与其他所有权模式相比,私募股权拥有的医院报告了最高的利,最低的患者护理支出
Alexander Soltoff1, Dunc Williams2, Robert Tyler Braun3
1Alexander Soltoff (alex.soltoff@emory.edu), Emory University, Atlanta, Georgia.
Health affairs (Project Hope)
|October 6, 2025
概括
私募股权拥有的宿舍通过减少直接患者护理的支出和更多的护理设施来产生更高的利. 这一战略可能会影响宿舍的质量和医疗保健成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
背景情况:
- 越来越多的美国宿舍由私募股权 (PE) 公司和上市公司拥有.
- 对于基于所有权结构的营利性临终医院之间的财务结果差异的理解有限.
研究的目的:
- 为了比较不同临终关怀所有制模式的财务结果:私人所有制,公开交易,其他营利性和非营利性.
- 调查患者护理和行政服务支出中的潜在差异.
主要方法:
- 利用2022年医疗保险成本报告对收入和支出数据进行比较分析.
- 员工调整了分析,以考虑所有权模型中的混因素.
主要成果:
- 与营利模式相比,非营利性住院将更多的资源用于直接照顾患者,特别是护士工资.
- 个人所有的宿舍报告利最高,对直接患者护理和非工资行政服务的支出较低.
- 个人所有的宿舍显示,与护理设施的住宿和餐饮相关的费用和收入显著增加.
结论:
- 个人主营医院似乎采用了不同的运营策略,优先考虑护理机构的护理和行政效率,而不是直接的患者护理投资.
- 减少对直接患者护理的投资可能会损害宿舍的质量,并可能增加医疗保健系统的整体成本.
- 政策建议包括修改每日临终关怀支付模式,以调整护理机构受益人的退款,以使支付与护理费用保持一致,并促进医疗保险的节省.
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