Agilon Health, Inc. (AGL): Business Model Canvas

Navigieren in der komplexen Landschaft der Innovationen im Gesundheitswesen, agilon Health, Inc. (AGL) entwickelt sich zu einer transformativen Kraft bei der Bereitstellung von Medicare Advantage-Pflegeleistungen. Durch die Neugestaltung der Primärversorgung durch ein ausgefeiltes Business Model Canvas orchestriert das Unternehmen strategisch ein umfassendes Ökosystem, das Technologie, Ärztenetzwerke und patientenzentrierte Lösungen harmonisiert. Mit 1,4 Milliarden US-Dollar In Bezug auf den Jahresumsatz und einen laserfokussierten Ansatz für eine wertorientierte Gesundheitsversorgung stellt Agilon Health ein bahnbrechendes Modell dar, das verspricht, die Art und Weise, wie ältere Menschen medizinische Dienstleistungen wahrnehmen, zu revolutionieren, indem es datengesteuerte Erkenntnisse mit personalisierter Pflegekoordination verbindet.

Agilon Health, Inc. (AGL) – Geschäftsmodell: Wichtige Partnerschaften

Gesundheitsdienstleister und Ärztegruppen

Seit dem 4. Quartal 2023 unterhält agilon Health Partnerschaften mit mehr als 1.200 Hausärzten in 7 Bundesstaaten. Der Gesamtwert des Netzwerks wird auf 1,2 Milliarden US-Dollar an jährlichen medizinischen Ausgaben geschätzt.

Staat	Anzahl der Ärztegruppen	Gesamtleben der Patienten verwaltet
Arizona	287	185,000
Florida	213	142,000
Texas	356	226,000

Medicare Advantage-Versicherungspläne

Der Partnerschaftsschutz umfasst acht große Medicare Advantage-Pläne mit Verträgen im Wert von 350 Millionen US-Dollar im Jahr 2023.

• UnitedHealthcare
• Humana
• Cigna
• Ätna

Technologie- und Datenanalyseunternehmen

Zu den Technologiepartnerschaften gehören Investitionen in Höhe von 45 Millionen US-Dollar in Dateninfrastruktur und Analyseplattformen im Jahr 2023.

Partner	Technologiefokus	Vertragswert
Palantir-Technologien	Datenanalyse	12,5 Millionen US-Dollar
Epische Systeme	Gesundheitsinformationen	18,3 Millionen US-Dollar

Anbieter elektronischer Patientenakten (EHR).

EHR-Partnerschaften decken 85 % der Netzwerkanbieter mit Integrationsinvestitionen von 22,7 Millionen US-Dollar im Jahr 2023 ab.

• Epische Systeme
• Cerner Corporation
• Allskripte

Hersteller von medizinischen Geräten und Zubehör

Lieferkettenpartnerschaften mit einem Beschaffungswert von insgesamt 78,6 Millionen US-Dollar für 2023.

Hersteller	Produktkategorie	Jährlicher Beschaffungswert
Medtronic	Diagnosegeräte	24,3 Millionen US-Dollar
Kardinalgesundheit	Medizinische Versorgung	35,2 Millionen US-Dollar

Agilon Health, Inc. (AGL) – Geschäftsmodell: Hauptaktivitäten

Koordination und Management der Primärversorgung

Im vierten Quartal 2023 verwaltet agilon Health etwa 300.000 Medicare Advantage-Leben in 11 Bundesstaaten. Das Unternehmen arbeitet mit 2.200 Hausärzten in integrierten Gesundheitsnetzwerken zusammen.

Metrisch	Wert
Total Medicare Advantage Lives Managed	300,000
Anzahl der Staaten mit Operationen	11
Hausärzte vernetzt	2,200

Wertebasierte Pflegebereitstellungsmodelle

agilon Health konzentriert sich auf die Reduzierung der Gesamtkosten der Pflege durch fortschrittliche, wertbasierte Pflegeverträge. Im Jahr 2023 meldete das Unternehmen einen Gesamtumsatz von 1,2 Milliarden US-Dollar, wovon 87 % aus wertorientierten Pflegevereinbarungen stammten.

• Gesamtprozentsatz der wertorientierten Pflegeeinnahmen: 87 %
• Risikotragende Verträge: 65 % der gesamten Pflegeverträge
• Durchschnittliche Ersparnis pro Mitglied und Monat: 270 $

Analyse der Gesundheitsdaten von Patienten

Das Unternehmen nutzt proprietäre Technologieplattformen, die jährlich über 5 Millionen Patientendatenpunkte verarbeiten. Die Investitionen in Datenanalysetechnologie erreichten im Jahr 2023 42 Millionen US-Dollar.

