Podcast: Stacie Dusetzina Shares Why Medicare Beneficiaries May Not Fill Specialty Drug Prescriptions
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Tuesday, April 12, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

On the newest episode of A Health Podyssey, Stacie Dusetzina discusses why Medicare beneficiaries may not fill their specialty drug prescriptions.

Listen here.
Hospital Acquisitions
In their April paper, Marcelo Cerullo and coauthors investigate private equity acquisition of short-term acute care hospitals.

The authors determine that while acquisition is associated with a $432 decrease in cost per adjusted discharge and a 1.78 percentage point increase in operating margin, it is also associated with “decreases in total beds, ratio of outpatient to inpatient charges, and staffing.”

In addition, the authors find private equity acquisition is associated with a 4.58 percent decrease in the ratio of outpatient to inpatient charges.

“This runs contrary to the fact that in recent decades, US hospitals have undergone a shift toward greater use of outpatient settings, which are less resource-intensive relative to inpatient care,” Cerullo and coauthors note.

Finally, they identify a 5.05 percent decrease in total personnel FTEs [full-time equivalents] and a 4.38 percent decrease in nursing-specific FTEs, which they explain “points to a pattern of strategic reorganization of staffing.”

Overall, financial performance improved after acquisition, whereas patient throughput and inpatient utilization increased and staffing metrics decreased.

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Stacie Dusetzina Shares Why Medicare Beneficiaries May Not Fill Specialty Drug Prescriptions

Listen to Health Affairs Editor-in-Chief Alan Weil interview Stacie Dusetzina from Vanderbilt University Medical Center about the complex world of drug pricing.
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