Forecast Period
|
2026-2030
|
Market Size (2024)
|
USD 342.21 Billion
|
Market Size (2030)
|
USD 530.66 Billion
|
CAGR (2025-2030)
|
7.56%
|
Fastest Growing Segment
|
Private Equity-owned
|
Largest Market
|
Mid-West
|
Market Overview
The United States Physician Groups
Market was valued at USD 342.21 Billion in 2024 and is expected to reach USD 530.66
Billion by 2030 with a CAGR of 7.56%. The United States Physician Groups Market is
witnessing considerable expansion due to ongoing transformations within the
healthcare delivery system. A significant driver behind this growth is the
escalating demand for value-based care models, which prioritize patient
outcomes and cost-efficiency. Physician groups are increasingly aligning with
these models to enhance care coordination, improve quality, and optimize
reimbursement under alternative payment models. The consolidation of smaller
practices into larger, multispecialty groups has allowed for shared resources,
improved patient access, and the integration of care across multiple
disciplines. Furthermore, the rising geriatric population with complex health
conditions is fueling the need for continuous and multidisciplinary medical
care, which physician groups are well-positioned to provide. This demographic
shift has increased the frequency of patient visits and expanded the role of
such groups in preventive and long-term care management.
The market is also experiencing a surge in private
equity investments in physician practices. Investors are drawn to the recurring
revenue potential and scalability of group practices, especially those
operating in high-demand specialties like cardiology, dermatology, and
orthopedics. Another trend gaining traction is the adoption of digital health
tools to streamline operations, enable remote patient monitoring, and enhance
patient engagement. Electronic health records (EHR), telehealth platforms, and AI-based
diagnostics are being integrated into physician group workflows to increase
efficiency and support clinical decision-making. Multispecialty groups are
becoming more prevalent, allowing for comprehensive care under one roof and
reducing unnecessary referrals or delays. Physician burnout and administrative
burdens, once major challenges, are being mitigated by outsourcing non-clinical
functions and employing advanced health IT solutions, further boosting
operational resilience.
Despite this progress, the market faces challenges
that could hinder growth. High operating costs, particularly for maintaining
infrastructure and hiring specialized staff, remain a concern for smaller or
independent practices. Complex and frequently changing reimbursement policies
add administrative stress, making it difficult for physician groups to maintain
financial stability. Interoperability issues between different EHR systems can
obstruct seamless patient data sharing, compromising care coordination.
Physician shortages in rural and underserved areas also limit market
penetration, as access to healthcare remains inconsistent. Furthermore, the
shift from fee-for-service to value-based models, while beneficial in the long
term, requires significant upfront investments in data analytics and care
management platforms. Resistance from older physicians or those unaccustomed to
group practice settings can also slow down consolidation efforts, creating
disparities in care standards across different organizations. Addressing these
hurdles will be crucial to sustaining momentum in the evolving physician groups
landscape.
Key Market Drivers
Rising
Demand for Outpatient and Ambulatory Services
The rising demand for outpatient and ambulatory
services is a significant driver of growth in the United States Physician
Groups Market. As healthcare systems transition toward value-based models,
there is an increasing emphasis on cost-efficiency, patient convenience, and
improved clinical outcomes. This transformation has led to a surge in the
establishment and expansion of physician groups offering outpatient services,
including routine check-ups, diagnostic procedures, chronic disease management,
and minor surgeries. Patients and payers are progressively favoring ambulatory
settings due to their lower costs compared to inpatient care, shorter wait
times, and quicker recovery periods. Physician groups are capitalizing on this
shift by investing in infrastructure and technologies that allow them to
deliver high-quality care outside traditional hospital environments.
The trend is further fueled by advancements in medical
technologies that enable complex procedures to be safely performed in
outpatient settings. Innovations in minimally invasive techniques, portable
diagnostics, and remote patient monitoring tools have empowered physician
groups to broaden their service offerings while maintaining high standards of
care. Health insurers are also designing reimbursement models that support
outpatient treatment pathways, encouraging both providers and patients to adopt
this approach. Physician groups that operate in ambulatory care are
increasingly seen as integral to reducing overall healthcare expenditure,
improving care coordination, and enhancing patient satisfaction, all of which
align with national healthcare priorities and payer expectations. This growing
reliance on outpatient services is reshaping physician group structures and
service delivery models across the United States, driving significant market
expansion.
