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CA

CareMax

healthcare
PE-OWNED

Value-based primary care provider for seniors.

PE-OWNED

Acquired by General Atlantic2020-01-01

View PE Firm Profile

What Made It Great

“

Medicare-focused primary care with comprehensive wellness programs.

What PE Will Likely Do

Reduction in nursing staff and replacement of RNs with lower-cost LPNs or nursing assistants, leading to shorter appointment times and less personalized care for seniors

HIGH LIKELIHOODBased on: General Atlantic's track record of cost-cutting and extracting value from acquired companies, which is likely to negatively impact the quality of care provided by CareMax

Potential sale-leaseback of CareMax's clinic properties, extracting equity but potentially increasing rents and reducing CareMax's control over its facilities

HIGH LIKELIHOODBased on: The healthcare industry playbook that shows the common PE tactics used in this sector, many of which are directly applicable to CareMax's business model

Aggressive billing coding practices to maximize Medicare reimbursements, potentially leading to upcoding of procedures and diagnoses

HIGH LIKELIHOODBased on: The specific nature of CareMax's services, which are focused on providing comprehensive, personalized care to seniors, and are vulnerable to the types of cost-cutting measures typically employed by PE firms

Elimination of unprofitable but essential services like home-based care, chronic disease management programs, and wellness education for seniors

HIGH LIKELIHOODBased on: The specific nature of CareMax's services, which are focused on providing comprehensive, personalized care to seniors, and are vulnerable to the types of cost-cutting measures typically employed by PE firms

Significant management fees and consulting charges extracted by General Atlantic, reducing funds available for patient care and investments

HIGH LIKELIHOODBased on: The specific nature of CareMax's services, which are focused on providing comprehensive, personalized care to seniors, and are vulnerable to the types of cost-cutting measures typically employed by PE firms

Expected Timeline

0-6 monthsCompleted

“0 to 6 months months”

Announcement of 'optimization' initiatives, leadership changes, and promises of improved 'efficiency'

6-12 monthsYOU ARE HERE

“6 to 12 months months”

Staffing reductions begin, with RNs replaced by lower-cost nursing staff; service line reviews commence

12-24 months

“12 to 24 months months”

Noticeable decline in patient experience, with longer wait times, shorter appointments, and reduced access to comprehensive care programs

24-36 months

“24 to 36 months months”

Potential closure of unprofitable service lines, quality scandals, and growing dissatisfaction among CareMax's senior patient population

36+ months

“36+ months months”

Possibility of CareMax being unable to maintain its value-based care model, leading to bankruptcy or a fire sale to another operator

Similar Cases

Other companies that followed a similar path after PE acquisition

What You Can Do

Actions

  • Closely monitor any changes in the quality of care, appointment times, and availability of comprehensive services at CareMax clinics

  • Advocate for maintaining the original mission and model of CareMax, which prioritizes patient-centered, value-based care for seniors

  • Consider switching to alternative providers if the quality of care at CareMax deteriorates significantly, and voice concerns to policymakers and regulators about the impact of PE ownership on healthcare services

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

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"CareMax is now PE-owned. Here's what that means for you."