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Comment & Response
August 6, 2019

Private Equity Investment in Health Care—Reply

Author Affiliations
  • 1Harvard Medical School, Boston, Massachusetts
  • 2Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
JAMA. 2019;322(5):468-469. doi:10.1001/jama.2019.7857

In Reply Regarding our recent Viewpoint,1 Dr Frances argues that there are reasons to be optimistic about the possible effects of private equity involvement in health care.

We do not disagree. Indeed, private equity investments may help bring efficiency and other benefits to patients and the health care system.1 However, current evidence on the strategies and incentives behind private equity ownership of physician practices raises meaningful concerns that patients, physicians, and policy makers should be aware of, including around patient safety and health care costs.2 In the absence of rigorous empirical studies of the effects of private equity, it is difficult to assess potential benefits relative to such concerns.