Medicare Advantage under pressure: why Greenbrook Medical is leaning in with full-risk primary care | Neil Machhar

Neil Machhar, CEO of Greenbrook Medical, makes the case that despite near-term pressure, now is actually a compelling time to build in Medicare Advantage. Drawing on a long-term view of the market, he argues that recent policy changes are less about breaking MA and more about “rationalizing” a program that grew rapidly during a period of generous funding and benefit expansion. 

As CMS pulls dollars out of the system, the key question becomes where that pressure lands—plans, providers, or beneficiaries—and Neil’s view is that the next phase will favor operators who can truly manage total cost of care rather than rely on favorable tailwinds. He shares how Greenbrook is approaching this moment with a full-risk, high-touch primary care model focused on seniors, built to perform under tighter margins and shifting incentives, and why periods of dislocation often create the best opportunities for disciplined, long-term builders.

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