Datenanalysemetrik	Jährlicher Wert
Verarbeitete Patientendatenpunkte	5,000,000
Technologieinvestitionen	$42,000,000

Optimierung des Medicare Advantage-Plans

agilon Health zielt mit ausgefeilten Strategien zur Risikoanpassung und Plangestaltung auf Medicare Advantage-Märkte ab. Die derzeitige Marktdurchdringung von Medicare Advantage beträgt landesweit 2,3 %.

• Marktanteil von National Medicare Advantage: 2,3 %
• Durchschnittliche Sternebewertung des Medicare Advantage-Plans: 4,2/5
• Voraussichtliches Wachstum der Medicare Advantage-Einschreibungen: 12 % jährlich

Entwicklung von Technologieplattformen

Die Investitionen in die Technologieinfrastruktur beliefen sich im Jahr 2023 auf insgesamt 78 Millionen US-Dollar und konzentrierten sich auf integrierte Pflegemanagementsoftware und prädiktive Analysefunktionen.

Metrik für die Technologieentwicklung	Wert
Jährliche Technologieinvestition	$78,000,000
Größe des Softwareentwicklungsteams	175 Ingenieure

Agilon Health, Inc. (AGL) – Geschäftsmodell: Schlüsselressourcen

Proprietäre Technologieplattform für das Gesundheitswesen

Ab dem vierten Quartal 2023 unterstützt die Technologieplattform von agilon Health 71 wertorientierte Pflegemärkte in 20 Bundesstaaten. Die Plattform verarbeitet etwa 1,2 Millionen verwaltete Patientenleben.

Plattformmetrik	Quantitativer Wert
Insgesamt abgedeckte Märkte	71
Staaten betriebsbereit	20
Patientenleben verwaltet	1,2 Millionen

Netzwerk der Hausärzte

Ab 2023 umfasst das Ärztenetzwerk von agilon Health 3.200 Grundversorger in mehreren Bundesstaaten.

• Gesamtzahl der Hausärzte: 3.200
• Durchschnittliche Größe des Patientenpanels: 375 Patienten pro Arzt
• Vertretene Fachgebiete: Familienmedizin, Innere Medizin, Geriatrie

Datenanalyse- und Insights-Funktionen

Die Datenanalyse-Infrastruktur des Unternehmens verarbeitet monatlich über 50 Terabyte an Gesundheitsdaten und nutzt dabei fortschrittliche Algorithmen für maschinelles Lernen.

Analysefähigkeit	Metrisch
Monatlich verarbeitete Daten	50+ Terabyte
Prädiktive Modellgenauigkeit	87.3%

Betriebswirtschaftliche Expertise im Gesundheitswesen

agilon Health hat im Jahr 2023 einen Gesamtumsatz von 2,1 Milliarden US-Dollar und verfügt über operatives Fachwissen, das Risikomanagement und wertorientierte Pflegemodelle umfasst.

Patientenbeziehungsmanagementsysteme

Die Patientenmanagementtechnologie des Unternehmens unterstützt 98,6 % seines Ärztenetzwerks mit integrierten elektronischen Patientenaktensystemen.

• Systemintegrationsrate: 98,6 %
• Durchschnittliche Patienteninteraktionsverfolgung: 4,2 Touchpoints pro Patient jährlich

Agilon Health, Inc. (AGL) – Geschäftsmodell: Wertversprechen

Verbesserte Patientenversorgung durch personalisierte medizinische Dienste

agilon Health betreut im vierten Quartal 2023 157.000 Medicare-Patienten in 10 Bundesstaaten. Das personalisierte medizinische Dienstleistungsmodell des Unternehmens konzentriert sich auf:

• Direktes Primärversorgungsmanagement
• Individuelle Pflegekoordination
• Technologiegestützte Patientenverfolgung

Patientenservice-Metrik	Daten für 2023
Gesamtzahl der Medicare-Patienten	157,000
Betriebszustände	10
Durchschnittliche Patienteninteraktionshäufigkeit	4,2 Mal pro Jahr

Kostengünstige Gesundheitsversorgung für Medicare-Bevölkerungen

Das Finanzmodell von agilon Health beweist Kosteneffizienz durch:

• Gesamtumsatz von 1,8 Milliarden US-Dollar im Jahr 2023
• Kostensenkung pro Patient um 12,3 %
• Medicare Advantage-Vertragswert von 2,4 Milliarden US-Dollar

Verbesserte Gesundheitsergebnisse durch datengesteuerte Interventionen

Gesundheitsergebnismetrik	Leistung
Verbesserung des Managements chronischer Krankheiten	18.5%
Reduzierung der Krankenhausrückübernahme	22.7%
Engagement in der Vorsorge	67.3%

Vereinfachte Navigation im Gesundheitswesen für ältere Patienten

Zu den wichtigsten Kennzahlen zur Navigationsunterstützung gehören:

