Nkhani yosamalira maso

Eye Care Private shareholders amalipira mtengo

Msewu. Lewis – Christina Green akuyembekeza kuti opaleshoni ya ng’ala idzayeretsa masomphenya omwe adakulirakulira atamwa mankhwala olimbana ndi khansa ya m’mawere.

Koma pulofesa wakale wachingerezi adati opaleshoni yake ya 2019 ndi alangizi a ophthalmologists sanamufikitse 20/20 kapena kukonza astigmatism – ngakhale adalipira $ 3,000 m’thumba kuti amukweze maopaleshoni a astigmatism. Green, wazaka 69, adati amamva ngati chizindikiro cha dollar pakuchita izi kuposa wodwala.

“Ndiwe ng’ombe pakati pa ng’ombe ndipo umachokera ku siteshoni iyi kupita kuno,” adatero mayiyo.

Ophthalmology Consultants ndi gawo la EyeCare Partners, imodzi mwamagulu akuluakulu osamalira maso omwe amathandizidwa ndi anthu aku US. Likulu lake lili ku St. Louis ndipo lili ndi ophthalmologists pafupifupi 300 ndi optometrists 700 pama network ake m’maboma 19. Gululo lakana kuyankhapo.

Gulu la Switzerland-based Group of Partners linagula EyeCare Partners mu 2019 kwa $ 2.2 biliyoni. Texas-based Retina Consultants of America, yomwe idakhazikitsidwa mu 2020 ndi ndalama zokwana $350 miliyoni kuchokera ku Massachusetts-based Webster Equity Partners, kampani yabizinesi yabizinesi, tsopano ikunena patsamba lake kuti ili ndi madotolo 190 m’maboma 18. Magulu ena achinsinsi akumanga mayendedwe amchigawo ndi machitidwe monga Midwest Vision Partners ndi EyeSouth Partners. Zogula zafika pofika poti makampani abizinesi tsopano akugulitsana zochita zawo pafupipafupi.

Dr. Robert E. Wiggins Jr., pulezidenti wa bungwe la American Academy of Ophthalmology, ananena kuti m’zaka khumi zapitazi, magulu a anthu amene amaonana ndi anthu paokha achoka pakuchita zinthu zochepa n’kuyamba kugwira ntchito limodzi ndi akatswiri okwana 8 pa 100 alionse a maso a dzikolo.

Akupeza mwayi wogwiritsa ntchito madotolo osamalira maso m’dziko lonselo ngati mwayi wopeza ndalama pazachipatala ukukula ndi ukalamba wa anthu aku US. Magulu achinsinsi, mothandizidwa ndi osunga ndalama olemera, amagula izi – kapena kuziphatikiza pansi pa mapangano ngati ma franchise – ndi chiyembekezo chowonjezera phindu pochepetsa ndalama zoyendetsera ntchito kapena kusintha njira zamabizinesi. Nthawi zambiri amagulitsanso machitidwewo pamtengo wapamwamba kwa wotsatsa wina.

Kuthekera kwa phindu kwa osunga ndalama zabizinesi ndizodziwikiratu: Mofanana ndi kulipira kukweza mipando ya ndege kukhala kalasi yoyamba, odwala amatha kusankha zowonjezera zodula pamachitidwe ambiri amaso, monga opaleshoni ya ng’ala. Mwachitsanzo, madotolo amatha kugwiritsa ntchito laser m’malo modula magalasi a maso, kupereka magalasi angapo omwe amatha kuthetsa kufunikira kwa magalasi, kapena kulimbikitsa astigmatism kukonza komwe Green adati amagulitsa. Nthawi zambiri, odwala amalipira m’thumba lawo pazowonjezera – tsiku lolipira chithandizo chamankhwala lomwe silimakakamizidwa ndi zokambirana zobweza inshuwaransi. Ntchito zoterezi zikhoza kuchitika m’zipatala zakunja ndi malo opangira opaleshoni odziimira okha, omwe angakhale opindulitsa kwambiri kuposa zipatala.

Wiggins adati mabizinesi omwe amapangidwa ndi magulu azinsinsi amatha kuthandiza asing’anga kugulitsa ndikukulitsa machitidwe awo, komanso kukambirana zamitengo yabwino yamankhwala ndi zinthu. Koma adachenjeza kuti kufunafuna phindu lalikulu kumawononga chisamaliro cha odwala.

