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Medicine Businesses

Hospitals Owned By Private Equity Are Harming Patients, Reports Find (arstechnica.com) 199

Private equity firms are increasingly buying hospitals across the US, and when they do, patients suffer, according to two separate reports. Specifically, the equity firms cut corners, slash services, lay off staff, lower quality of care, take on substantial debt, and reduce charity care, leading to lower ratings and more medical errors, the reports collectively find. ArsTechnica: Last week, the financial watchdog organization Private Equity Stakeholder Project (PESP) released a report delving into the state of two of the nation's largest hospital systems, Lifepoint and ScionHealth -- both owned by private equity firm Apollo Global Management. Through those two systems, Apollo runs 220 hospitals in 36 states, employing around 75,000 people. The report found that some of Apollo's hospitals were among the worst in their respective states, based on a ranking by The Lown Institute Hospital Index. The index ranks hospitals and health systems based on health equity, value, and outcomes, PESP notes. The hospitals also have dismal readmission rates and government rankings.

The Center for Medicare and Medicaid Services (CMS) ranks hospitals on a one- to five-star system, with the national average of 3.2 stars overall and about 30 percent of hospitals at two stars or below. Apollo's overall average is 2.8 stars, with nearly 40 percent of hospitals at two stars or below. The other report, a study published in JAMA late last month, found that the rate of serious medical errors and health complications increases among patients in the first few years after private equity firms take over. The study examined Medicare claims from 51 private equity-run hospitals and 259 matched control hospitals. Specifically, the study, led by researchers at Harvard University, found that patients admitted to private equity-owned hospitals had a 25 percent increase in developing hospital-acquired conditions compared with patients in the control hospitals. In private equity hospitals, patients experienced a 27 percent increase in falls, a 38 percent increase in central-line bloodstream infections (despite placing 16 percent fewer central lines than control hospitals), and surgical site infections doubled.

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Hospitals Owned By Private Equity Are Harming Patients, Reports Find

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  • Yeah no shit (Score:5, Insightful)

    by jacks smirking reven ( 909048 ) on Thursday January 18, 2024 @01:46PM (#64170391)

    Private equity exists to make profits. Hospitals exist to help sick people. Combine the two and you get "how can we profit from sick people"

    The consequences of these two directives is going to create incentives that most people would find morally objectionable.

    • Private equity exists to make profits. Hospitals exist to help sick people. Combine the two and you get "how can we profit from sick people"

      Agreed. In the context of this study, medical errors generate more billable procedures, so they are incentived to cut corners especially if it increases the chance of billable problems. How many professions out there where you make more money when you screw up?

      • Exactly and this is just one of many economic conundrums that healthcare for profit creates. The incentives, the supply/demand curve (how much would you pay not to die? For most the answer is infinite, how do you economically structure around that fact?) and just about everything about it runs counter to what we know of as "Free markets" operate.

        That's why every developed nation outside the US has universal and highly regulated healthcare system.

        Being pro-capitalism means understanding the sectors where it

    • Shit we sow. (Score:5, Insightful)

      by geekmux ( 1040042 ) on Thursday January 18, 2024 @02:10PM (#64170459)

      The consequences of these two directives is going to create incentives that most people would find morally objectionable.

      The entire reason we're here discussing a highly profitable and legal business and not a known terrorist organization, is because we live in a society that only finds that kind of thing "morally objectionable" and not fucking criminal.

      The shit we sow...

    • by dentar ( 6540 )

      The problem is that a huge portion of the country feels that exploiting the sick and suffering is not objectionable.

    • by Kisai ( 213879 )

      Nah, you get "how can we destroy this before we flip it to some idiot"

      That is what has happened every fucking time private equity got involved in a business.

    • You wouldn't want to be in one of those hospitals when they decide they can maximise their profits by pivoting to being funeral directors instead. ;-P

      These kinds of horrors are no longer restricted to the USA. Over the past few decades, successive govts, Tory & Labour, have been letting in such shenanigans to the UK's NHS. John Pilger made a documentary about it. Free to view on his website: https://johnpilger.com/videos/... [johnpilger.com]
    • I think it is more like "how can we spend as little as possible to treat people." Sure, they're harming (and killing) people now, but they'll get a few slap-on-the-wrist fines, tweak their algorithms, and find the most profitable middle where of course some people are harmed because we're cutting corners everywhere, but the numbers will be carefully managed so no one puts up a stink about it.

    • by glatiak ( 617813 )

      One suspects that this may be why politicians are lusting after this model -- the lobbying that accompanies it means they could get a slice of the action. Under the table of course.

