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October 8, 2025Health Affairs

Private Equity–Owned Hospices Report Highest Profits, Lowest Patient Care Spending Compared With Other Ownership Models

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Authors

ASAlexander SoltoffDWDunc WilliamsRBRobert Tyler Braun

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Overview

Analysis of hospice ownership models reveals that private equity-owned hospices report higher profits but lower patient care spending.

Key Points

  • PE-owned hospices reported the highest profits and lowest spending on direct patient care, indicating a focus on profit maximization.
  • Not-for-profit hospices spent significantly more on direct patient care compared to for-profit models, driven by differences in nursing salaries.
  • Compared to other ownership models, PE-owned hospices had greater expenses related to nursing facility room and board, affecting overall care quality.
  • Reduced spending on patient care in PE-owned hospices suggests potential implications for hospice quality and healthcare system costs.

Cite This Study

Soltoff et al. (2025) studied this question.

synapsesocial.com/papers/68e6679587ecc93a24d174a5https://doi.org/10.1377/hlthaff.2025.00327
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Private Equity Acquisitions Of Hospices Are Increasing; Ownership Remains Opaque2024 · 10 citations
  2. 2Caregiver-Reported Quality in Hospices Owned by Private Equity Firms and Publicly Traded Companies2024 · 13 citations
  3. 3Association of Hospice Agency Profit Status With Patient Diagnosis, Location of Care, and Length of Stay2011 · 118 citations
  4. 4Private Equity Acquisition of Physician Practices2019 · 53 citations
  5. 5Association between Hospice Spending on Patient Care and Rates of Hospitalization and Medicare Expenditures of Hospice Enrollees2017 · 20 citations