• 24/7-Plattform zur Patientenunterstützung
• Digitale Gesundheitsschnittstelle mit 89,6 % Patientenzufriedenheit
• Pflegekoordinationsteam aus 672 Fachleuten

Umfassendes Primary Care Management

Statistiken zum Primärversorgungsmanagement:

• Partnerschaften mit 3.200 Hausärzten
• Durchschnittliche Größe des Patientenpanels: 425 Patienten pro Arzt
• Jährliche Investition in das Pflegemanagement pro Patient: 1.287 USD

Agilon Health, Inc. (AGL) - Geschäftsmodell: Kundenbeziehungen

Langfristige Partnerschaften mit Ärztegruppen

Ab dem vierten Quartal 2023 verwaltet agilon Health Partnerschaften mit 74 Ärztegruppen in 11 Bundesstaaten. Die durchschnittliche Vertragslaufzeit beträgt 10,2 Jahre und deckt etwa 275.000 Medicare Advantage-Leben ab.

Partnerschaftsmetrik	Quantitativer Wert
Gesamtzahl der Ärztegruppen	74
Abgedeckte geografische Staaten	11
Medicare Advantage Lives Managed	275,000
Durchschnittliche Vertragsdauer	10,2 Jahre

Digitale Gesundheits-Engagement-Plattformen

Die digitalen Plattformen von agilon Health unterstützen:

• Patientendatenintegration in Echtzeit
• Telemedizinische Beratungsfunktionen
• Synchronisierung elektronischer Gesundheitsakten

Personalisierte Patientenkommunikation

Zu den Kommunikationskanälen gehören:

• Proaktive Öffentlichkeitsarbeit: 92 % der Patienteninteraktionen
• Mehrkanalkommunikation (Telefon, SMS, E-Mail)
• Benutzerdefinierte Benachrichtigungen zum Gesundheitsmanagement

Kontinuierliche Gesundheitsüberwachungsdienste

Überwachungsdienst	Abdeckungsprozentsatz
Verfolgung chronischer Erkrankungen	87%
Fernüberwachung von Patienten	65%
Warnungen zur Vorsorge	79%

Spezielle Unterstützung bei der Pflegekoordination

Zu den Kennzahlen zur Pflegekoordination gehören:

• Durchschnittliche Größe des Pflegekoordinationsteams: 6,3 Fachkräfte pro 1.000 Patienten
• Koordinationskontaktpunkte: 4,7 pro Patient monatlich
• Erfolgsquote beim Pflegeübergangsmanagement: 94 %

Agilon Health, Inc. (AGL) – Geschäftsmodell: Kanäle

Direkte Netzwerke von Hausärzten

Ab dem vierten Quartal 2023 arbeitet agilon Health mit 272 Hausarztgruppen in 11 Bundesstaaten zusammen. Gesamtzahl der Hausärzte im Netzwerk: 3.847.

Staat	Anzahl der Ärztegruppen	Gesamtärzte
Florida	64	892
Texas	53	743
Arizona	41	578

Digitale Telegesundheitsplattformen

Kennzahlen zum Engagement auf digitalen Plattformen für 2023:

• Gesamtzahl der telemedizinischen Konsultationen: 1,2 Millionen
• Durchschnittliche monatlich aktive Benutzer: 187.000
• Zufriedenheitsrate der Plattform: 87,3 %

Schnittstellen zum Medicare Advantage-Plan

Details zum Medicare Advantage-Netzwerk:

Metrisch	Daten für 2023
Total Medicare Advantage-Mitglieder	228,500
Durchschnittliche monatliche Prämie	$42.37
Netzabdeckungsbereich	11 Staaten

Mobile Gesundheitsanwendungen

Leistung mobiler Apps im Jahr 2023:

• Gesamtzahl der App-Downloads: 326.000
• Monatlich aktive Benutzer: 142.000
• Durchschnittliches Benutzerengagement: 18,5 Minuten pro Sitzung

Portale für Gesundheitsdienstleister

Nutzungsstatistik des Anbieterportals:

Portalfunktion	Nutzungsrate
Zugriff auf Patientenakten	92%
Einreichung von Ansprüchen	88%
Abrechnungsverwaltung	85%

Agilon Health, Inc. (AGL) – Geschäftsmodell: Kundensegmente

Bei Medicare Advantage eingeschriebene Senioren

Im vierten Quartal 2023 betreut agilon Health etwa 324.000 Medicare Advantage-Patienten in 26 Bundesstaaten.

Altersspanne	Gesamtzahl der Patienten	Prozentsatz
65-74 Jahre	187,000	57.7%
75-84 Jahre	98,000	30.2%
85+ Jahre	39,000	12.1%

Hausärzte

agilon Health arbeitet mit zusammen 1.200 Hausärzte in seinem gesamten Netzwerk.

