Evidence map›Paper›PMID 41079424›Full record

ArticleHealth affairs scholar2025

Trends in consolidation of outpatient providers into health systems and corporate owners, 2020-2023.

Michael F Furukawa, Jesse Crosson, Lingrui Liu, Leeann Comfort, Daniel Miller

Abstract read
In one paragraph

Article in Health affairs scholar, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michael F FurukawaCenter for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Department of Health and Human Services, Rockville, MD 20857, United States.
Jesse CrossonCenter for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Department of Health and Human Services, Rockville, MD 20857, United States.ORCID https://orcid.org/0000-0003-4038-2878
Lingrui LiuCenter for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Department of Health and Human Services, Rockville, MD 20857, United States.ORCID https://orcid.org/0000-0003-4015-2589
Leeann ComfortCenter for Evidence and Practice Improvement, Agency for Healthcare Research and Quality, Department of Health and Human Services, Rockville, MD 20857, United States.ORCID https://orcid.org/0000-0003-3259-191X
Daniel MillerCenter for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Department of Health and Human Services, Rockville, MD 20857, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study examined the extent of provider consolidation across the outpatient sector overall and analyzed variation by ownership type, including vertically integrated health systems and large corporate owners. Methods: Using data from the Agency for Healthcare Research and Quality (AHRQ) Compendium of US Health Systems and the IQVIA OneKey Database, we analyzed changes from 2020 to 2023 in the number and share of outpatient sites and outpatient physicians affiliated with health systems and corporate owners, overall and variation by profit status, owner size, and geographic scope. Results: The number of outpatient physicians classified as independent or other type decreased by 34 770 (-7.0 percentage points) from 2020 to 2023. Outpatient consolidation into health systems and corporate owners was relatively high in 2020 and increased modestly from 2020 to 2023. Data validation identified some risk of misclassification of parent ownership status with a potential to bias upwards the prevalence of corporate ownership. Conclusion: Our findings on changes in outpatient consolidation provide a baseline for tracking the growth in parent ownership across the outpatient sector overall and highlight the critical need for more accurate and standardized data on ownership and organization to address key policy issues related to competition, antitrust, and quality impacts.

Indexed as

corporate ownershiphealth care providershealth systemsorganization of care

Identifiers

PMID41079424
PMCPMC12508799

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.