What happens when private equity firms own nursing homes?
Marketplace All-in-One
Marketplace
4.5 • 1.4K Ratings
🗓️ 24 January 2024
⏱️ 29 minutes
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Summary
The long-term care industry has been plagued by unaffordable prices and staffing shortages, squeezed by growing demand as the country ages. But public health officials have been voicing concerns about another, more hidden issue: the rise of private-equity-owned nursing homes. On the show today, Mark Unruh, professor of population health sciences at Weill Cornell Medical College, breaks down the long-term care industry, how nursing homes are impacted by private equity ownership, and what high, convoluted costs and staffing shortages mean for aging Americans seeking nursing home care.
Then, we’ll dig into a niche economic indicator and how work is weighing on us. Plus, how one listener used their pandemic stimulus cash.
Here’s everything we talked about today:
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- “How do nursing homes make money?” from Marketplace
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- “How Patients Fare When Private Equity Funds Acquire Nursing Homes” from the National Bureau of Economic Research
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- “Dying Broke” from KFF Health News
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- “Unhappy Workers Cost US Firms $1.9 Trillion” from Bloomberg
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- “TurboTax isn’t allowed to say it’s ‘free’ anymore” from The Verge
We want to hear your answer to the Make Me Smart question. You can reach us at makemesmart@marketplace.org or leave us a voicemail at 508-U-B-SMART.
Transcript
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| 0:00.0 | Hello, I'm Kimberly Adams. Welcome back to Make Me Smart, where none of us is as smart as all of us. |
| 0:12.0 | It is Tuesday, today the 23rd of January. |
| 0:15.1 | Thanks so much for joining the pod. |
| 0:17.4 | We're going to talk about the nursing home industry today |
| 0:20.6 | and more specifically what happens when money money money in the form of |
| 0:26.4 | private equity gets involved. Yes if we are lucky all of us will get older and |
| 0:31.9 | need some kind of help many of us will get older and need some kind of help. Many of us would love to age at home and |
| 0:36.8 | place, you know, comfortable and whatever, but the truth is that a lot of us are going to end up in nursing |
| 0:42.0 | homes or assisted living facilities and if not us then maybe |
| 0:45.8 | our loved ones and a couple years ago the Biden administration raised a lot of concerns |
| 0:51.1 | about the state of nursing homes and corporate investment in that industry. |
| 0:55.6 | So to learn more about this and hopefully get some guidance on what the future may look like for some or all of us, |
| 1:02.4 | we wanted to get smart about it. So here to make a smart is |
| 1:05.7 | Mark Unru. He's a professor of Population Health Sciences at Cornell Medical College. |
| 1:11.1 | Welcome to the show. Thank you. Thank you for having me today. So first can you lay the kind of groundwork about how big this industry is the nursing home assisted living facility industry and you know who lives there? |
| 1:27.0 | Sure so there are about 15,000 nursing homes in the US. |
| 1:31.0 | Most are for profit about two-thirds of the facilities. They take care |
| 1:35.8 | of basically two populations. One population is for post-acute care and these are generally |
| 1:41.1 | individuals who are just discharged from the hospital but |
| 1:43.8 | aren't quite well enough to go home yet and spend a few weeks in the facility receiving |
| 1:47.9 | rehabilitation therapy. |
| 1:50.2 | And the other population is there for long-term care. |
... |
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