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Private Equity in Health Care Could Spike Costs, Lower Quality

Private Equity in Health Care Could Spike Costs, Lower Quality
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Toronto
Ontario
Canada
Geronimo-bejarano
Alex-borsa
Moriah-ellen
University-of-toronto
University-of-chicago
University-of-texas
Ben-gurion-university-of-the-negev
Columbia-mailman-school
Sociomedical-sciences

Evaluating trends in private equity ownership and impacts on health outcomes, costs, and quality: systematic review

Objective To review the evidence on trends and impacts of private equity (PE) ownership of healthcare operators. Design Systematic review. Data sources PubMed, Web of Science, Embase, Scopus, and SSRN. Eligibility criteria for study selection Empirical research studies of any design that evaluated PE owned healthcare operators. Main outcome measures The main outcome measures were impact of PE ownership on health outcomes, costs to patients or payers, costs to operators, and quality. The secondary outcome measures were trends and prevalence of PE ownership of healthcare operators. Data synthesis Studies were classified as finding either beneficial, harmful, mixed, or neutral impacts of PE ownership on main outcome measures. Results across studies were narratively synthesized and reported. Risk of bias was evaluated using ROBINS-I (Risk Of Bias In Non-randomised Studies of Interventions). Results The electronic search identified 1778 studies, with 55 meeting the inclusion criteria.

United-states
Janem-zhu
Geronimo-bejarano
Moriah-ellen
Alexander-borsa
Robert-tyler-braun
Us-congress
Medicare-payment-advisory-commission
Rx-foundation
Human-development
National-science-foundation-graduate-research-fellowship
American-college-of-physicians

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