• Durchschnittliche Praxisgröße: 8-12 Ärzte
• Geografische Abdeckung: 26 Staaten
• Netzwerkspezialisierung: Wertebasierte Pflegemodelle

Gruppen von Gesundheitsdienstleistern

Anbietergruppentyp	Anzahl der Gruppen	Gesamtärzte
Unabhängige Praxisverbände	38	780
Medizinische Gruppen	22	420

Risikopatientenpopulationen

Aufschlüsselung der chronischen Erkrankungen für die Patientenpopulation:

Chronischer Zustand	Patientenzahl	Prozentsatz
Diabetes	102,000	31.5%
Bluthochdruck	156,000	48.1%
Herzkrankheit	68,000	21%

Ältere Verbraucher im Gesundheitswesen

Gesamter adressierbarer Markt für Verbraucher im Gesundheitswesen für ältere Menschen: 12,4 Millionen Medicare Advantage-Registrierte in den Zielstaaten.

• Durchschnittliche jährliche Gesundheitsausgaben pro Patient: 12.480 $
• Prognostiziertes Marktwachstum: 6,2 % jährlich
• Aktuelle Marktdurchdringung: 2,6 %

Agilon Health, Inc. (AGL) – Geschäftsmodell: Kostenstruktur

Kosten für die Verwaltung des Ärztenetzwerks

Im Geschäftsjahr 2023 meldete agilon Health Verwaltungskosten für das Ärztenetzwerk in Höhe von 183,4 Millionen US-Dollar, was 22,7 % der gesamten Betriebskosten entspricht.

Ausgabenkategorie	Betrag (Mio. USD)	Prozentsatz der Gesamtkosten
Vergütung des Arztes	98.6	12.2%
Netzwerk-Authentifizierung	35.2	4.4%
Anbieterunterstützungsdienste	49.6	6.1%

Entwicklung von Technologieplattformen

Die Technologieinvestitionen für 2023 beliefen sich auf insgesamt 76,2 Millionen US-Dollar, mit spezifischen Zuteilungen wie folgt:

• Softwareentwicklung: 42,3 Millionen US-Dollar
• Cloud-Infrastruktur: 18,7 Millionen US-Dollar
• Verbesserungen der Cybersicherheit: 15,2 Millionen US-Dollar

Datenanalyse-Infrastruktur

Die Kosten für die Datenanalyse-Infrastruktur beliefen sich im Jahr 2023 auf 54,8 Millionen US-Dollar und setzten sich wie folgt zusammen:

Analytics-Komponente	Investition (Mio. USD)
Datenverarbeitungssysteme	24.6
Tools für maschinelles Lernen	16.9
Prädiktive Modellierung	13.3

Bereitstellung von Gesundheitsdienstleistungen

Die Kosten für die Leistungserbringung beliefen sich im Jahr 2023 auf 267,5 Millionen US-Dollar, mit folgender Verteilung:

• Klinischer Betrieb: 142,3 Millionen US-Dollar
• Pflegekoordination: 65,7 Millionen US-Dollar
• Patientenmanagementsysteme: 59,5 Millionen US-Dollar

Kosten für Marketing und Patientenakquise

Die Marketingausgaben für 2023 beliefen sich auf 42,1 Millionen US-Dollar und verteilten sich auf verschiedene Kanäle:

Marketingkanal	Ausgaben (Mio. USD)	Prozentsatz
Digitales Marketing	18.9	44.9%
Empfehlungen von Gesundheitsdienstleistern	12.6	30.0%
Traditionelle Medien	10.6	25.1%

Agilon Health, Inc. (AGL) – Geschäftsmodell: Einnahmequellen

Medicare Advantage-Zahlungen pro Patient

Im dritten Quartal 2023 meldete agilon Health einen Gesamtumsatz von 274,1 Millionen US-Dollar aus Medicare Advantage-Zahlungen pro Patient. Das Unternehmen verwaltet rund 204.000 Medicare Advantage-Leben in mehreren Bundesstaaten.

Metrisch	Wert
Gesamtertrag von Medicare Advantage	274,1 Millionen US-Dollar (3. Quartal 2023)
Verwaltete Medicare Advantage-Leben	204,000

Wertbasierte Pflegeanreizzahlungen

agilon Health generierte im dritten Quartal 2023 wertbasierte Pflegeanreizzahlungen in Höhe von 42,3 Millionen US-Dollar, was eine Schlüsselkomponente seiner Umsatzstrategie darstellt.

• Prozentsatz der wertorientierten Pflegezahlung: 15,4 % des Gesamtumsatzes
• Durchschnittliche Anreizzahlung pro Patient: 207 $

Lizenzierung von Technologieplattformen

Das Unternehmen meldete für das dritte Quartal 2023 einen Lizenzumsatz für Technologieplattformen in Höhe von 18,7 Millionen US-Dollar.

