In recent years, primary care visits decreased 25% for adults under 65; the number of adults who went more than one year without a primary care visit rose to 46% in 2016. Primary care is the first line of defense in detecting chronic conditions and mental health needs, reducing the risk of future high-cost events, and ultimately lowering potential medical spend for consumers, employers, and health insurers. New models and entrants are heating up this space; there’s growth in subscription services, virtual-first models, and retailers offering attractive alternatives for both employers and health insurers looking to save money.