A growing body of research examines the impact of private equity investment on cost of care, access to care and the quality of care.
There is evidence that costs are going up, and outcomes are getting worse. Many argue that our healthcare system’s mission to remain singularly focused on patient care is clouded when paired with private equity investment. A private equity company is a for-profit company obligated to its shareholders and focused on growth in investment – i.e. profit.
Here in Connecticut, in neighboring Massachusetts, Pennsylvania, and elsewhere around the country, private equity firms have taken advantage of the lack of transparency requirements and guardrails to take the value out of healthcare systems and pay shareholders. As a result, three Connecticut hospitals are now engaged in bankruptcy proceedings. State and local taxes are unpaid, providers are uncertain about the future of their jobs, and the local communities are losing access to care.
As we listened to testimony yesterday, we heard from providers who own independent practices and work with private equity-owned Managed Service Organizations, who provide capital investment, IT support and office functions. They would like to continue those arrangements, especially in cases where there is no clinical control of decision making by private equity firms.
We heard that it will be important to clearly define what is meant by private equity. And we heard that whatever guardrails are in place, the markets and the development of financial instruments can move much more quickly than the legislative process. This means that we need to create the proper guardrails even if some level of prohibition were to be put into effect.
The next steps are that we will continue to work with our committee colleagues, stakeholders, and the Governor’s office. The Governor and the Attorney General have proposed HB 6873 to address the issue of private equity investment and we will work alongside them to find the best solution. The Public Health Committee will continue to prioritize this issue.
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