Lizenzeinnahmen	Betrag
Q3 2023 Technologieplattformlizenzierung	18,7 Millionen US-Dollar

Dienstleistungen für Dateneinblicke im Gesundheitswesen

Die Dienstleistungen zur Analyse von Gesundheitsdaten trugen im dritten Quartal 2023 12,5 Millionen US-Dollar zum Umsatz von agilon Health bei.

• Data Insights-Umsatz: 12,5 Millionen US-Dollar
• Anzahl der betreuten Gesundheitsorganisationen: 37

Gebühren für die Pflegekoordination

Die Gebühren für die Pflegekoordination beliefen sich im dritten Quartal 2023 auf 22,9 Millionen US-Dollar.

Metrik zur Pflegekoordination	Wert
Gesamtgebühren für die Pflegekoordination	22,9 Millionen US-Dollar
Durchschnittliche Gebühr pro Patient	$112

agilon health, inc. (AGL) - Canvas Business Model: Value Propositions

Enables physicians to transition to a profitable, value-based Total Care Model

• PCPs supported by agilon health's full-risk VBC model saw an average of 8 more new Traditional Medicare patients annually in 2023 compared to fee-for-service peers.
• This represents an approximate 35% relative increase in new Traditional Medicare patient volume.
• PCPs shifting to VBC kept their practices open to new Traditional Medicare patients for 0.7 more months per year on average.
• The company's full-year 2025 Medical Margin guidance is between $275 million and $325 million.
• The company is targeting cash flow breakeven by 2027.

Provides capital and technology for physicians to maintain independence

• agilon health provides technology, people, capital, process, and access to a peer network.
• The peer network included over 3,000 primary care doctors as of May 2024.
• In 2024, the Network reinvested over $250 million into local primary care within the communities served.
• The platform offers comprehensive capabilities in data analytics, care coordination, and risk management.

Improves patient outcomes, like reducing new inpatient heart failure diagnoses to 5% in 2025

Here's the quick math on that specific outcome:

Metric	2024 Value	2025 Value
New Inpatient Heart Failure Diagnoses Rate	18%	5%
Heart Failure 30-Day Readmit Rate (with integrated solutions)	National Average ~20%	Below 5%

Also, in markets with virtual pharmacy solutions active, approximately 50% of heart failure with reduced ejection fraction patients are on guideline-directed medication therapy, compared to national averages below 20%.

Offers payers a partner to manage the total cost of care for senior populations

• As of June 30, 2025, agilon health supported 614,000 total members on its platform.
• Of those members, 498,000 were Medicare Advantage members.
• The company projects full-year 2025 revenue between $5.85 billion and $6.025 billion.
• The company is focused on enhancing financial and clinical data visibility and partnership performance.

Higher physician satisfaction by shifting focus from volume to patient health

• The VBC model incentivizes PCPs to spend more time with patients, shifting away from fee-for-service volume rewards.
• Benefits of clinical and operating programs include improved physician onboarding and quality performance.
• The model allows physician partners to focus on the total health of their patients.

Finance: draft updated 2027 cash flow breakeven sensitivity analysis by next Tuesday.

agilon health, inc. (AGL) - Canvas Business Model: Customer Relationships

You're looking at how agilon health, inc. (AGL) builds and maintains its core relationships with physician groups-it's not a transactional setup; it's deep and long-term. The entire model hinges on a long-term, high-touch partnership model with physician groups, designed to help them transition from the old fee-for-service way to a value-based Total Care Model, letting them keep their independence. This is the main draw for their customers.

The commitment is evident in the scale of the network. As of the second quarter of 2025, agilon health, inc. (AGL) had a total of 614,000 members on its platform, which included 498,000 Medicare Advantage (MA) members. This network is built on partnerships with physician groups, and as of May 2024, the Physician Network included over 3,000 primary care physicians across more than 30 groups and health systems in long-term partnerships. These partners typically work with an average of 3 to 5 payers in their local market. That's a lot of coordination.

The relationship is supported by dedicated local market teams supporting physician practice transformation. These teams are crucial for onboarding and execution. The company made a conscious decision to grow meaningfully in 2023 and 2024, which required significant investment in platform capabilities and OpEx to bring on new members and enter new markets. This investment is designed to pay off by improving physician performance, which in turn attracts more doctors to join the network. For example, PCPs supported by agilon health, inc. (AGL)'s VBC model saw an approximate 35% relative increase in new Traditional Medicare (TM) patient volume, or about eight more new TM patients per year, compared to a non-VBC cohort. Plus, they kept their practices open to new TM patients for 0.7 more months per year on average.