“Mavuto akuchulukirachulukira ndikukweza mitengo,” adawonjezera Aditi Sen, mkulu wa kafukufuku ndi mfundo ku bungwe lopanda phindu la Health Care Cost Institute, lomwe limapereka zambiri komanso kusanthula zachuma pazaumoyo.

Yashaswini Singh, katswiri wazachuma pa yunivesite ya Johns Hopkins, ndi anzake adasanthula zopeza zachinsinsi mu ophthalmology, gastroenterology ndi dermatology ndipo adapeza kuti machitidwe amalipira inshuwaransi yowonjezera 20%, kapena avareji ya $71, atapeza. Zochita zachinsinsi zawonanso kukwera kwa odwala atsopano komanso kubwereranso mobwerezabwereza ndi odwala akale, malinga ndi kafukufuku wawo, wofalitsidwa Sept. 2 mu magazini yachipatala ya JAMA.

Kuwunika kwa KHN kudapezanso kuti makampani abizinesi abizinesi amaika ndalama m’maofesi a madotolo omwe amapereka mankhwala okwera kwambiri awiri mwamankhwala omwe amapezeka kwambiri m’maso a macular degeneration, kutanthauza kuti madokotala amatha kuwona odwala ambiri motero amakhala opindulitsa.

KHN idasanthula 30 yapamwamba kwambiri yopereka mankhwala ochepetsa mphamvu yamaso a Avastin ndi Lucentis mu 2019 ndi database ya Centers for Medicare and Medicaid Services. Makampani azamabizinesi adapitilizabe kugulitsa 23% yamankhwala apamwamba a Avastin, ndi 43% yamankhwala apamwamba a Lucentis — kuposa 8% ya ophthalmologists omwe mabungwe achinsinsi ali ndi gawo pakali pano. Mwachitsanzo, Retina Consultants of America adayika ndalama m’machitidwe a akatswiri anayi apamwamba a Avastin, ndi olembera apamwamba asanu ndi anayi a Lucentis.

“Mtundu wamalonda wamba ndi womwe umayang’ana kwambiri phindu, ndipo tikudziwa kuti samasankha mwachisawawa,” adatero Senn.

Adanenanso kuti kuchuluka kwa odwala kumakhala kokopa kugawana nawo payekha, monganso lingaliro loyika ndalama pazinthu zomwe zimagwiritsa ntchito mankhwala okwera mtengo a Lucentis, omwe amawononga pafupifupi $ 1,300 pobaya jakisoni. Kuphatikiza apo, adati, atapeza ndalama zachinsinsi, madotolo atha kusintha machitidwe awo ogulira kuchokera ku Avastin yotsika mtengo yomwe imawononga pafupifupi $40 kupita ku Lucentis – kuwongolera zofunikira.

Retina Consultants of America sanayankhe pempho la ndemanga.

Chilimwe chatha, Craig Johnson, yemwe panthawiyo anali ndi zaka 74, adaganiza kuti inali nthawi yoti achite opaleshoni ya ng’ala kuti akonze vuto lake lamaso. Anaganiza zopita kwa madokotala a CVP ku Cincinnati, akutcha “zonona zamtundu wamba za opaleshoni ya maso” monga momwe amachitira “100 patsiku.” Mchitidwewu unali kale gawo la ndalama zabizinesi, koma zapezedwa ndi Investor wina, chimphona cha EyeCare Partners, kwa $ 600 miliyoni.

Ndipo ngakhale Johnson anali wokondwa ndi zotsatira za opaleshoni, iye sanali bwino buku kudula buku la opaleshoni – yotsika mtengo komanso zothandiza njira ntchito laser. Johnson anali kugwiritsa ntchito inshuwaransi yachinsinsi chifukwa anali akugwirabe ntchito, ndipo adati izi zidapangitsa kuti azilipira ndalama zoposa $2,000 m’thumba diso lililonse. Kuchita opaleshoni ya laser nthawi zambiri kumawononga ndalama zambiri kuposa opaleshoni yamanja ndipo sikungakhale ndi ndondomeko ya inshuwalansi, malinga ndi American Academy of Ophthalmology.

Johnson anafotokoza kuti wogulitsa ndi dokotala anamusonyeza zimene angachite kuti aziona bwino.

“Anthu achikulire ndi anthu omwe ali pachiwopsezo chifukwa amapeza ndalama zokhazikika, ndi okalamba pang’ono, ndipo amakukhulupirirani … mumavala malaya oyera,” adatero Dr. Arvind Saini, katswiri wa ophthalmologist yemwe amayendetsa chipatala chodziyimira pawokha ku California. San Diego County.

