在私募股权拥有的胃肠道病学实践中,医生专业费用增加
Yashaswini Singh1, Zirui Song2, Daniel Polsky3
1Yashaswini Singh (yashaswini_singh@brown.edu), Brown University, Providence, Rhode Island.
Health affairs (Project Hope)
|February 3, 2025
概括
在胃肠病学实践中私募股权 (PE) 收购导致价格大幅上,主要是通过更高的专业费用. 这一趋势可能会抵消旨在通过将护理转移到卫生系统以外的环境来降低医疗保健成本的政策努力.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 胃肠病学实践管理的管理.
背景情况:
- 由卫生系统驱动的医生实践整合,刺激了通过将护理转移到非卫生系统设置来降低医疗保健成本的政策.
- 私募股权 (PE) 公司越来越多地采用这些非医疗系统的做法,可能会破坏节省成本的目标.
研究的目的:
- 调查PE收购对价格和胃肠病学实践中的护理利用的影响.
- 为了比较PE获得的实践与卫生系统附属和独立实践的结果.
主要方法:
- 利用了与商业索赔 (2015-2020) 相关的胃肠病学实践的新型所有权数据.
- 分析了专业和设施费用的变化,以及PE收购后的护理利用率.
- 比较PE获得的实践与卫生系统附属和独立的实践.
主要成果:
- 收购PE与每项索赔价格上92美元 (28.4%) 相关.
- 这一价格上是由专业费用上78.1%所推动的;设施费用没有显著变化.
- 在收购后,医疗保健的使用率也增加了.
结论:
- 企业可以通过各种方式提高价格,特别是门诊机构的专业费用.
- 在私人医院获得的实践中,专业费用的上升可能会抵消医疗保健成本的预期节省,因为医疗保健将从卫生系统转移出去.
- 决策者应该考虑PE所有权对医疗保健支出和定价策略的影响.
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