在私募股权收购后医院工资支出和利用变化的变化,2005-19
1Sneha Kannan, University of Pittsburgh, Pittsburgh, Pennsylvania.
Health affairs (Project Hope)
|February 3, 2025
概括
医院的私募股权收购往往涉及到降低工资支出,影响员工和服务量. 各公司的策略各不相同,大多数公司通过员工工资削减成本.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保健领域的私募股权 (PE) 收购很常见,但其战略影响仍在争论中.
- 投资者回报策略可能在购买医疗保健提供者的PE公司之间有所不同.
研究的目的:
- 分析私募股权收购如何影响医院工资支出和服务利用情况.
- 区分PE公司在管理被收购的医疗保健提供者的策略.
主要方法:
- 对医疗保险医院费用报告 (2005-2019) 的差异分析.
- 242家获得PE的医院与870家匹配的对照医院进行了比较.
- 检查公司工资支出和累计费用的变化.
主要成果:
- 与对照医院不同的是,获得PE医院的医院减少了工资支出 (12.9%-27.3%).
- 大多数临床部门的工资支出减少,但根据公司而言有所不同.
- 大多数被收购的医院显示,尽管收费主费率上升,服务利用率下降 (累计费用).
结论:
- 私募股权公司通常会实施削减成本的策略,主要是通过减少医院的工资支出.
- 这些成本降低与服务量减少有关,这表明对护理服务的潜在影响.
- 在PE公司的策略中存在差异,其中一些优先考虑削减成本而不是维持服务水平.
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