Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
48 min
5 speakers
8 chapters
transcribed 8 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the overall focus of the hospice super‑special episode?
The JerryPal Podcast is brought to you by Archstone Foundation. Archstone Foundation, improving the health and well-being of older Californians and their caregivers.
And supported by listeners like you, many of whom have donated on the JerryPal fundraising site, which you can find at www.jerrypal.org, big blue button, or through reviews, stars on your favorite podcasting app. Big thank you. Welcome to the Jerry Powell Podcast. This is Eric Quadera.
This is Alex Smith.
And Alex, we have a super special today. We got a hospice super special.
Have a hospice super special day. We are delighted to welcome Melissa Aldridge to the Jerry Pell Podcast. Melissa is a health services researcher. She's professor and vice chair for research at the Mount Sinai School of Medicine, Department of Geriatrics and Palliative Medicine. Welcome to the Jerry Pell Podcast, Melissa.
Thank you. Great to be here.
And we're delighted to welcome back to the JerryPal podcast, Krista Harrison, who is a health policy researcher and associate professor of medicine, UCSF Division of Geriatrics. Welcome back to the JerryPal podcast, Krista.
Always a pleasure. Thank you.
And we're delighted to welcome back Lauren Hunt, who is a hospice and palliative care nurse researcher and assistant professor of nursing at UCSF. Welcome back to the Jerry Pelt Podcast, Lauren.
Hi, great to be here. Thanks for having me.
So uh we have a a smorgasboard, if you will, of papers that got published recently around hospice, and that's why we're calling it hospice super special. We're gonna be talking about each one of these papers. But before we do, I think somebody has a song request. Is it you, Melissa?
It's me. Yes, it is. Uh I would like to request Take the Money and Run by the Steve Miller Band. Can you do it?
Here we go.
This year's a story about Billy Joe and Bobby Sue. Two young lovers with nothing better to do. Then sit around the house, get high and watch it too. And here's what happened when they decided to cut those. They headed down to Old El Paso. Where they ran into a great big castle Billy Joe shot a man while robbing his castle. Bobby Shoot took the money run. Who Go on, take the money and run. Go on, take the money and run. Whoo whoo go on take the money and run Go on, take the money and run.
Melissa, why did you pick that song?
I really wanted to see if he could hit the high notes right at the end. It was a challenge. Um I thought it went well with some of the the themes around the private equity paper that we our team has been discussing. So that was a that was a rationale for that theme.
So I so we got three papers to talk about. The first one we're gonna be talking about is Melissa wrote a paper in uh Gemma I M, I believe, uh a little over a year ago on the hospice tax status and ownership matters of patients and families. Melissa, do you want to describe that paper?
Sure. It was actually a commentary.
Uh
I had looked at a um Research article that had recently evaluated the prevalence of private equity transactions in the hospice market and noted that there was a pretty substantial uptick in the past decade and really over the course of say around 2015 to 2019. And so the commentary was around why do we care about that and what are the potential issues?
So so in that paper you saw a pretty pretty impressive or that paper showed a pretty impressive increase in private private equity equity in hospice. Like why why should we care?
Well, we have a a long history of looking at some of the evidence around differences in um Patient populations and care processes and outcome for patients based on hospice ownership, comparing for-profit and nonprofit hospices. And so that trajectory was an increase kind of from two thousand to say twenty ten. And now about two-thirds of the market is for profit hospices. Private equity is newer. And it's obviously for profit and potentially the incentives that we see for differences in for profit and nonprofit could be exacerbated with private equity ownership. So it's something we need to pay attention to, which is what we were talking about in the article.
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Chapters
8 chapters
1
What is the overall focus of the hospice super‑special episode?
0:02–5:27
2
Why did the hosts request “Take the Money and Run” and how does it relate to private‑equity concerns?
5:27–12:01
3
What did Melissa Aldridge’s commentary reveal about the rise of private‑equity ownership in hospice?
12:01–18:08
4
How do for‑profit versus nonprofit hospice models differ in patient selection and outcomes?
18:08–23:51
5
Why is dementia the fastest‑growing hospice admission diagnosis and what are the disenrollment challenges?
23:51–30:56
6
What did Lauren Hunt’s study find about variation in hospice disenrollment rates for dementia patients?
30:56–37:12
7
How useful are current hospice quality‑metric reporting tools for families choosing a hospice?
37:12–41:24
8
What single change would each expert make to improve the hospice system (the magic‑wand question)?
41:24–48:33
Speakers
5 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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