Acquisitions of physician practices by hospitals and health systems are occurring the most frequently in the Midwest, according to a report released by the Progressive Policy Institute in December 2025.
The report evaluated 70 economic studies that analyzed the impacts of hospital acquisitions on physicians, patients and communities.
Here’s a breakdown of the decline in independent practices due to hospital acquisitions by region:
- Western Midwest (Missouri, Iowa, Minnesota, Kansas, Nebraska, North Dakota and South Dakota): -38% decline
- Eastern Midwest (Wisconsin, Illinois, Michigan, Indiana and Ohio): -31% decline
- New England (Massachusetts, New Hampshire, Vermont, Rhode Island, Connecticut and Maine) : -37% decline
- Mid-Atlantic (Pennsylvania, New Jersey and New York): -28% decline
- South Atlantic (West Virginia, Virginia, North Carolina, South Carolina, Georgia and Florida): -20% decline
- Eastern South (including Tennessee, Kentucky, Alabama and Mississippi): -23% decline
- South Central (including Texas, Louisiana, Arkansas and Oklahoma): -18% decline
- Mountain (New Mexico, Arizona, Colorado, Utah, Nevada, Idaho, Wyoming and Montana): -16% decline
- Pacific (Washington, Oregon, California, Alaska and Hawaii): -15% decline
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