Atul Gupta

The Impact of Private Equity Ownership on Medical Technologies

Funded Research Proposal

Private Equity (PE) investment in healthcare is growing rapidly. Because medical-technology firms shape healthcare innovation, spending, and quality—and rely heavily on public insurance reimbursements—PE ownership in this sector could have substantial long-term implications for innovation, costs, and patient outcomes. Yet most existing research on PE in health care focuses on care delivery, despite 63% of PE healthcare investments involving medical devices, pharmaceuticals, and biotechnology. Our study will provide, to our knowledge, the first causal evidence on how PE ownership affects innovation, pricing, financial performance, and product safety among medical-technology firms.…Read More

Private Equity and Productivity in US Healthcare

Funded Research Proposal

Private equity (PE) investment in US healthcare has increased dramatically in recent years. On one hand, widespread PE participation may be one avenue to stem rising costs and increase productivity, which have been elusive objects in US healthcare. Research from other sectors has shown that PE firms apply best-in-class management practices to improve productivity and firm value. On the other hand, high powered financial incentives for PE managers may create conflicts with the interests of consumers and of taxpayers, who finance about 45% of healthcare spending. This project aims to study how PE investment affects quality and productivity of healthcare delivery in the US, issues of first order importance for both policy and business. We have assembled the most comprehensive set of data resources used to study this question – confidential micro data on PE investments in healthcare firms, and national data on services, spending, and outcomes for about 30 million Medicare beneficiaries over 2000–17. We will deploy a differences-in differences research design, exploiting variation in the timing of PE acquisitions across firms over this long panel. We will examine effects on 1) growth 2) operating efficiency, and 3) quality of care delivered, over the short and long-run.…Read More