Health Affairs September 5, 2024
Kevin Grumbach, Deborah J. Cohen, Yalda Jabbarpour

If you thought for-profit conglomerates were going to save primary care, maybe it is time to think again.

National primary care scorecards document the increasingly imperiled state of primary care in the US, the result of decades of underinvestment. Calls for bold policy reforms to increase primary care payment and investment in practice infrastructure have failed to reverse the decline. The nation’s spending on primary care as a percentage of total health care expenditures has continued to decrease and more primary care physicians are exiting patient care.

Despite what might appear to be the unattractive business model of primary care, recent years have seen a slew of acquisitions of primary care practices by large, investor-owned corporations. Private equity, which...

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