In the new decade, orthopedic providers will be observing changes in the orthopedic marketplace—namely, finding that private orthopedic practices are diminishing in numbers. Why? According to the 2019 Medscape survey data, fewer than 50 percent of U.S. orthopedic physicians are maintaining their own practices. Additionally, hospital mergers and acquisitions are on the rise, private equity firms are increasingly acquiring primary care practices, and national service firms continue buying independent practices. The survey also determined that orthopedists primarily are working across the following areas: Outpatient orthopedic rehab therapy is far less costly than surgery or hospitalization. Positive patient outcomes and an increase of patient access to rehab therapy through government regulations has increased demand in the market. Orthopedic practices that add rehabilitation services can increase profits and support a positive care continuum. Some payers are only reimbursing providers if they are willing to take on more risk—demonstrating that patient outcomes are improving and the care they provide is valuable.