Medical Economics November 5, 2025
Key Takeaways
- Health system affiliation led to mixed results, with disparities widening in diabetic eye exams and follow-up visits for dual-eligible patients.
- Dual-eligible patients experienced modest gains in care continuity but faced reduced access to primary care visits post-affiliation.
- Physicians’ reduced autonomy and centralized scheduling may contribute to widening care gaps for low-income patients.
- Health systems should replicate high-performing practices to improve access and equity for low-income populations.
Consolidation boosts continuity of care but deepens disparities in follow-up and preventive services, researchers report.
A RAND Corporation study published October 23 in JAMA Network Open.
The report suggests that, while consolidation may streamline operations and improve some care continuity, it can simultaneously erode access and equity for patients with...
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