Physicians Practice November 24, 2025
Loren Adler, fellow and associate director at the Brookings Institution’s Center on Health Policy, joins the show to discuss how payer ownership is reshaping primary care and what it means for independent physicians.
Loren Adler, fellow and associate director at the Brookings Institution’s Center on Health Policy, joins the show to talk about his new Health Affairs study examining the rise of insurer-owned primary care practices.
Adler breaks down how quickly payer ownership has expanded, why certain markets are seeing far higher concentrations and what this consolidation means for costs, competition, Medicare Advantage and independent physicians. He also discusses the data sources behind the research, the role risk adjustment plays in shaping insurer incentives and the policy questions that come...







