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Some private equity firms are furious over a paper in a dermatology journal

nytimes.com

11–20 of 170 posts

Re: Some private equity firms are furious over a paper in a dermatology journal

#11
What is the value that private equity and/or VC are adding to dermatology? I guess what I'm asking is, why would the physicians be interested in sharing some portion of their income with these non-physicians?

Medicine, like other guild professions like law, dentistry, and accounting, is an enterprise which seems to naturally fit the partnership model instead.

Re: Some private equity firms are furious over a paper in a dermatology journal

#12

What is the value that private equity and/or VC are adding to dermatology? I guess what I'm asking is, why would the physicians be interested in sharing some portion of their income with these non-physicians? Medicine, like other guild professions like law, dentistry, and accounting, is an enterprise which seems to naturally fit the partnership model instead.

Medicine is a market for lemons, so reputation/brand is important. Many good doctors are full up on patients, but if they can convince you that an unknown doctor in their practice is just as good/under their supervision, they can pocket some of those gains.

This doesn't really require private equity, but PE is providing a way to get a lump sum for this to doctors, and milking that cash cow.

There is also a growing remote/virtual dermatology sector which can see gains from technology, but I doubt PE is involved.

Re: Some private equity firms are furious over a paper in a dermatology journal

#13
This isn't discussed much, but the healthcare provider industry has traditionally been a major sector of interest for private equity. Hospital companies like HCA, dental clinics, ambulatory surgery centers, etc.

Healthcare providers are attractive to private equity 1) because of stable, non-cyclical cash flow, 2) benefits to scale (ie better negotiating leverage with payers), 3) ability to easily increase revenue at small clinics by "optimizing" billing (ie use more lucrative codes for the same procedure) and practice management (optimizing procedure mix and scheduling) and 4) regulatory protection -- local monopolies enjoy durable economic advantages and often are politically entrenched as healthcare providers are major employers

These factors aren't limited to private equity backed healthcare, though. Even non-profits take advantage of these things (sutter health in the bay area is an example). If you're looking for why US healthcare is so expensive, this isn't a bad place to start

Re: Some private equity firms are furious over a paper in a dermatology journal

#14

What is the value that private equity and/or VC are adding to dermatology? I guess what I'm asking is, why would the physicians be interested in sharing some portion of their income with these non-physicians? Medicine, like other guild professions like law, dentistry, and accounting, is an enterprise which seems to naturally fit the partnership model instead.

The same thing they add to any other business: Better management, efficiency, etc..

I don't think any profession 'naturally fits the partnership model'. Some professions have simply managed to enshrine protectionism for themselves into law. There's precious little evidence that this is in any way beneficial for consumers and serves to do anything other than enrich the members of the professional guild at the expense of the public.

Re: Some private equity firms are furious over a paper in a dermatology journal

#15

This isn't discussed much, but the healthcare provider industry has traditionally been a major sector of interest for private equity. Hospital companies like HCA, dental clinics, ambulatory surgery centers, etc. Healthcare providers are attractive to private equity 1) because of stable, non-cyclical cash flow, 2) benefits to scale (ie better negotiating leverage with payers), 3) ability to easily increase revenue at…

Any idea if private equity is involved in ketamine clinics? That would be a juicy story.

Re: Some private equity firms are furious over a paper in a dermatology journal

#18

This isn't discussed much, but the healthcare provider industry has traditionally been a major sector of interest for private equity. Hospital companies like HCA, dental clinics, ambulatory surgery centers, etc. Healthcare providers are attractive to private equity 1) because of stable, non-cyclical cash flow, 2) benefits to scale (ie better negotiating leverage with payers), 3) ability to easily increase revenue at…

There was an NPR (I think it was NPR) story about how medical helicopter rides have skyrocketed in cost.

The issue was a lot of private equity folks realized that you could just get in the market and if you didn't get enough rides... you just cranked up the price and went after individuals who where hardly in a position to shop around when they needed the ride.

Now there is an excess of medical helicopters, solution? Crank up the price...

Re: Some private equity firms are furious over a paper in a dermatology journal

#19

What is the value that private equity and/or VC are adding to dermatology? I guess what I'm asking is, why would the physicians be interested in sharing some portion of their income with these non-physicians? Medicine, like other guild professions like law, dentistry, and accounting, is an enterprise which seems to naturally fit the partnership model instead.

Simple economics of scale. centralizing a highly effective management and financial instruments create a lot of value, often called a roll-up strategy. a company worth 1 merged with a company worth 1 is typically worth more than 2.

Re: Some private equity firms are furious over a paper in a dermatology journal

#20
post #7

People often wonder what the point of tenure is. Well this is it. Those authors need to not back down, and call attention to this. If they're tenured researchers or professors, they should be able to make publications like this without fear or retaliation from the school or industry.

All tenure does is largely protect you from getting fired. They can still do a fair amount of damage though you still have employment. Lab space can be reduced, it can get harder to get approvals for research, decreased funding etc.
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