The integrated technology platform for continuous data sharing and support is what makes the high-touch model scalable. This platform provides comprehensive capabilities in data analytics, care coordination, and risk management. The enhanced data visibility is key; for instance, in 2025, the platform informed a reduction in risk adjustment revenue of $48 million year-to-date, representing 72% of their membership, because it provided better insights into risk coding. This data-driven approach allows for a singular view of the patient at the point of care, helping physicians manage complex needs like medication adjustments or closing care gaps.

Proactive patient outreach and care coordination services are central to the Total Care Model. The goal is to shift from ad hoc care when someone gets sick to much better continuity of care. This focus on proactive management yields measurable results; agilon health, inc. (AGL) has reported a 20% to 30% reduction in ER and inpatient utilization compared to local benchmarks. In the ACO REACH program specifically, utilization was outperforming the reference fee-for-service population by over 300 basis points as of late 2023, showing the impact of managed care.

Finally, the relationship is cemented by financial and clinical alignment through shared savings incentives. The model rewards quality and cost reduction, not volume. Anchor physician groups receive a portion of the Risk-Bearing Entity's savings from successfully improving care quality and reducing costs. This alignment is quantified in performance metrics. For instance, the Medicare Advantage program achieved quality scores of 4.25 stars or better, which resulted in a 5% bonus. Furthermore, the medical margin in the ACO REACH program was reported at over $100 PMPM, with a long-term goal of $150 to $200 PMPM in mature markets. This financial structure is working at the market level, too; as of late 2024, 87% of markets (21 of 24) were adjusted EBITDA positive at the market level, meaning the Medical Margin generated was covering the costs of operating that market. The company's reiterated 2025 EBITDA guidance uplift of $50 million was specifically comprised of $25 million from quality incentives and $25 million from clinical cost savings.

Here's a quick look at some key relationship metrics as of mid-2025:

Metric Category	Specific Data Point	Value / Amount
Partnership Scale (Q2 2025 End)	Total Members on Platform	614,000
Partnership Scale (Q2 2025 End)	Medicare Advantage (MA) Membership	498,000
Partnership Scale (May 2024 Announcement)	Total Primary Care Doctors in Network	Over 3,000
Technology Impact (YTD 2025)	Risk Adjustment Revenue Reduction Informed by Platform	$48 million
Clinical Impact (VBC vs FFS)	Relative Increase in New TM Patient Volume	35%
Financial Alignment (Quality)	MA Program Quality Score for Bonus Eligibility	4.25 stars or better
Financial Alignment (Margin)	ACO REACH Medical Margin (Reported)	Over $100 PMPM
Market Viability	Markets Covering Operating Costs via Medical Margin	87% (21 of 24)

The demand for this partnership remains strong, as evidenced by the fact that even in a transition year like 2025, physician groups are still looking to join the platform to avoid acquisition by health systems or insurance company affiliates.

Finance: draft 13-week cash view by Friday.

agilon health, inc. (AGL) - Canvas Business Model: Channels

You're looking at how agilon health, inc. (AGL) gets its value proposition-enabling value-based care-out to the market and its key partners. The channels here are less about selling a widget and more about forging deep, long-term, full-risk relationships with physician groups.

Direct sales and business development to target leading physician groups

The primary channel for growth is direct engagement with established, community-based physician groups and health systems. This is a high-touch, relationship-driven sales process focused on convincing leaders to transition to the Total Care Model.

The scale of this channel is reflected in the network size and membership figures as of mid-2025. As of June 30, 2025, the total members on the agilon platform reached 614,000. This membership base is the direct result of successful business development efforts. For instance, the 'Class of 2025' was anticipated to bring in approximately 20,000 new Medicare Advantage members, often starting with a care coordination fee before transitioning to full risk.

Here's a snapshot of the scale achieved through these partnership channels:

Metric	Value as of Late 2025 Data Point	Context/Date of Data
Total Members on Platform	614,000	June 30, 2025
Medicare Advantage Members	498,000	June 30, 2025
ACO REACH Model Beneficiaries	116,000	June 30, 2025
Physician Groups/Health Systems in Partnership	More than 30	As of May 2024 announcement
Total Primary Care Physicians in Network	Over 3,000	As of May 2024 announcement

Peer-to-peer physician referrals within the agilon network

Once a group is partnered, the network itself becomes a powerful channel for organic growth. Satisfied partners act as advocates, which is crucial in the physician community where trust is paramount. This word-of-mouth growth is highly efficient.

The engagement level within the existing network supports this channel. Agilon health reported that its physician partners maintain high engagement, with net promoter scores reported in the 70s and 80s. Furthermore, the network reinvested $250+ million into local primary care in 2024, demonstrating tangible benefits that fuel referrals. The platform also provides access to a peer network of over 2,200+ primary care physicians.

