By 2030, nontraditional providers, including retailers and payers, are projected to capture 30% of the U.S. primary care market, with payer-owned primary care accounting for 20%. Traditional providers must adapt to competitive dynamics and value-based care models, while retailers face challenges in delivering comprehensive primary care. Advanced primary care providers are leading the shift towards population-specific care, but must navigate tighter economics and regulatory changes.
Senators Bill Cassidy and Maggie Hassan propose site-neutral Medicare payments to reduce healthcare costs and save taxpayer dollars, arguing that current hospital facility fees inflate prices for basic services. However, hospital groups warn that such reforms could jeopardize access to critical care and increase wait times. Supporters, including the Purchaser Business Group on Health, advocate for the changes to promote competition and lower consumer costs.
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