Retailers, payors and private equity groups are transforming how the U.S. receives care. Do you know who they are?
The primary care market is seeing consolidation like never before. A myriad of organizations are acquiring and investing in healthcare providers in response to changing patient demographics and preferences.
Some you have no doubt heard of – retailers like Amazon, CVS Health, Walgreens, and Walmart, or payors such United Health Group. Others, like private equity groups, you may not be as familiar with. But all these entities are at the forefront of partnerships permeating the primary care landscape today. Redefining the market share is a shift from fee-for-service to fee-for-value reimbursement models, physician shortages, consumerism and digital disruption.
The IDN Directory defines these entities as Commercial Healthcare Providers (CHPs), organizations formed to address patient populations outside the traditional Hospital and Health System network. CHPs have formed as a result of the shift from fee-for-service to fee-for-value reimbursement models, physician shortages, consumerism and digital disruption.
CHPs are categorized into four types of organizations:
- Payor Affiliated CHPs. Examples include UnitedHealthcare, Optum and Humana, CenterWell
- Retail Affiliated CHPs. Examples include CVS Health, Walgreens, Walmart and Amazon
- Senior Focused CHPs. Examples include Oak Street Health, ArchWell Health and CareMax
- Networked (Enablers) CHPs. Examples include Aledade, Agilon and Privia.
Repertoire Magazine, The Journal of Healthcare Contracting, and the IDN Directory will be covering all aspects of this changing market in 2023 and beyond.