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Shining a light on PE ownership.

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OP

Optum UK

healthcare
PE-OWNED

PE-OWNED

Acquired by TPG

View PE Firm Profile

What PE Will Likely Do

Predictions

Reductions in nursing staff and increased reliance on less-trained LPNs or aides to provide patient care

HIGH LIKELIHOODBased on: TPG's track record of aggressive cost-cutting and debt-loading tactics in past acquisitions

Sale-leaseback of Optum UK's real estate assets to extract equity for investors, potentially leading to higher facility costs that are passed on to patients

HIGH LIKELIHOODBased on: The healthcare industry playbook commonly used by private equity firms, including the high frequency of staffing reductions, real estate sale-leasebacks, billing upcoding, and service line cuts

Aggressive billing practices to maximize reimbursement, potentially leading to higher out-of-pocket costs for patients

HIGH LIKELIHOODBased on: Optum UK's lack of prior valuation, suggesting it may be an underperforming asset targeted for turnaround by TPG

Elimination of unprofitable but essential services like mental health or rural care, reducing access to comprehensive healthcare

HIGH LIKELIHOODBased on: Optum UK's lack of prior valuation, suggesting it may be an underperforming asset targeted for turnaround by TPG

Significant management and consulting fees charged to Optum UK, diverting resources away from direct patient care

HIGH LIKELIHOODBased on: Optum UK's lack of prior valuation, suggesting it may be an underperforming asset targeted for turnaround by TPG

Expected Timeline

Phases
0-6 monthsCompleted

“0 to 6 months months”

Announcements of 'optimization' initiatives and leadership changes at Optum UK

6-12 monthsYOU ARE HERE

“6 to 12 months months”

Beginning of staffing reductions and service line reviews under the guise of 'efficiency' programs

12-24 months

“12 to 24 months months”

Noticeable decline in patient experience, with longer wait times and reduced availability of certain healthcare services

24-36 months

“24 to 36 months months”

Potential closure of unprofitable departments or facilities, leading to reduced access to care and quality scandals

36+ months

“36+ months months”

Possibility of Optum UK filing for bankruptcy or being sold off to another operator, further disrupting patient care

Similar Cases

Other companies that followed a similar path after PE acquisition

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Steward Health Care

Cerberus Capital Management·2010

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Envision Healthcare

KKR·2018

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US Dermatology Partners

Ares Management·2016

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Hahnemann University Hospital

Cerberus Capital Management·2018

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Sound Physicians

Summit Partners·2019

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What You Can Do

Take Action

Actions

  • Patients should closely monitor any changes in the availability and quality of healthcare services provided by Optum UK, and be prepared to seek alternative providers if necessary

  • Patients should carefully review their medical bills and insurance coverage to ensure they are not being subjected to inappropriate billing practices

  • Patients should advocate for the preservation of essential healthcare services, such as mental health and rural care, that may be at risk of being cut by Optum UK under private equity ownership

Alternatives

Non-profit health systemsSAFE

Community-focused healthcare

Kaiser PermanenteSAFE

Integrated managed care consortium

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