According to the Centers for
Disease Control and Prevention (CDC), in 2023, there were approximately 1.0
billion physician office visits in the United States, with 84.5% of adults and 95.0%
of children having had a visit with a doctor or other healthcare professional
in the past year. These figures underscore the substantial and growing
utilization of outpatient services, highlighting the critical role of physician
groups in meeting the nation's healthcare needs.
Technology
Adoption and Digital Transformation
Technology adoption and digital transformation are
significantly accelerating the growth of the United States Physician Groups
Market. The integration of advanced technologies such as Electronic Health
Records (EHRs), telemedicine platforms, data analytics, and Artificial
Intelligence (AI) has revolutionized how physician groups deliver care, manage
operations, and engage with patients. EHR systems have become essential in
streamlining clinical workflows, reducing administrative burden, and enabling
better coordination among healthcare professionals. With seamless access to
patient histories and diagnostic data, physicians are making more informed
decisions, which directly impacts the quality of care and patient outcomes.
Telehealth solutions have expanded access to
healthcare, especially in remote and underserved areas, and have become a
permanent fixture in the operational models of physician groups. By allowing
virtual consultations, these platforms reduce overhead costs, improve
appointment adherence, and enhance patient satisfaction. The integration of AI
tools is also enabling predictive analytics, risk stratification, and
automation of routine tasks such as billing and scheduling, resulting in
greater efficiency and scalability for physician practices.
Digital transformation is also reshaping patient
engagement through mobile health apps and portals that allow users to schedule
visits, view lab results, and communicate with healthcare providers in
real-time. These tools foster better patient-provider relationships and support
preventative care models. As healthcare becomes increasingly value-driven, the
ability of physician groups to harness digital technologies to improve clinical
efficiency and patient experience is becoming a competitive necessity. With
regulatory incentives supporting digital health initiatives and a growing
preference among patients for tech-enabled care, the adoption of digital
solutions is emerging as a core driver propelling the expansion and
modernization of physician groups across the United States. The trend is
expected to intensify in the coming years as technology continues to evolve and
redefine care delivery models.

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Key Market Challenges
Regulatory
Complexity and Compliance Burden
Regulatory complexity and compliance burden present
significant challenges for the United States Physician Groups Market. Physician
groups are required to navigate a highly intricate web of federal, state, and
local healthcare regulations, including those imposed by the Centers for
Medicare & Medicaid Services (CMS), the Health Insurance Portability and
Accountability Act (HIPAA), and the Stark Law, among others. Compliance with
these regulations demands extensive administrative oversight and financial investment,
particularly in areas such as data privacy, billing practices, coding accuracy,
and quality reporting. Even minor non-compliance can result in significant
penalties, audits, and reputational damage, placing smaller physician groups at
greater risk due to limited administrative resources.
Constantly evolving healthcare policies and updates to
reimbursement models, such as the shift from fee-for-service to value-based
care, intensify the complexity. Physician groups must frequently update
internal processes, invest in new technologies, and train staff to stay
compliant with these changes. This dynamic environment can slow innovation,
create operational inefficiencies, and divert focus from patient care. The
burden of managing regulatory requirements also makes it difficult for
independent practices to compete with larger, integrated systems that possess
dedicated compliance teams and infrastructure. These challenges not only
restrict growth and scalability but also contribute to consolidation trends, as
smaller physician groups often opt for acquisition or partnerships to share the
compliance load. The need for continuous regulatory vigilance, combined with
the financial and time costs associated with compliance, underscores a major
barrier to the sustainable expansion of physician groups in the U.S. healthcare
landscape.
