The Expansion of Private Equity into Ophthalmology
DOI:
https://doi.org/10.65539/mxksdb47Keywords:
private equity, ophthalmology, patient care, physician autonomy, private practice, incomeAbstract
Throughout the last few decades, private equity (PE) has expanded into the field of ophthalmology at an incredible rate. Acquisitions of private practices by firms have increased with the intention of maximizing profits and patient volume to target the growing demand for medical services and address a fragmented healthcare system. PE investment has proven to greatly benefit PE firms and senior ophthalmologists of well-established practices. However, this trend of PE acquisition has received much criticism despite its seemingly positive short-term outlook. In this commentary, we discuss the potential setbacks of PE advancement in ophthalmology, including the loss of physician autonomy, reduced income for junior ophthalmologists, and decline in quality of patient care – all resulting from the increased focus on maximizing profitability. Furthermore, we consider the ramifications of PE investment on incoming ophthalmologists who are entering an uncertain job marketplace and may struggle to locate stable practice opportunities. This commentary concludes with the evaluation of private equity advancement through the lens of a medical student and an ophthalmologist, as well as a call for medical students and trainees to educate themselves on the matter and promote further research on the long-term consequences of this trend of PE investment.
Downloads
References
1. Sridhar, Jayanth, and Christina Y Weng. "Editorial: Private equity investment and ophthalmology: why the discussion matters." Current opinion in ophthalmology vol. 33,5 (2022): 339-341. doi:10.1097/ICU.0000000000000871. https://pubmed.ncbi.nlm.nih.gov/35916563/ DOI: https://doi.org/10.1097/ICU.0000000000000871
2. Del Piero, Juliet et al. "Driving forces and current trends in private equity acquisitions within ophthalmology." Current opinion in ophthalmology vol. 33,5 (2022): 347-351. doi:10.1097/ICU.0000000000000880. https://pubmed.ncbi.nlm.nih.gov/35838270/ DOI: https://doi.org/10.1097/ICU.0000000000000880
3. Brill, Daniel et al. "Private equity in ophthalmology: lessons from other specialties." Current opinion in ophthalmology vol. 33,5 (2022): 352-361. doi:10.1097/ICU.0000000000000876. https://pubmed.ncbi.nlm.nih.gov/35916564/ DOI: https://doi.org/10.1097/ICU.0000000000000876
4. Christopher Kent, Senior Editor. "Update: Private Equity in Ophthalmology." Review of Ophthalmology, 10 May 2022. www.reviewofophthalmology.com/article/update-private-equity-in-ophthalmology.
5. Scheffler, Richard, et al. Soaring Private Equity Investment in the Healthcare Sector, 18 May 2021. https://bph-storage.s3.us-west-1.amazonaws.com/wp-content/uploads/2021/05/Private-Equity-I-Healthcare-Report-FINAL.pdf
6. Shah, Chirag P, and Jeremy D Wolfe. "How private equity achieves return on investment in ophthalmology." Current opinion in ophthalmology vol. 33,5 (2022): 362-367. doi:10.1097/ICU.0000000000000879. https://pubmed.ncbi.nlm.nih.gov/35819901/ DOI: https://doi.org/10.1097/ICU.0000000000000879
7. Portney, David S et al. "Trainee Perspectives of Private Equity's Impact on Ophthalmology." Journal of academic ophthalmology (2017) vol. 15,1 e56-e61. 9 Feb. 2023, doi:10.1055/s-0043-1761289. https://pubmed.ncbi.nlm.nih.gov/38737149/ DOI: https://doi.org/10.1055/s-0043-1761289
8. Patel, Shriji et al. "Implications of the presence of private equity in ophthalmology: an academic perspective." Current opinion in ophthalmology vol. 33,5 (2022): 377-380. doi:10.1097/ICU.0000000000000856. https://pubmed.ncbi.nlm.nih.gov/35819904/ DOI: https://doi.org/10.1097/ICU.0000000000000856
9. Patil, S. A., Vail, D. G., Cox, J. T., Chen, E., Mruthyunjaya, P., Tsai, J. C., & Parikh, R. (2023). Private equity in ophthalmology and optometry: a time series analysis from 2012 to 2021. Digital journal of ophthalmology : DJO, 29(1), 1–8. https://doi.org/10.5693/djo.01.2022.10.004 DOI: https://doi.org/10.5693/djo.01.2022.10.004
10. Groothoff, J. D., & Browning, D. J. (2024). Assessing Private Equity Involvement in Ophthalmology: Parallels With the Past, Concerns for the Future. American journal of ophthalmology, 270, 245–251. Advance online publication. https://doi.org/10.1016/j.ajo.2024.09.026 DOI: https://doi.org/10.1016/j.ajo.2024.09.026
11. Singh Y, Song Z, Polsky D, Bruch JD, Zhu JM. Association of Private Equity Acquisition of Physician Practices With Changes in Health Care Spending and Utilization. JAMA Health Forum. 2022;3(9):e222886. doi:10.1001/jamahealthforum.2022.2886 DOI: https://doi.org/10.1001/jamahealthforum.2022.2886
12. Casalino LP, Saiani R, Bhidya S, Khullar D, O'Donnell E. Private equity acquisition of physician practices. Ann Intern Med. 2019;170(2):114–5. DOI: https://doi.org/10.7326/M18-2363
Published
Issue
Section
License
Copyright (c) 2025 Muhammad Awan, Ankit Shah (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.