I slightly amended the headline to this nice Bloomberg piece:
http://www.bloomberg.com/news/2012-05-17/dental-abuse-seen-driven-by-private-equity-investments.html
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Isaac’s case and others like it are under scrutiny by federal
lawmakers and state regulators trying to determine whether a popular
business model fueled by Wall Street money is soaking taxpayers and
having a malign influence on dentistry.

Isaac’s dentist was dispatched to his school by ReachOut Healthcare
America, a dental management services company that’s in the portfolio
of Morgan Stanley Private Equity, operates in 22 states and has dealt
with 1.5 million patients. Management companies are at the center of a
U.S. Senate inquiry, and audits, investigations and civil actions in
six states over allegations of unnecessary procedures, low-quality
treatment and the unlicensed practice of dentistry.

Allegations like Gagnon’s “are not representative” of the more than
500 cases handled by ReachOut affiliates in Isaac’s school district,
said Mickey Mandelbaum, a company spokesman.

Private-Equity Purchases

ReachOut is one of at least 25 dental management-services companies
bought or backed by private-equity firms in the last decade. Dentists
contract with the companies for marketing, scheduling, staff
recruitment, supplies and other services. The companies account for
about 12,000, or 8 percent, of U.S. dentists, according to Thomas A.
Climo, a Las Vegas dental consultant.

Some of them have been riding a boom in Medicaid outlays on dentistry,
which rose 63 percent to $7.4 billion between 2007 and 2010,
outstripping the 4.9 percent growth in other dental spending. ReachOut
and several of its private equity-backed rivals seek patients like
Isaac Gagnon, who are covered by Medicaid, the federal-state insurance
program for the poor and disabled.
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