Administrative
and Operational Inefficiencies
Administrative and operational inefficiencies
represent a significant challenge for the United States Physician Groups
Market. Many physician groups, particularly small to mid-sized practices,
struggle with the increasing complexity of administrative tasks required to
comply with federal regulations, insurance protocols, and value-based
reimbursement models. These inefficiencies stem from fragmented health
information systems, outdated billing software, and a lack of standardized
workflows, all of which contribute to increased clerical burden on physicians
and staff. As a result, providers often spend substantial time on non-clinical
duties, leading to reduced face-to-face patient interaction, lower
productivity, and heightened risk of burnout among healthcare professionals.
The transition to electronic health records (EHRs),
although designed to streamline care, often introduces workflow disruptions
when systems are not fully integrated or user-friendly. Many practices face
challenges in extracting actionable insights from EHR data due to inconsistent
documentation or limited interoperability across platforms. In multi-physician
or multispecialty groups, coordination between different departments can become
time-consuming without efficient communication tools or centralized decision-making.
Denials management and insurance claims processing further exacerbate
administrative strain, leading to delayed payments and financial instability
for smaller groups.
These inefficiencies hinder operational scalability
and impact patient satisfaction due to longer wait times and less personalized
care. Investing in robust health IT infrastructure, process automation, and
specialized staff for administrative functions is essential, but resource
constraints often prevent smaller practices from making these upgrades. As the
healthcare landscape shifts toward more performance-based care, physician
groups that cannot resolve these inefficiencies may face challenges in maintaining
competitiveness and delivering high-quality outcomes. Addressing this issue
requires strategic investments, workflow redesign, and policy support to ease
the administrative burden and improve care delivery at the group level.
Key Market Trends
Focus
on Multispecialty and Integrated Care Models
The United States Physician Groups Market is
experiencing a significant shift toward multispecialty and integrated care
models, driven by the imperative to deliver comprehensive, patient-centered
services that enhance outcomes and reduce costs. Multispecialty physician
groups enable providers to offer a broad spectrum of services within a single
organizational structure, facilitating seamless communication between primary
care physicians and specialists. This approach enhances care coordination and
efficiency, particularly benefiting patients with chronic conditions and
multiple comorbidities. Integrated care models align clinical, administrative,
and financial aspects of healthcare delivery, promoting operational synergy and
meeting the performance standards required under value-based reimbursement
frameworks.
Healthcare payers, including Medicare and private
insurers, are increasingly incentivizing integrated care through programs such
as bundled payments, shared savings models, and performance-based bonuses.
These financial structures reward physician groups that demonstrate
high-quality care, improved patient satisfaction, and reduced hospital
readmissions. The growing availability of health IT tools, electronic health
records, and population health analytics supports the transition to integrated
care by providing real-time data that helps monitor outcomes and tailor
treatment plans.
As of December 2024, the Centers
for Medicare & Medicaid Services (CMS) reported that approximately 2,100
practices are participating in the Primary Care First (PCF) model across 26
regions, with 17 payer partners involved. This model emphasizes advanced
primary care practices ready to assume financial risk and receive
performance-based payments. The PCF model aims to improve care for Medicare
fee-for-service beneficiaries and lower costs for CMS by offering capitated
payments along with visit-based payments, with the opportunity for substantial
performance-based adjustments. According to CMS's second annual
evaluation report, PCF practices provided care to 11% of all Medicare
fee-for-service beneficiaries, approximately 2 million individuals. This
underscores the growing adoption of integrated care models in the physician
group landscape.
The Centers for Medicare &
Medicaid Services (CMS) has also introduced the Making Care Primary (MCP)
model, a 10.5-year multi-payer initiative launched in July 2024 across eight
states. The MCP model aims to improve care management and coordination,
equipping primary care clinicians with tools to form partnerships with
specialists and community-based organizations. By addressing patients'
health-related social needs, such as housing and nutrition, the MCP model seeks
to strengthen the primary care foundation of the healthcare system. These
initiatives reflect a broader trend toward integrated, value-based care models
that prioritize patient outcomes and cost efficiency.
As healthcare continues to evolve toward preventative
and coordinated care, physician groups adopting multispecialty and integrated
models are better positioned to thrive in a competitive and outcomes-driven
landscape.