  • There's more (Score:4, Insightful)

    by spaceman375 ( 780812 ) on Thursday January 18, 2024 @01:53PM (#64170411)
    This is happening at many levels of healthcare. Doctors and dentists are increasingly working for larger corporations. Urgent Care and Aspen Dental come to mind but there's plenty more. The beancounters with no medical degree give directives to the staff about how to treat patients, and you get hard sell tactics for everything they can exaggerate at the dentist, and not enough of the right treatment, sometimes even the wrong ones, from the medical and psychiatric doctors.
    • Ironically, the government drove a lot of this.

      https://www.ama-assn.org/pract... [ama-assn.org]

      While the top reason was getting paid:

      "In fact, almost 80% of physicians indicated that the need to negotiate higher payment rates with payers was a âoevery importantâ (46.1%) or âoeimportantâ (33.4%) reason why their practice was sold to or acquired by a hospital or health system."

      The second reason was administrative/regulatory requirements:

      "Managing payersâ(TM) regulatory and administrative requirement

      • Re:There's more (Score:5, Insightful)

        by flink ( 18449 ) on Thursday January 18, 2024 @03:12PM (#64170721)

        "In fact, almost 80% of physicians indicated that the need to negotiate higher payment rates with payers was a "very important" (46.1%) or "important" (33.4%) reason why their practice was sold to or acquired by a hospital or health system."

        The second reason was administrative/regulatory requirements:

        "Managing payers' regulatory and administrative requirements was the second most-cited reason.

        Yeah, if only there were, I don't know, a single payer to deal with so there wouldn't be so much overhead. I worked at IDX Systems née GE Healthcare for over 15 years helping to build a $100M+ business unit whose only function was to intercede between private insurance and hospitals/group practices.

        Government regulation actually brought costs down. Before HIPAA, many insurance companie didn't accept X12 claims, instead requiring some kind of proprietary format. Lots didn't even accept EDI claims full stop. We had to print the claims out and mail them on paper to the insurer. And of those that did, many did not have any kind of standard interface, instead requiring us to scrape a web page for n HTML <form> to automate submission, or dial into a modem bank and do char-cell scripting through a proprietary BBS.

        It took a small army of support engineers just to keep the 100s of proprietary insurance interfaces running in the event that some small change on the insurer's side broke something since these were not meant as machine to machine interfaces.

        HIPAA alleviated that somewhat by forcing everyone to take X12 and normalizing automated submission. There was still lots of work for us to massage claims and make sure procedures were properly coded and respond to ERAs but it knocked down costs to us and for our customers a lot.

        Almost everyone I worked with except the suits (and even a lot of them) were pro single-payer. We saw the waste that our current system generated day in and out. We all would have loved to be legislated out of a job and see the insurers killed dead so we could focus more on quality of care rather than quality of billing.

        • That "single payer" that you want already runs Medicaid and Medicare. That "single payer" already shorts providers 15% or more every time it pays patient bills - and that's on the stuff they agree to pay. That "single payer" is unaccountable.

          That "single payer" is killing hospitals left and right.

  • by MikeDataLink ( 536925 ) on Thursday January 18, 2024 @01:54PM (#64170413) Homepage Journal

    Prisons and Hospitals are at the top of the list.

    • The biggest misunderstanding most people have about non-profits is that they don't exist to make money. They absolutely do. Just because you're a 501(c) it doesn't mean there aren't hundreds of ways to get paid exorbitant amounts. The most common form of this is hiring "consultants" ( who do little but cash the check ).

      The problem with hospitals/prisons isn't that they're "for profit", it's that there's a ton of money to be "filtered" ( laundered, tomato tomato ) through them. At the end of the day you

      • by endus ( 698588 )

        Large nonprofit hospital systems also sink money into real estate, especially in the form of buying more hospitals. This has a double benefit because as they gain control of more facilities in the region, the more they can strong arm payers into higher fees.

    • Prisons and Hospitals are at the top of the list.

      And Presidents, Senators, Congressmen (et al), etc ...

    • Prisons and Hospitals are at the top of the list.

      I think I can only go 50% in on your argument here.

      I'm all for Hospitals not being part of that for-profit nightmare, but convicted killers sitting on Prison's death row who have zero fucks to give about the harm they've caused or the continued cost they are to the taxpayer? I say get Ahh-nold together with Dana White and bring back The Running Man UFC underground division, with 80% of the PPV proceeds donated to the victims.

      Not all profits, are bad. Hell, who knows...we might actually create a real deter

      • Re: (Score:2, Insightful)

        Yes, the criminally dehumanizing conditions in Russian and other nightmare country prisons do SO much for deterring crime there.

