Agilon Health helps sustain access to primary care for Medicare patients.
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Amid growing primary care shortages and increased use of value-based care (VBC), we evaluated whether adopting a multi-payer, full-risk VBC model for Traditional Medicare (TM) and Medicare Advantage beneficiaries--supported by Agilon Health--affected primary care providers’ (PCPs) acceptance of new patients with TM insurance.
Methods:
Using a difference-in-differences analysis of 2019-2023 claims, we compared two groups of PCPs with at least 50 TM patients in their panels: 208 PCPs who received support to adopt a VBC model for TM and Medicare Advantage patients in 2022, and 3,657 similar PCPs who maintained their existing payment models.
Between the pre-adoption period and 2023, access to new patient visits for patients with TM insurance declined more for non-adopters than adopters.
Results:
PCPs in the VBC group saw, on average, eight more new TM patients annually than non-adopters. This change is sizable relative to their 22.6 new TM patients in 2023. Additionally, the VBC group kept their panels open to new patients with TM insurance for 0.7 more months per year, on average, than non-adopters, relative to pre-adoption.
Conclusion:
These findings suggest that a VBC model with support may help sustain access to primary care for TM beneficiaries, even as overall availability declines.
Reference:
Kornitzer, B. S., Yao, A., Peikes, D. N., & Rao, K. (2025). Impact of a Multi-Payer Full-Risk Model on Preserving Primary Care Access for Traditional Medicare Beneficiaries. Health Affairs Scholar, https://doi.org/10.1093/haschl/qxaf093.
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