Health Affairs April 5, 2023
Not that long ago, primary care practices sold for hundreds of dollars per patient, depending on how “fat” their files were and what proportion were economically undesirable Medicare patients. The principal buyers were hospital-based health care systems that used them for front-line triage and as capture networks for higher-profit, specialist-driven lines of service.
Now, suddenly, the likes of Amazon, CVS Health, Walgreens, Walmart, UnitedHeath, and Humana are vying to acquire and build primary care practices targeted at serving the US’s seniors. So far, we estimate they have committed $50 billion, and the competition has driven prices north of $50,000 per patient. When the US finally grasps what is going on, how this competition was triggered in the first place, and...
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