This channel is about demonstrating success:

• Peer network access: Over 2,200+ PCPs.
• Partner satisfaction: NPS scores in the 70s and 80s.
• Local reinvestment: $250+ million in 2024.

Local market presence and community-based physician practices

The model is inherently local, focusing on community-based physician practices. The direct sales channel establishes a footprint in specific geographic areas, which then builds density. As of May 2024, the network spanned over 30+ communities.

The company has been strategic about its physical and operational presence. For example, new partnerships in 2024 meant agilon entered the state of Illinois for the first time and expanded in Kentucky, Minnesota, and North Carolina. Geographic entry costs for 2025 were estimated to be between $35-40 million, reflecting a measured growth strategy to align performance in the current environment, rather than an aggressive, broad expansion.

Investor relations and public communications for capital markets access

For capital markets access, the channel is formal, regulated communication. This involves regular disclosures to maintain liquidity and investor confidence. You see this activity scheduled throughout the year.

Key communication events in 2025 included:

• First Quarter 2025 Financial Results release on May 6, 2025.
• Second Quarter 2025 Results release on August 5, 2025.
• Third Quarter 2025 Earnings Presentation available in November 2025.

Financial performance communicated through these channels in 2025 provides the data points for market assessment. For instance, Q2 2025 total revenues were $1.4 billion, and the company reported a net loss of $104 million for that quarter. The company has a stated goal to reach cash flow breakeven by 2027.

agilon health, inc. (AGL) - Canvas Business Model: Customer Segments

You're looking at who agilon health, inc. (AGL) is actually serving right now, which is key to understanding their revenue engine. It's not just one group; it's a focused ecosystem centered on seniors under value-based care contracts.

Independent Primary Care Physician (PCP) groups focused on senior care

These physician groups are the core partners. agilon health, inc. empowers them to shift from the old fee-for-service way of doing things to a Total Care Model, which means they get paid based on keeping patients healthy, not just treating them when they're sick. As of December 31, 2024, the network was built around 29 anchor physician groups operating across 30 geographies. The platform supports a network that includes over 2,200+ primary care physicians.

The customer here is the physician group itself, which is looking for:

• Capital and technology support.
• A path to full-risk value-based care.
• Maintenance of physician independence.

Senior patients enrolled in Medicare Advantage (MA) plans, totaling 503,000 members in Q3 2025

This is the largest patient population driving the core business. These are seniors who have chosen a Medicare Advantage plan that partners with agilon health, inc.'s physician groups. The focus is on managing the total cost and quality of care for this specific group. You need to know the scale here, so for the third quarter of 2025, the number of MA members is stated as 503,000.

Beneficiaries in the ACO REACH model, totaling 115,000 members in Q3 2025

This segment represents Traditional Medicare beneficiaries managed under the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model. This is a high-risk track where the physician partners share in the savings or losses for the total cost of care. For Q3 2025, the number of beneficiaries in this model is stated as 115,000.

To give you a sense of the scale as of the middle of the year, here's a quick look at the membership snapshot from the second quarter:

Metric	Count as of June 30, 2025
Total Members on Platform	614,000
Medicare Advantage Members	498,000
ACO REACH Model Beneficiaries	116,000

Large, multi-specialty physician practices in diverse U.S. communities

While the primary focus is on senior care through PCPs, the network also includes other practice types. The agilon health, inc. Physician Network is comprised of independent primary care physician practices, multi-specialty practices, practice associations, hospital physician groups, and hospital systems. This diversity helps them serve the total health needs of their attributed Medicare patients across various settings.

The key customer characteristics agilon health, inc. targets across these segments include:

• Physician groups committed to value-based care principles.
• Medicare-eligible seniors needing coordinated, high-quality care.
• Practices operating in the 30+ geographies where agilon health, inc. has established its platform.

Finance: draft 13-week cash view by Friday.

agilon health, inc. (AGL) - Canvas Business Model: Cost Structure

You're looking at the cost structure for agilon health, inc. (AGL) as of late 2025. This isn't just a list of expenses; it's where the money goes to support their physician partners and manage the risk in their Medicare-centric model. Honestly, the biggest driver of cost variability is the actual care delivery.

Medical costs paid to specialists and hospitals for member care (largest cost)

The direct cost of care is best seen through the Medical Margin, which is revenue minus medical costs. When this number is negative, it means the cost of care exceeded the revenue generated for that period. For the third quarter of 2025, the medical margin was a loss of $57 million. agilon health, inc. (AGL) is actively managing this trend, as evidenced by the reinstated full-year 2025 guidance midpoint projecting a medical margin of $5 million, a significant swing from the Q3 result. This implies better cost control or risk adjustment realization is expected in the final quarter.