        Except... they don't. It's as if the vast majority of crimes (i.e. transgressions of the social code) are the result of desperation, not choice.

        But hey, the prison industrial complex loves your idea. After all, if we lock people up in an environment where they have to become sociopathic animals just to survive and after their term is up, they get thrown out with nothing but t
      • there are no ways to deter violent crime without serious genetic recoding of the entire human race
      • convicted killers sitting on Prison's death row who have zero fucks to give about the harm they've caused or the continued cost they are to the taxpayer?

        That's a really tiny percentage of the prison population.There are fewer than 2400 people on death row.
        It wouldn't make sense for general prison policy to be driven by such a small group.

        • convicted killers sitting on Prison's death row who have zero fucks to give about the harm they've caused or the continued cost they are to the taxpayer?

          That's a really tiny percentage of the prison population.There are fewer than 2400 people on death row. It wouldn't make sense for general prison policy to be driven by such a small group.

          You see a tiny percentage of the prison population.

          I see a horrifically violent and effective message and deterrent being sent to anyone and everyone that's considering enacting that kind of violence on innocent people. Which is the main purpose of criminal punishment in society. Lives saved would be the main benefit of an actual deterrent.

          I also see it as two thousand, four-hundred PPV main events, and a few billion in justification driven by investment monies. You know, regarding making "cents"...

      • For profit prisons lobby the government for stricter and harsher punishments to put more people in prison. I stand by my statement.

  • Exploits (Score:5, Insightful)

    by silentbozo ( 542534 ) on Thursday January 18, 2024 @01:54PM (#64170415) Journal

    Private equity is all about killing the golden goose for the eggs now, then stuffing and mounting the corpse and then selling to someone else, or back out to the public as an IPO.

    The problem isn't necessarily with private equity - it's not like people don't know that when they come in, they're going to use leverage to buy the company, and then wring out the cash flow to pay dividends to themselves first, before forcing the company to use the remaining cashflow to service the debt that they used to to buy the company.

    The problem is shareholder greed. Private equity is a liquidity event. Instead of waiting 10 years to get value, they're promising you the value up front today. You get money, they get the company for effectively nothing because it is all debt financed, and then they do things that basically destroy the long term viability of the business in exchange for short term valuation boosts to allow them to "extract" even more money.

    If shareholders wanted, they could support defensive strategies like the poison pill:

    https://www.investopedia.com/t... [investopedia.com]

    But in most cases, they won't. Because they want the money now.

    • I don't know the solution, but the problem is that the extracted value is not able to be stolen back if the company inevitably becomes insolvent. Calling it a dividend isn't even realistic.

      • Higher interest rates help make leveraged buyouts more difficult.

        https://www.philippehottinguer... [philippehottinguer.com]

        When rates are low, companies are less likely to go under even when terribly mismanaged, so there are more opportunities to either kick the can down the road, or paper it over.

    • Private equity funds are just a ponzi at this point. Once pension fund allocations go static or negative, it's all over.

    • Many who sold out hospitals et al to private equity were non profits or not for profits. Stops and makes you think about why they sold out, doesn't it?

  • by packrat0x ( 798359 ) on Thursday January 18, 2024 @02:04PM (#64170441)

    Welcome to another tale of "Government Granted Monoplies" *

    The Medicaid and Medicare Act of 1965 created hospital monoplies.
    No one can open a new hospital without the other hospitals agreeing
    that the community "needs" another hospital.

    Private equity firms buy Hospitals, knowing that they can legally prevent
    competition. Then they exploit the customers. Not Surprising.

    *Further Reference see US Telephone Companies, US Power Companies, etc.

    • Doesn't stop hospitals with a majority of their patients using Medicaid and Medicare from shutting down though. Funny how that works.

      The Feds can close hospitals and then turn around and prevent new ones from opening.

  • All hospitals harm patients. All hospitals are basically profit centers, whether or not the corporate papers say profit or nonprofit.

    • There have been efforts to incentivize keeping patients out of hospitals.

      https://www.cms.gov/medicare/q... [cms.gov]

      Insurers (including medicare) don't want to pay claims if they can possibly avoid it. Even better, they don't want claims at all, hence those wellness programs.

      The problem is, as you point out, providers don't normally get paid unless they see patients - the entire billing and coding system revolves around that. If you try and make things easier for your doctor by bringing up multiple issues in a sing

  • by ahodgson ( 74077 ) on Thursday January 18, 2024 @02:17PM (#64170493)

    Seriously. Pharma, housing, veterinary clinics, dentist clinics, and now hospitals.