Nkhani yosamalira maso
Christina Green akuti opaleshoni ya ng’ala ya 2019 yomwe Christina Green adachita ku Private Equity-Backed Ophthalmology Consultants ku St. Green, yemwe kale anali pulofesa wachingelezi, ananena kuti ankadziona ngati munthu wamtengo wapatali kuposa wodwala.

Matt Kyle wa KHN

Odwala ambiri sadziwa ngati ochita malonda achinsinsi ali ndi chidwi ndi machitidwe omwe amasankha chifukwa nthawi zambiri amatchulidwa ndi dokotala wina kapena ali ndi vuto la maso.

David Zielenziger, wazaka 70, adakhala ndi mwayi kuti akumana mwachangu ndi mlangizi wa Vitreoretinal pazochita ku New York pambuyo pa kutsekeka kwa retina. Zielenziger, yemwe kale anali mtolankhani wazamalonda, sanadziwe kuti adalumikizidwa ndi netiweki ya Retina Consultants of America. Ankakonda dokotala wake ndipo analibe madandaulo okhudza chithandizo chadzidzidzi chomwe analandira – ndipo anapitirizabe kupita kumeneko kuti akamutsatire. Anati Medicare inaphimba pafupifupi chilichonse.

“Ndizochita zodzaza anthu ambiri,” adatero, pozindikira kuti zafalikira kumasamba ambiri, zomwe zimapangitsa osunga ndalama kukhala osangalala.

Mu 2018, a Michael Kroen adayambitsa Physician Growth Partners, gulu lomwe limathandiza asing’anga kugulitsa zomwe amachita kumakampani abizinesi abizinesi, kuti apeze ndalama zowonjezera chiwongola dzanja. Anati chisamaliro cha maso ndi chimodzi mwazinthu zazikulu zopangira ndalama, chifukwa ntchito zapadera zachipatala zimagwira ntchito pamsika waukulu wa anthu.

Kufufuza kwa KHN kunapeza kuti makampani khumi ndi asanu ndi limodzi mwa makampani 25 abizinesi omwe adadziwika ndi PitchBook tracker ngati omwe amagulitsa ndalama zambiri pazaumoyo agula magawo okhudzana ndi machitidwe a optometry ndi ophthalmology.

Kroen akulosera kuti ndalama zachinsinsi pazochitikazo zidzangowonjezereka chifukwa cha mpikisano wa “gorilla wa mapaundi a 1,000” kuchokera ku zipatala zomwe zimapezanso machitidwe, komanso kubwezera inshuwalansi kukakamiza madokotala ambiri kuti apeze thandizo lakunja. “Ngati simukula, zidzakhala zovuta kuti mukhale ndi moyo ndikupeza ndalama zofanana ndi zomwe mudali nazo m’mbuyomu,” adatero.

Akatswiri ena azachipatala akuda nkhawa kuti mabizinesi abizinesi atha kutsala ndi ndalama zambiri ngati mabizinesi ena sakufuna kugula njira zomwe adayikamo, zomwe zitha kuletsa machitidwewo ndikuphatikizanso.

“Sindikudziwa kuti machitidwe ambiri a madokotala ndi osagwira ntchito kotero kuti mukhoza kupeza 20% phindu lochulukirapo kuchokera kwa iwo,” adatero Dr. Lawrence Peter Casalino, mkulu wa ndondomeko ya zaumoyo ndi zachuma mu Division of Population Health ku Weill Cornell Medicine. Sayansi. Ananenanso kuti osunga ndalama akudalira kugulitsanso kwa wogula yemwe adzalipira ndalama zambiri kuposa momwe adalipira. “Ngati izi sizikugwira ntchito, zonse zidzatuluka.”

Mtolankhani wofufuza wa KHN Fred Schulte adathandizira nkhaniyi.

KHN (Kaiser Health News) ndi chipinda chankhani cha dziko chomwe chimatulutsa utolankhani wozama pazaumoyo. Pamodzi ndi kusanthula kwa mfundo ndi kafukufuku, KHN ndi imodzi mwamadalaivala atatu akuluakulu KFF (Caesar Family Foundation). KFF ndi bungwe lopanda phindu lomwe limapereka chidziwitso pazaumoyo kudziko lonse.

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