"Scale for the sake of scale leads to higher costs, and that's what we are seeing," says Brian Marcotte, CEO, The National Business Group on Health. (Photo: Shutterstock)

Health care systems have been buying up one another, and physician practices, at an alarming rate. The 115 announced health care system deals in 2017 was a record, with 2018's 90 close behind.

This level of consolidation activity 2017 "shook the health care landscape," said consulting firm Kaufman Hall, which produces an annual mergers and acquisitions review. "These tremors continued into 2018 and are beginning to fundamentally reshape the health care landscape," KH said in its 2018 review.

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.