EP474: Private Equity in Healthcare—The Big Data Points You Really Need to Know, All Together in One Episode, With Yashaswini Singh, PhD

In Episode 474 of 'Relentless Health Value', host Stacey Richter interviews Dr. Yashaswini Singh, an economist and assistant professor at Brown University, about the growing influence of private equity (PE) in healthcare. 

The conversation delves into the corporate transformation of medicine, highlighting the potential misalignment between business interests and patient care. Dr. Singh discusses the diverse strategies PE firms use to drive profitability, such as increasing negotiated prices, consolidating market share, employing real estate leasebacks, and emphasizing performance metrics that may not align with patient benefits. 

The episode also examines the significant impacts these strategies have on physicians, including increased turnover and changes in practice patterns, as well as the broader implications for patients and communities. Dr. Singh stresses the importance of informed leadership, education, policy enforcement, and transparency to ensure that private investments ultimately benefit healthcare systems without compromising patient care.

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05:53 What is the tension between business and medicine?

07:05 What is the impact of private equity on healthcare?

08:46 How does healthcare change when private equity invests in medical facilities?

10:54 What are the intuitive impacts of private equity in healthcare?

12:28 What are the less intuitive effects of private equity on healthcare?

13:36 EP472 with Eric Bricker, MD.

14:15 What are the misconceptions about private equity investors acquiring healthcare facilities?

16:17 The Steward saga.

16:24 The death of Hahnemann Hospital in Philadelphia.

19:27 Are there any positive outcomes to private equity investment in healthcare?

21:17 EP445 with Tom X. Lee, MD.

22:45 EP420 with Ge Bai, PhD, CPA.

22:47 EP465 with Chris Crawford.

22:49 EP460 with Rushika Fernandopulle, MD.

22:55 Is there ever a need for private investment in healthcare?

25:40 How do the changes private equity firms create affect patients?

27:20 Study in Health Affairs on physician turnover rates following private equity acquisitions.

29:30 How can private equity disrupt physician employment as well?

34:13 What remedies might there be for consolidation in healthcare and private equity investing in medicine?