Increased
Investment in Digital Health and Remote Monitoring
The United States Physician Groups Market is
experiencing a significant shift toward multispecialty and integrated care
models, driven by the imperative to deliver comprehensive, patient-centered
services that enhance outcomes and reduce costs. Multispecialty physician
groups enable providers to offer a broad spectrum of services within a single
organizational structure, facilitating seamless communication between primary
care physicians and specialists. This approach enhances care coordination and
efficiency, particularly benefiting patients with chronic conditions and
multiple comorbidities. Integrated care models align clinical, administrative,
and financial aspects of healthcare delivery, promoting operational synergy and
meeting the performance standards required under value-based reimbursement
frameworks.
Healthcare payers, including Medicare and private
insurers, are increasingly incentivizing integrated care through programs such
as bundled payments, shared savings models, and performance-based bonuses.
These financial structures reward physician groups that demonstrate
high-quality care, improved patient satisfaction, and reduced hospital
readmissions. The growing availability of health IT tools, electronic health
records, and population health analytics supports the transition to integrated
care by providing real-time data that helps monitor outcomes and tailor
treatment plans.
As of 2024, the Centers for
Medicare & Medicaid Services (CMS) reported that Accountable Care
Organizations (ACOs) are now serving nearly half of the people with Traditional
Medicare, a 3% increase since 2023. This growth in ACOs is
significant, as they have been shown to deliver superior quality performance
compared to similar physician groups not participating in ACOs, and they have
generated year-over-year savings for the Medicare Trust Fund.
In fiscal year 2024, CMS outlays
totaled approximately USD 1,516 billion, accounting for 22% of total federal
outlays. This substantial investment underscores the federal government's
commitment to supporting integrated care initiatives and reflects the growing
importance of coordinated care models in the U.S. healthcare system.
These developments highlight a broader trend toward
integrated, value-based care models that prioritize patient outcomes and cost
efficiency. As healthcare continues to evolve toward preventative and
coordinated care, physician groups adopting multispecialty and integrated
models are better positioned to thrive in a competitive and outcomes-driven
landscape.
Segmental Insights
Practice
Type Insights
Based
on the Practice Type, Single Specialty Group emerged as the dominant segment in
the United States Physician Groups Market in 2024. This is its
streamlined operations, clinical efficiency, and specialized focus. These
groups typically concentrate on a particular area of medicine, such as
cardiology, dermatology, or orthopedics, allowing physicians to develop deep
expertise, standardized treatment protocols, and improved patient outcomes
within their specialty. This focused care model attracts both patients and
payers seeking high-quality, cost-effective treatment options. Additionally,
single specialty groups benefit from operational efficiencies and stronger
negotiating power with insurers due to their specialization, helping to boost
revenue and profitability.
Practice
Size Insights
Based on the Practice Size, Fewer than 5
Physicians emerged as the dominant segment in the United States Physician Groups
Market in 2024. This is due to the growing preference
for personalized care and patient-centric service models. Smaller physician
groups are often more agile, allowing them to build stronger relationships with
patients, offer flexible scheduling, and provide consistent continuity of care.
These practices typically emphasize individualized treatment and maintain a
high level of physician involvement in administrative and clinical decisions,
which enhances trust and satisfaction among patients. The intimate structure of
smaller practices is especially attractive in primary care and family medicine,
where long-term patient engagement is essential.

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Regional Insights
The Mid-West region
emerged as the dominant region in the United States Physician
Groups Market in 2024. This is due to its well-established
healthcare infrastructure, favorable reimbursement landscape, and increasing
consolidation of physician practices. States in the Mid-West, such as Illinois,
Ohio, and Michigan, have seen significant growth in both independent and
hospital-affiliated physician groups, driven by a strong emphasis on
value-based care and coordinated service delivery. These states benefit from a
relatively balanced mix of urban and rural populations, prompting healthcare
providers to adopt diverse practice models that address both high-volume urban
demand and rural access gaps.
