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The Latest Research, Commentary, And News From Health Affairs

Monday, May 10, 2021
Dear John,

The May 2021 issue of Health Affairs features multiple articles on organization of care. Today we highlight two about private equity acquisitions of hospitals and physician practices.

Understanding Private Equity Involvement In Health Care
Two May papers discuss private equity firms’ practices in health care.

In the first, Anaeze Offodile II and coauthors provide an overview of private equity acquisitions of acute care hospitals. They found that acquisitions occur predominantly in the Mid-Atlantic and Southern US and are more likely to be for-profit hospitals in urban areas. They also found that on average private equityacquired hospitals had higher operating margins than non-acquired hospitals.

Offodile discussed this research on a recent episode of A Health Podyssey.

Dermatology has been the most commonly targeted specialty for private equity firms investing in physician practices. Robert Tyler Braun and colleagues estimated the prevalence of acquisitions and their impact on dermatology prices, spending, utilization, and volume of patients. They determined that private equity acquisition leads to dermatologists seeing up to 17 percent more patients after two years and charging more for routine visits.

Today on Health Affairs Blog: As we look toward the eventual end of the COVID-19 crisis in the US, much discussion is focused on the future of telehealth—what it will look like, who will be able to access it, and how it will be paid for once the public health emergency ends.

Today on Health Affairs Blog we feature a special collection of new pieces identifying key considerations for charting telehealth’s course.


  • In light of intensifying tension over appropriate uses and payment for telehealth, Francis Crosson proposes that now is the time to examine innovative payment and information-sharing models.

  • Chad Ellimoottil draws on emerging evidence to counter arguments against continuing payment parity for telehealth after the pandemic ends.

  • Kyle Thomson draws attention to an under-the-radar statutory provision in the Social Security Act that will result in most Medicare beneficiaries losing access to telehealth at the end of the current public health emergency—unless Congress acts.

  • Joseph Liss, David Peloquin, and Barbara Bierer call for a new licensure system, based on nursing’s successful model, that would enable physicians to practice across state borders—enabling the replacement of in-person visits with telehealth.

  • Building on a previous blog post, Amol Navathe and Joshua Liao encourage policy makers to view telehealth as an opportunity to fundamentally rethink care delivery under alternative payment models.

Elevating Voices: Asian American and Pacific Islander American Heritage Month:
Kevin Nguyen and colleagues published a paper in 2018 that found that although disparities in access to care between straight adults and lesbian, gay, and bisexual (LGB) adults have narrowed in the post-Affordable Care Act era, LGB adults still reported having significantly more bad mental health days relative to their straight peers.

Your Daily Digest
Private Equity Investments In Health Care: An Overview Of Hospital And Health System Leveraged Buyouts, 2003–17
Anaeze C. Offodile II, Marcelo Cerullo, Mohini Bindal, Jose Alejandro Rauh-Hain, and Vivian Ho

Podcast: Understanding Private Equity Investment In Hospitals
Alan Weil and Anaeze C. Offodile II

Private Equity In Dermatology: Effect On Price, Utilization, And Spending
Robert Tyler Braun, Amelia M. Bond, Yuting Qian, Manyao Zhang, and Lawrence P. Casalino

The Coming Conflict Over Tele-Visits: The Need For Innovation In Payment And Information Sharing
Francis J. Crosson

Understanding The Case For Telehealth Payment Parity
Chad Ellimoottil

Congress: Act Now To Ensure Telehealth Access For Medicare Beneficiaries
Kyle Thomson

Mutual Recognition Of Physician Licensure By States Would Provide For Better Patient Care
Joseph M. Liss, David Peloquin, and Barbara E. Bierer

After COVID-19, A Payment Policy Reboot: Three Lessons From The Pandemic On How To Improve Value-Based Payment
Amol S. Navathe and Joshua M. Liao

How Telehealth Can Enable New Care Management Strategies In Alternative Payment Models
Amol S. Navathe and Joshua M. Liao

Lesbian, Gay, And Bisexual Adults Report Continued Problems Affording Care Despite Coverage Gains
Kevin H. Nguyen, Amal N. Trivedi, and Theresa I. Shireman

Pre-order a discounted copy of the upcoming issue
 
 
 
 
About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.  

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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