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The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm

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Contractual considerations in the private equity era.

Veshesh Patel¹, Lisa M Nijm^2,3

¹Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL.

Current Opinion in Ophthalmology

|July 15, 2022

Summary

Private equity (PE) in medicine is expanding. Ophthalmologists and practice owners must carefully review contracts, focusing on valuation, obligations, and compensation to protect clinician, practice, and patient interests.

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Area of Science:

Healthcare Management
Ophthalmology
Corporate Finance

Background:

Private equity (PE) investment in healthcare, particularly ophthalmology, is increasing.
Understanding contractual relationships between PE firms and medical practices is crucial.

Purpose of the Study:

To analyze the key contractual considerations for practice owners and employee physicians engaging with private equity firms in ophthalmology.
To highlight the importance of due diligence in PE agreements for all stakeholders.

Main Methods:

Review of typical private equity agreement structures in healthcare.
Analysis of contractual obligations from both practice owner and employee physician viewpoints.
Identification of critical evaluation points within PE contracts.

Main Results:

Practice owners must assess practice valuation, post-sale obligations, and their evolving role.
Employee physicians need to scrutinize equity, vesting, noncompete clauses, and future sale implications.
PE agreements necessitate clear understanding of investment patterns and legal compliance.

Conclusions:

Thorough evaluation of private equity contracts is essential for ophthalmologists and practice owners.
Agreements must prioritize the best interests of clinicians, practices, and patients.
Informed negotiation is key to navigating the complexities of PE involvement in ophthalmology.