Recent Developments
- In March 2025, Seoul Medical Group (SMG) and Korean
American Medical Group (KAMG) merged to create a leading independent physician
association in the U.S. The transaction is sponsored by Ascend Capital
Partners, a private equity firm focused on enhancing healthcare access and
affordability for underserved populations. The merger forms one of the largest
physician-led networks in the U.S., providing high-quality clinical and
non-clinical services. SMG and KAMG now serve nearly 100,000 patients and over
5,000 primary care and specialist physicians across several states, including
California, Georgia, and New York.
- In November 2024, Cardinal Health announced definitive
agreements to acquire two companies, boosting its strategic growth and
enhancing patient care. The company will acquire a 71% majority stake in GI
Alliance (GIA), the leading gastroenterology management services organization
in the U.S., for USD 2.8 billion in cash. GIA will become part of Cardinal
Health’s Pharmaceutical and Specialty Solutions segment. Additionally, Cardinal
Health will acquire Advanced Diabetes Supply Group (ADSG), a major provider of
diabetic medical supplies, for USD 1.1 billion in cash. ADSG will be integrated
into Cardinal Health’s at-Home Solutions business. These acquisitions align
with the company’s growth objectives and strengthen its healthcare services
portfolio.
- In July 2024, Sanford Health, the largest rural health
system in the U.S., and Marshfield Clinic Health System, a physician-led
integrated health system, announced a nonbinding Memorandum of Understanding to
combine their assets and create an integrated health system focused on
advancing world-class care in rural Midwest regions. Both organizations have a
strong history of providing exceptional healthcare to rural communities in the
U.S.
- In April 2024, Elevance Health and Clayton, Dubilier
& Rice (CD&R) announced a strategic partnership aimed at advancing
primary care delivery in the U.S. The collaboration combines Elevance Health’s
Carelon Health and CD&R's apree health and Millennium Physician Group (MPG)
assets to innovate and enhance healthcare services. The partnership focuses on
improving the healthcare experience and outcomes across multiple U.S. regions.
Key Market Players
- Cleveland
Clinic
- Kaiser
Foundation Health Plan, Inc. (The Permanente Medical Group, Inc.)
- UNITEDHEALTH
GROUP (Optum, Inc.)
- Select
Medical (Select Physical Therapy)
- C-HCA,
Inc. (HCA Florida Healthcare Physicians (HCA, Inc.))
- University
of Pittsburgh Physicians (UPMC Physicians)
- NYU
Langone Health (NYU Langone Hospitals)
- Northwestern
Memorial HealthCare (Northwestern Medicine)
- HealthCare
Partners IPA (HealthCare Partners, MSO)
- Northwell
Health (Northwell Health Physician Partners)
- Penn
Medicine Physicians (The Trustees of the University of Pennsylvania)
By Practice Type
|
By Practice Size
|
By Ownership
|
By Region
|
- Single Specialty Group
- Multi-Specialty Group
|
- Fewer than 5 Physicians
- 5 to 10
- 11 to 24
- 25 to 49
- 50+ Physicians
|
- Physician-owned
- Hospital-owned
- Private Equity-owned
- Others
|
- North-East
- Mid-West
- West
- South
|
Report Scope:
In this report, the United
States Physician Groups Market has been segmented into the following
categories, in addition to the industry trends which have also been detailed
below:
- United
States Physician Groups Market, By Practice Type:
o
Single
Specialty Group
o
Multi-Specialty
Group
- United
States Physician Groups Market, By Practice Size:
o
Fewer
than 5 Physicians
o
5
to 10
o
11
to 24
o
25
to 49
o
50+
Physicians
- United
States Physician Groups Market, By Ownership:
o
Physician-owned
o
Hospital-owned
o
Private
Equity-owned
o
Others
- United
States Physician Groups Market, By Region:
o
North-East
o
Mid-West
o
West
o South
Competitive Landscape
Company
Profiles: Detailed
analysis of the major companies present in the United States Physician Groups
Market.
Available Customizations:
United States Physician Groups Market report with the given market data,
TechSci Research offers customizations according to a company's specific needs.
The following customization options are available for the report:
Company Information
- Detailed analysis and profiling of additional market players (up to
five).
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