Tuesday, January 27, 2026

Payor-Owned Primary Care is still Miniscule

We hear about big payors like Optum buying up primary care practices - but how big is that, really?

See remarks at Linked In by Brian Miller - here - and see a new paper in Health Affairs Scholar by Adler et al. here.


Here's Brian's summary:

Ironically this paper shows that Optum is not a competitive concern in primary care markets:

-Payers own 4% and Optum owns 2.71% of all primary care practices

-Optum max market share 35% in 3 counties

-There are over 3,200 counties