    • Yes, but let's recognize that not all private equity is the same.

      Berkshire Hathaway is a private equity firm that invests in businesses for the long term. It is widely recognized as a well-run organization.

      The key is long-term investments vs. short-term. Many PE firms are the equivalent of house flippers. They have no interest in the house, except as a way to cheaply spruce it up and sell at a profit. PE firms that are in it for the long term, tend to be much better at running the companies they own.

      • Every Private Equity story I've ever heard is them coming in, either flipping the business for their own profit or failing the business drastically at great profit to themselves. Does anyone know a story where a PE firm actually made a positive difference?...at last more than the equivalent of a bank giving a loan for the same amount? PE firms don't care one bit about the long-term or really even the short term health of their victims. They're just well-compensated parasites, from what I can tell.

        Has
        • You can read about Berkshire Hathaway here: https://en.wikipedia.org/wiki/... [wikipedia.org] This PE firm owns companies like Geico, Fruit of the Loom, Justin Boots, Russell Corp, Benjamin Moore, Clayton Homes, Pampered Chef, and many others.

          My previous employer, Envoy Mortgage, is owned by a PE firm with the goal of holding the company long-term. It was a great place to work, I only left because of the post-COVID downturn in real estate that gutted the mortgage industry.

          It's true that the sleazeballs are in the majority,

  • from the healthcare hospital sector
  • Pennsylvania Ave owns you, serf. Anymore questions?
  • by magzteel ( 5013587 ) on Thursday January 18, 2024 @02:25PM (#64170529)

    I glanced over the report and it doesn't mention why medical facilities get sold to begin with. The first one I see in the report, Conemaugh Nason
    Medical Center", they list service cuts but they don't mention that (from wikipedia) https://en.wikipedia.org/wiki/... [wikipedia.org] :

    "In 2013 it was formally announced the Conemaugh was seeking affiliation with other medical systems in the region because of financial constraint"

  • by whitelabrat ( 469237 ) on Thursday January 18, 2024 @02:27PM (#64170535)

    Seems simple to me. Pump all the money out of patients and medical insurers and dump them while spending as little as possible. This is a straightforward capitalist recipe just applied to healthcare. :(

  • Known for years (Score:4, Interesting)

    by techdolphin ( 1263510 ) on Thursday January 18, 2024 @02:43PM (#64170591)
    This is has been known for years among researchers who study healthcare. I am thrilled that media outlets are finally reporting on this. This problem will persist as long as we allow for-profit organizations in healthcare. We need to change to a system that puts the emphasis on patient care instead of profit. Moving to a single-payer (Medicare for All) healthcare system would allow us to place the emphasis on patient care and provide many other advantages.
  • capitalism!! (Score:2, Flamebait)

    by sdinfoserv ( 1793266 )
    That's capitalism. Profit over people. No where else in the world can organizations hold sick children hostage while parents bankrupt themselves trying to save their children's lives. Isn't Capitalism the best model ever!?!
  • I spoke with a dentist friend recently and he recently sold part of his practice to a management team, he still works as a dentist at the practice, he just doesn't do the day to day running of it any longer. He works fewer hours now.

    He said that in the beginning he quite enjoyed running the practice, doing payroll and the accounts etc. but as the practice grew he wound up doing less and less dentistry and he missed that. Also he feels that the management team do a better job of that administration.

  • Healthcare is literally in basic economics textbooks as the prototypical example of a market failure. Every other country in the world that has enough of a semblance of a functional government to be thinking about healthcare has recognized the answer to this, yet nothing ever gets through to the lunatic wing in America.

    Universal healthcare and single-payer, NOW.
  • insurance companies do the same. They look at the bottom line and tell the hospitals how to treat their patients. It is a no win situation for the patients.

  • by King_TJ ( 85913 ) on Thursday January 18, 2024 @04:54PM (#64170989) Journal

    All I ever hear are complaints when these big private equity firms buy up software companies or anything else.... They're all about the "maximize profits" part without any of the other standard rules or assumptions business owners usually include as part of that goal. (EG. Common sense dictates you must provide things like great customer service/care and high levels of customer satisfaction because happy customers will tell others and provide you with free marketing/advertising. Dissatisfied customers tend to tell 2-3x the number of people of their unhappiness, AND it's costly to do more marketing/advertising to replace them with new customers.) Private equity firms seem to ignore everything that doesn't boost short-term/immediate profit margins and they look at all their acquisitions as disposable as soon as they stop making enough to be worth keeping them.

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