What's Happening?
A recent study published in Health Affairs reveals significant growth in concierge and direct primary care practices in the U.S. from 2018 to 2023. The number of these practices increased by 83%, with a 78% rise in participating clinicians. This shift
is accompanied by a decline in independently owned practices, which fell from 84% to 60%, while corporate-affiliated practices surged by 576%. The study highlights the appeal of these models due to smaller patient panels, reduced administrative burdens, and increased clinical autonomy. However, the rise in corporate ownership contrasts with the original intent of preserving independent practice. The study also notes a projected shortage of up to 86,000 primary care doctors by 2036, emphasizing the need for new models to address workforce and access challenges.
Why It's Important?
The findings underscore a transformative shift in the U.S. healthcare landscape, with potential implications for patient access and the primary care workforce. The growth of concierge and direct primary care models reflects clinicians' dissatisfaction with traditional settings, offering a more personalized approach. However, the increase in corporate ownership could alter the appeal of these models, potentially impacting clinician autonomy and patient care quality. The study's insights are crucial for policymakers and healthcare stakeholders as they navigate the evolving primary care environment and address the looming physician shortage.
What's Next?
The study suggests that further evidence is needed to inform policies regarding these emerging care models. President Trump's One Big Beautiful Bill Act, which includes provisions to expand the use of Health Savings Accounts for direct primary care, may influence future access to primary care. Additionally, some states have enacted laws to regulate these models, indicating a growing interest in legislative oversight. As these models continue to expand, stakeholders will need to balance the benefits of personalized care with the challenges posed by increased corporate involvement.
