MP19-02 IMPACT OF PRIVATE EQUITY ACQUISITION ON UROLOGIC PROCEDURAL VOLUME

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP19-02 IMPACT OF PRIVATE EQUITY ACQUISITION ON UROLOGIC PROCEDURAL VOLUME Shyam Patnaik, Danielle Sharbaugh, Michael Stencel, Cameron Jones, Stephen Kisty, Divya Nateson, Charlotte Stahlfeld, Sarah Erpenbeck, Cailey Guercio, Mia Alcorn, Jonathan Yabes, Bruce Jacobs, and Benjamin Davies Shyam PatnaikShyam Patnaik More articles by this author , Danielle SharbaughDanielle Sharbaugh More articles by this author , Michael StencelMichael Stencel More articles by this author , Cameron JonesCameron Jones More articles by this author , Stephen KistyStephen Kisty More articles by this author , Divya NatesonDivya Nateson More articles by this author , Charlotte StahlfeldCharlotte Stahlfeld More articles by this author , Sarah ErpenbeckSarah Erpenbeck More articles by this author , Cailey GuercioCailey Guercio More articles by this author , Mia AlcornMia Alcorn More articles by this author , Jonathan YabesJonathan Yabes More articles by this author , Bruce JacobsBruce Jacobs More articles by this author , and Benjamin DaviesBenjamin Davies More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003244.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Private equity firms have been increasing investment in urology in recent years. Despite the changing ownership model in urology private practice, the effect of these acquisitions on urologic practice and procedural volume has yet to be determined. We sought to investigate the impact on procedural volume in a variety of urologic procedures before and after private equity acquisition. METHODS: Private equity acquisitions of urology practices were identified via the existing literature, which utilized a compilation of financial databases cataloguing both public and private transactions. Yearly office visit and procedure volume by provider was extracted from the publicly available “Medicare Physician & Other Practitioners by Provider and Service” dataset from 2013-2019. The most commonly billed procedures were chosen for analysis: post-void residual (PVR), cystometrogram (CMG), uroflow, cystoscopy, prostate biopsy, extracorporeal shock-wave lithotripsy (ESWL), and ureteroscopy. Mixed regression model and sensitivity analyses were conducted. RESULTS: 1,564,853 office visits and 867,216 procedures were analyzed over a 5-year period. Using mixed model analysis, the number of cystoscopies, PVRs, ESWL, and ureteroscopies per physician-year showed no statistically significant change after private equity acquisition (Table 1). Prostate biopsy and complex CMG showed statistically significant increases by an average of 2.06 and 6.88 procedures per physician-year respectively after private equity. Complex uroflow had a significant decrease by an average of 13.5 procedures per physician-year after acquisition. The average number of each urologic procedure per 100 visits remained stable from before private equity acquisition to after acquisition. In terms of the average number of new patient visits, the observed trends for 30-, 45-, and 60- minute visits per 100 visits remained stable from before to after private equity acquisition. CONCLUSIONS: In this study we demonstrate the impact of private equity ownership on urologic practices before and after acquisition. We found that both prostate biopsy and complex CMG procedures rates increased significantly since private equity acquisition. The fiscal impact of these changes has yet to be determined. Source of Funding: N/A © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e264 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Shyam Patnaik More articles by this author Danielle Sharbaugh More articles by this author Michael Stencel More articles by this author Cameron Jones More articles by this author Stephen Kisty More articles by this author Divya Nateson More articles by this author Charlotte Stahlfeld More articles by this author Sarah Erpenbeck More articles by this author Cailey Guercio More articles by this author Mia Alcorn More articles by this author Jonathan Yabes More articles by this author Bruce Jacobs More articles by this author Benjamin Davies More articles by this author Expand All Advertisement PDF downloadLoading ...