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This study examined how hospitals and health systems may be adapting to a subset of new, primary care market entrants or new primary care models. Primary and secondary data were used to estimate binary logistic regression models that examined the relationship between the number of new primary care models and hospitals\u2019 structural and technical service offerings. Six semi-structured interviews explored whether hospitals were collaborating with new primary care models. In general, the number of new models in a market was not associated with hospitals\u2019 structural or technical service offerings, with one exception, the provision of virtual visits (a technical offering). Qualitative interviews revealed that hospital leaders were taking a cautious approach before partnering with new primary care models.<\/jats:p>","DOI":"10.1177\/10775587261480274","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:08:51Z","timestamp":1790593731000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Hospital Adaptations to New Models of Primary Care"],"prefix":"10.1177","author":[{"given":"Jolynn","family":"Suko","sequence":"first","affiliation":[{"name":"SSM Health, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2380-1583","authenticated-orcid":false,"given":"Nancy","family":"Borkowski","sequence":"additional","affiliation":[{"name":"The University of Alabama at Birmingham, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Feldman","sequence":"additional","affiliation":[{"name":"The University of Alabama at Birmingham, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christy Harris","family":"Lemak","sequence":"additional","affiliation":[{"name":"The University of Alabama at Birmingham, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2304-0246","authenticated-orcid":false,"given":"Larry R.","family":"Hearld","sequence":"additional","affiliation":[{"name":"The University of Alabama at Birmingham, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Apree Health. 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