Agilon Health, inc. (AGL): Modelo de negócios Canvas [Jan-2025 Atualizado]

Navegando pelo complexo cenário de inovação em saúde, Agilon Health, Inc. (AGL) surge como uma força transformadora no Medicare Advantage Care Prestar. Ao reimaginar os cuidados primários por meio de uma sofisticada modelo de modelo de negócios, a empresa orquestra estrategicamente um ecossistema abrangente que harmoniza a tecnologia, as redes de médicos e as soluções centradas no paciente. Com US $ 1,4 bilhão Na receita anual e uma abordagem focada em laser para a assistência médica baseada em valor, a Agilon Health representa um modelo inovador que promete revolucionar como as populações seniores experimentam serviços médicos, misturando informações orientadas a dados com a coordenação de atendimento personalizado.

Agilon Health, inc. (AGL) - Modelo de negócios: parcerias -chave

Provedores de saúde e grupos médicos

A partir do quarto trimestre de 2023, a Agilon Health tem parcerias com 1.200 mais de médicos de cuidados primários em 7 estados. Valor total da rede estimado em US $ 1,2 bilhão em gastos médicos anuais.

Estado	Número de grupos médicos	Total de vidas pacientes gerenciados
Arizona	287	185,000
Flórida	213	142,000
Texas	356	226,000

Planos de seguro Medicare Advantage

A cobertura da parceria inclui 8 principais planos de vantagem do Medicare, com contratos avaliados em US $ 350 milhões em 2023.

• UnitedHealthcare
• Humana
• Cigna
• Aetna

Empresas de tecnologia e análise de dados

As parcerias de tecnologia incluem US $ 45 milhões investidos em plataformas de infraestrutura de dados e análise em 2023.

Parceiro	Foco em tecnologia	Valor do contrato
Tecnologias Palantir	Análise de dados	US $ 12,5 milhões
Sistemas épicos	Inteligência de saúde	US $ 18,3 milhões

Fornecedores de sistemas de registro eletrônico de saúde (EHR)

As parcerias de EHR cobrem 85% dos provedores de rede com investimentos de integração de US $ 22,7 milhões em 2023.

• Sistemas épicos
• Cerner Corporation
• Allscripts

Equipamentos médicos e fabricantes de suprimentos

Parcerias da cadeia de suprimentos, totalizando US $ 78,6 milhões em valor de compras para 2023.

Fabricante	Categoria de produto	Valor anual de compras
Medtronic	Equipamento de diagnóstico	US $ 24,3 milhões
Cardinal Health	Suprimentos médicos	US $ 35,2 milhões

Agilon Health, inc. (AGL) - Modelo de negócios: atividades -chave

Coordenação e gerenciamento de cuidados primários

A partir do quarto trimestre de 2023, a Agilon Health gerencia aproximadamente 300.000 vantagens do Medicare em 11 estados. A empresa trabalha com 2.200 médicos de cuidados primários em redes de saúde integradas.

Métrica	Valor
Total Medicare Advantage Vidas gerenciadas	300,000
Número de estados com operações	11
Médicos de cuidados primários em rede	2,200

Modelos de prestação de cuidados baseados em valor

A Agilon Health se concentra no custo total dos cuidados, por meio de contratos avançados de cuidados baseados em valor. Em 2023, a empresa registrou US $ 1,2 bilhão em receita total, com 87% derivados de acordos de atendimento baseados em valor.

• Porcentagem de receita de assistência baseada em valor total: 87%
• Contratos de riscos: 65% do total de contratos de cuidados
• Economia média por membro por mês: US $ 270

Análise de dados de saúde do paciente

A empresa utiliza plataformas de tecnologia proprietárias processando mais de 5 milhões de pontos de dados de pacientes anualmente. O investimento em tecnologia de análise de dados atingiu US $ 42 milhões em 2023.