• Q3 2025 Medical Margin: negative $57 million
• Q3 2024 Medical Margin: negative $58 million
• FY 2025 Projected Medical Margin (Midpoint): $5 million
• FY 2025 Projected Medical Margin (Range): negative $5 million to $15 million

Technology platform development and maintenance expenses

The platform is key for data analytics and care coordination. While a specific technology expense line item isn't isolated in the latest reports, cost discipline efforts are clear. They are building a more streamlined organization, and this includes technology infrastructure improvements, like the enhanced data pipeline that went live in Q1 2025, covering approximately 80% of their members with more timely direct payer data feeds.

Operating expenses for corporate and local market support teams

These are the general overhead and administrative costs to run the business and support the physician groups. The company is actively working to reduce this spend. Management has specifically targeted an estimated $30 million reduction in operating expenses for the 2026 fiscal year. The overall profitability challenge is reflected in the Adjusted EBITDA loss for the third quarter of 2025, which was $91 million.

Here's a quick look at the profitability picture for Q3 2025 versus the full-year 2025 guidance:

Metric	Q3 2025 Actual	FY 2025 Guidance (Midpoint)
Revenue	$1.44 billion	$5.82 billion
Medical Margin	negative $57 million	$5 million
Adjusted EBITDA	negative $91 million	negative $258 million

Physician partner payments, including shared savings distributions

Payments to partners are embedded in the model, often tied to performance and shared savings. The performance of the Accountable Care Organization (ACO) model entities is a key component. For fiscal year 2025, the expected Adjusted EBITDA contribution from these ACO model entities is projected to be between $40 million to $45 million.

High initial geography entry costs, which they are now streamlining

Exiting certain markets has created a direct, measurable cost impact in the current period. The company absorbed a negative financial impact of $20 million in the third quarter of 2025 specifically due to these exited markets. For the full year 2025, the expected negative impact from these exited markets is estimated to be $60 million. They are definitely moving to a more streamlined structure now.

• Negative impact from exited markets in Q3 2025: $20 million
• Full Year 2025 expected impact from exited markets: $60 million

Finance: draft 13-week cash view by Friday.

agilon health, inc. (AGL) - Canvas Business Model: Revenue Streams

You're looking at how agilon health, inc. (AGL) brings in money, which is all about managing risk and population health for seniors. The core of the revenue model centers on taking on financial risk from payers, primarily through Medicare Advantage (MA) contracts.

The primary revenue driver is Capitation revenue, which is the Per Member Per Month (PMPM) payment received from Health Plans/Payers for managing the full-risk MA members. This is the foundation of the value-based enablement platform. As of the second quarter of 2025, agilon health, inc. served 498,000 Medicare Advantage members. The full-year 2025 membership guidance projects MA membership in the range of 503,000 to 506,000.

The company also generates revenue through its participation in the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model beneficiaries. This stream is structured around shared savings. For the full fiscal year 2025, this ACO REACH model is expected to contribute between $35 million to $40 million to Adjusted EBITDA. For context on recent performance, the ACO REACH Adjusted EBITDA was $18 million in the third quarter of 2025.

The overall financial expectation for the year reflects the combined performance of these streams. Full-year 2025 revenue is projected at a midpoint of $5.82 billion. The guidance range for the full year is $5.81 billion to $5.83 billion.

Another component involves Care coordination fees for new members who are on a glidepath toward full risk arrangements. This represents revenue generated while transitioning partners onto the most comprehensive, full-risk contracts. The company is actively working on optimizing its platform and clinical programs to enhance performance in these arrangements.

Here's a look at the membership and revenue context as of late 2025:

Metric	Latest Reported Figure (Q3 2025)	Full Year 2025 Guidance (Midpoint/Range)
Total Revenue	$1.44 billion (Q3 2025)	$5.82 billion (Midpoint)
Medicare Advantage Membership	Not explicitly stated for Q3 2025	503,000 to 506,000
ACO Model Beneficiaries	Not explicitly stated for Q3 2025	113,000 to 115,000
ACO REACH Adjusted EBITDA Contribution	$18 million (Q3 2025)	$35 million to $40 million (FY 2025)

The revenue streams are heavily reliant on the underlying membership base, which is managed through long-term partnerships and global capitation arrangements. The company has also focused on operating cost reductions, specifically noting a reduction of operating costs by $30 million.

You can see the revenue composition is tied to the transition of physician groups onto the platform, which involves several stages of financial engagement:

• Full-Risk Capitation: The most mature revenue stream from MA members.
• Glidepath Fees: Initial fees for care coordination services for newer partners.
• Shared Savings: Performance-based revenue from the ACO REACH model.

The company is using an enhanced data pipeline, live in the first quarter of 2025, to improve forecasting and reduce volatility in revenue recognition, which impacts risk adjustment components of capitation. Finance: draft 13-week cash view by Friday.