. and private equity company Welsh, Carson, Anderson & Stowe announced they will launch a $600 million project in primary care centers specifically for Medicare Advantage beneficiaries.
Humana’s Partners in Primary Care already runs primary care facilities in a handful of markets...