In subgroup analyses, changes in outcomes for private equityвЂ“owned Hospital Corporation of America (HCA) hospitals and non-HCA hospitals relative to matched controls were assessed. Using a difference-in-differences design, this study evaluated changes in net income, charges, charge to cost ratios, case mix index (a measure of reported illness burden), share of discharges for patients with Medicare or Medicaid coverage, discharges per year, and aggregate hospital quality measures associated with private equity acquisition through 3 years after acquisition, adjusted for case mix, hospital beds, calendar year, and adjustment for multiple hypothesis testing. Objective To examine changes in hospital income, use, and quality measures that may be associated with private equity acquisition.Дesign, Setting, and Participants This cohort study identified 204 hospitals acquired by private equity firms from 2005 to 2017 and 532 matched hospitals not acquired by private equity. Importance Rigorous evidence describing the relationship between private equity acquisition and changes in hospital spending and quality is currently lacking. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.Changes in Hospital Performance on Quality Measures (Non-HCA Hospitals) Changes in Hospital Income and Use Measures (Non-HCA Hospitals)Д®Table 19. Changes in Hospital Performance on Quality Measures (HCA Hospitals)Д®Table 18. Changes in Hospital Income and Use Measures (HCA Hospitals)Д®Table 17. Characteristics of HCA-Acquired Hospitals and Non-HCA Acquired HospitalsД®Table 16. Differences in Pre-Acquisition TrendsД®Table 15. Changes in Hospital Performance on Quality Measures (Fixed Effects Model)Д®Table 14. Changes in Hospital Income and Use Measures (Fixed Effects Model)Д®Table 13. Changes in Hospital Performance on Quality Measures (Matching on Pre-Intervention Outcomes)Д®Table 12. Changes in Hospital Income and Use Measures (Matching on Pre-Intervention Outcomes)Д®Table 11. Changes in Hospital Performance on Quality Measures (Removing Case Mix Index and Total Beds as Covariates)Д®Table 10. Changes in Hospital Income and Use Measures (Removing Case Mix Index and Total Beds as Covariates)Д®Table 9. Changes in Hospital Performance on Quality Measures (Including Hospital Referral Region and Year Interactions)Д®Table 8. Changes in Hospital Income and Use Measures (Including Hospital Referral Region and Year Interactions)Д®Table 7. Changes in Hospital Performance on Quality Measures (Excluding Washout Period Time -1 and Time 1)Д®Table 6. Changes in Hospital Income and Use Measures (Excluding Washout Period Time -1 and Time 1)Д®Table 5. Missing Data for Outcome MeasuresД®Table 4. Private Equity Firm Hospital AcquisitionsД®Table 3.

Changes song