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Private Equity Firms Push Dentists To Detrimentally Overtreat Patients: Report

The Huffington Post  |  By Posted: Updated: 05/18/2012 4:21 am

Private Equity Firms Dental
A dentist and her assistant prepare to clean a patient's teeth in this photo illustration at a dentist's office on October 12, 2009 in Berlin, Germany. Some private equity firms are pushing dentists to overtreat dental patients for higher profit margins and to patients' detriment, Bloomberg News reports.

A crown on a four-year-old's tooth? That's just one of the consequences of private equity's leap into the dentist's chair.

That's because dental management companies frequently overtreat their patients when backed by private equity, often to those patients' detriment, according to a Bloomberg report.

The problem has become serious enough that the U.S. Senate and six state governments have begun investigating allegations of both inferior and over-treatment by dental management companies, such as unnecessary braces and crowns on baby teeth, according to Bloomberg.

Private equity firms tend to be great at turning a profit for their investors. But that can come at the expense of customers, as exemplified here, or employees; private equity firms, after buying companies, frequently lay off workers in an attempt to boost bottom lines.

Take, for example, Bain Capital, the private equity firm co-founded by presidential candidate Mitt Romney, which laid off many workers, and even watched some of the companies that it sold for a profit later go bust, according to The New York Times and Wall Street Journal.

Private equity's reach isn't limited to dentistry either. It's been criticized as an industry that has taken advantage of prospective college students in the past. When private equity investors, including Goldman Sachs, bought Education Management Corp. in 2006, the company became relentlessly focused on recruiting as many students as possible, regardless of whether they were able to pay off their resulting student loan debts or find a job after college, according to a report from The Huffington Post.

In this case, over-treatment of dental patients would be just one unintended consequence of basing a health care system on a profit motive. Large hospitals, for example, are pushing some patients out before they're ready because of pressure to meet financial obligations, according to two studies by Bruce Golden, a professor at University of Maryland's business school.

This is partly because hospitals' revenue-driven model pushes surgeons to perform as many surgeries as possible, according to Golden. But that extra revenue doesn't appear to be saving much money for the Americans themselves. The U.S. spent $7,960 per capita on health care in 2009, almost three times as much as Japan, according to a recent study.

"Health care quality in the U.S. varies and is not notably superior to the far less expensive systems in the other study countries," that report said. It went on to say that rising health care costs are "more likely due to higher prices" than "higher income, an older population or greater supply or utilization of hospitals and doctors."

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A crown on a four-year-old's tooth? That's just one of the consequences of private equity's leap into the dentist's chair. That's because dental management companies frequently overtreat their pat...
A crown on a four-year-old's tooth? That's just one of the consequences of private equity's leap into the dentist's chair. That's because dental management companies frequently overtreat their pat...
 
 
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09:51 PM on 05/31/2012
It happened to hospitals in the 90's when private equity firms bought non-profit hospitals and turned them into for-profit hospitals and care costs shot up like a rocket! They started charging six dollars for one aspirin, forced doctors to perform unnecessary operations and billed Medicare and Medicaid for procedures not performed or overcharged! It's still happening today!
10:50 PM on 05/30/2012
This is an invasion that must be stopped or curtailed. Corporate dentistry is not a good thing. Patients should boycott them at all costs.
http://www.drperrone.com
02:42 PM on 05/24/2012
dvdvdvd
02:29 PM on 05/22/2012
There is a Change.org petition to stop Private Equity owned dental clinics from abusing children and defrauding Medicaid. Anyone who is appalled by this issue needs to sign it: http://chn.ge/dentalabuse
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HUFFPOST SUPER USER
l78lancer
Wisdom is the principal thing
06:27 PM on 05/19/2012
This demonstrates clearly that the only entitlement in this country is the sense of entitlement of the 1% to rip off and abuse the government and the general public, with the bogus excuse of being “job creators.”

I am still waiting for Romney or anyone else who subscribes to the religion of greed to explain since customer demand increases purchasing thus necessitating increased production and expansion, how do overcharging, excessive debt, profit maximization and profit taking, benefit the business, the employee or the country?

It’s fine go get rich, but stop pretending that it benefits anyone other than the people getting rich, and stop screwing the public to get there.
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HUFFPOST SUPER USER
l78lancer
Wisdom is the principal thing
05:59 PM on 05/19/2012
Medicaid fraud is still fraud regardless the reason, and people should go to jail. All I want to know is how soon will charges be filed, and how high in the organization will they reach?
02:46 PM on 05/19/2012
I have fillings in nearly all my back teeth, most of them probably unnecessary. I gave up going to the dentist on a regular basis when one told me I needed a root canal which I couldn't afford, waited for a couple of years until the filling fell out completely, then just had a cap put on it. Savings probably about a thousand bucks or so.
11:52 PM on 05/18/2012
Hell one office I know of was so bad that I actually reported them to the State Board, with hard evidence. I was told "some doctors choose to operate their practices differently, and those decisions are not within our governance". The particular case I reported was regarding a dentist putting crowns on perfectly healthy teeth, and forcing someone to undergo debridement procedures despite any evidence of periodontal disease whatsoever. The poor guy didn't even have insurance and had spent over $5000 out of pocket for these procedures. The dentist was as crooked as they come and had invested in several failed real estate ventures which resulted in her hemorrhaging money. Hell the office was so poorly managed that they regularly mixed up patient X-Rays because the University of Phoenix idiots that worked there couldn't manage to control files properly. I would never trust any dentist, unless I had known them for a long, long time.
11:46 PM on 05/18/2012
Dentists were overtreating patients long before PE firms got involved. My wife has worked in many a dental office, and the breadth of over diagnosis would amaze most people. How about regularly diagnosing children under 14 years old with periodontal disease? I can name at least 4 places that do that as standard practice. Using billing codes that don't actually exist to trump up fees? Happens all the time. Charging people over 20 times the actual cost of a crown? Standard practice. I know of one office that forces full mouth debridements on 80% of the people that walk in the door, just to get them on the hook for a more expensive treatment and have them come back routinely for that more expensive treatment. This certainly isn't something new that is a result of PE getting in the game.
ruburnt
Live Free or Die....
10:49 PM on 05/18/2012
I always try to go to the well seasoned Dentists. Not because they are better but because most have already established their practice AND have paid off all student loans. The younger Dentists usually have a large six figure student loan to pay off and therefore do a lot of extra procedures to help pad their income.....
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HUFFPOST SUPER USER
Cecelia Nunn Haack
Art saves lives
06:24 PM on 05/18/2012
I have a great dentist who is willing to patch my teeth on an as needed basis. He'll never get rich but he's happy.
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sophie M
ANTI WAR./animal rescue
05:19 PM on 05/18/2012
i have very good friend, born and raised in Bosnia.
She goes home, for her dental care.
HUFFPOST SUPER USER
the truth leans left
05:18 PM on 05/18/2012
hhahahahahah.... more of that "best healthcare in the world" evidence.
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sophie M
ANTI WAR./animal rescue
04:42 PM on 05/18/2012
Trusting a dentist in the US, is like trusting.........
a politician.
( actually, even worse). ....i know that is hard to imagine.
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sophie M
ANTI WAR./animal rescue
03:44 PM on 05/18/2012
Don't get me started on Dentists.
They are a RIP OFF!
BTW........why is dental care ...not considered HEALTH CARE?
Why a separate policy?
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neveragain
We Won't Get Fooled Again!
04:05 PM on 05/18/2012
yea...and what about the eyes too...aren't they part of our bodies as well?