Bain: New Models of Primary Care Will Capture 30% of the US Market by 2030 as Retailers, Payer-Owned Providers and Advanced Primary Care Disruptors Gain Traction

Bain & Company’s study, Primary Care 2030: Innovative Models Transform the Landscape, shows that new primary care models from nontraditional players—such as retailers, payer-owned providers, advanced primary care disrupters and concierge providers —could capture as much as a third of the US primary care market by 2030.

This would be a far cry from today’s market, which remains dominated by traditional providers in fee-for-service arrangements. The shift from fee-for-service to fee-for-value reimbursement models has been one of the most significant sources of innovation in primary care, a trend Bain expects will only accelerate. Both independent and payer-owned advanced primary care providers will continue playing a major role here. Read more.

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CMS Proposes 3.1% Pay Bump to Dialysis Facilities Next Year

The Centers for Medicare & Medicaid Services (CMS) released a proposed rule for the End-Stage Renal Disease Prospective Payment System that details Medicare payments to renal dialysis services. Medicare is expected to pay out $8.2 billion to approximately 7,800 dialysis centers next year, with a base rate of $264.09, which is an increase of $6.19 to the current rate.