Ray KN, et al. - Researchers conducted the study for analyzing the trends in primary care visits among commercially insured children 17 years or younger from 2008 to 2016. Primary care in visits per capita reduced for commercially insured children by −14.4% between 2008 and 2016 in this cohort study of more than 71 million pediatric primary care visits over 29 million pediatric child-years. Problem-based visit rates fell by −24.1% whereas preventive visits increased by 9.9%. The visit rates to non–primary care settings have increased and the out-of-pocket costs for problem-based visits have also increased. Children with commercial insurance appear to be less likely to visit primary care clinicians over time. Changes in access to care, care costs, care expectations, and child health may be factors in this trend.