Métrica de análise de dados	Valor anual
Pontos de dados do paciente processados	5,000,000
Investimento em tecnologia	$42,000,000

Medicare Advantage Plan Otimização

A Agilon Health tem como alvo os mercados do Medicare Advantage, com sofisticadas estratégias de ajuste de risco e design de plano. A penetração atual do mercado do Medicare Advantage é de 2,3% nacionalmente.

• Participação de mercado do National Medicare Advantage: 2,3%
• Classificação média do Plano de Plano Medicare Advantage: 4.2/5
• Crescimento projetado do Medicare Advantage: 12% anualmente

Desenvolvimento da plataforma de tecnologia

O investimento em infraestrutura tecnológica totalizou US $ 78 milhões em 2023, com foco no software de gerenciamento de cuidados integrados e nos recursos de análise preditiva.

Métrica de Desenvolvimento de Tecnologia	Valor
Investimento de tecnologia anual	$78,000,000
Tamanho da equipe de desenvolvimento de software	175 engenheiros

Agilon Health, inc. (AGL) - Modelo de negócios: Recursos -chave

Plataforma de tecnologia de saúde proprietária

A partir do quarto trimestre 2023, a plataforma de tecnologia da Agilon Health suporta 71 mercados de assistência baseados em valor em 20 estados. A plataforma processa aproximadamente 1,2 milhão de pacientes vidas sob gestão.

Métrica da plataforma	Valor quantitativo
Mercados totais cobertos	71
Estados operacionais	20
Vidas do paciente gerenciadas	1,2 milhão

Rede de médicos de cuidados primários

A partir de 2023, a rede médica da Agilon Health compreende 3.200 prestadores de cuidados primários em vários estados.

• Total de médicos de cuidados primários: 3.200
• Tamanho médio do painel do paciente: 375 pacientes por médico
• Especialidades representadas: medicina de família, medicina interna, geriatria

Recursos de análise de dados e insights

A infraestrutura de análise de dados da empresa processa mais de 50 terabytes de dados de saúde mensalmente, utilizando algoritmos avançados de aprendizado de máquina.

Capacidade de análise	Métrica
Dados mensais processados	50+ terabytes
Precisão do modelo preditivo	87.3%

Experiência operacional de assistência médica

A Agilon Health tem US $ 2,1 bilhões em receita total para 2023, com a experiência operacional abrangendo gerenciamento de riscos e modelos de atendimento baseados em valor.

Sistemas de gerenciamento de relacionamento do paciente

A tecnologia de gerenciamento de pacientes da empresa suporta 98,6% de sua rede médica com sistemas integrados de registros eletrônicos de saúde.

• Taxa de integração do sistema: 98,6%
• Rastreamento médio de interação do paciente: 4,2 pontos de contato por paciente anualmente

Agilon Health, inc. (AGL) - Modelo de negócios: proposições de valor

Cuidado aprimorado do paciente por meio de serviços médicos personalizados

A Agilon Health atende a 157.000 pacientes do Medicare em 10 estados a partir do quarto trimestre 2023. O modelo de serviços médicos personalizados da empresa se concentra:

• Gerenciamento direto da atenção primária
• Coordenação de cuidados individualizados
• Rastreamento de pacientes habilitado para tecnologia

Métrica de serviço do paciente	2023 dados
Pacientes totais do Medicare	157,000
Estados de operação	10
Frequência média de interação do paciente	4,2 vezes por ano

Entrega de saúde econômica para populações do Medicare

O modelo financeiro da Agilon Health demonstra eficiência de custos com:

• Receita total de US $ 1,8 bilhão em 2023
• Redução de custo por paciente de 12,3%
• Valor do contrato do Medicare Advantage de US $ 2,4 bilhões

Melhores resultados de saúde através de intervenções orientadas a dados

Métrica do resultado da saúde	Desempenho
Melhoria do gerenciamento de doenças crônicas	18.5%
Redução de readmissão hospitalar	22.7%
Engajamento preventivo de cuidados	67.3%

Navegação de assistência médica simplificada para pacientes seniores

As principais métricas de suporte de navegação incluem:

• Plataforma de suporte ao paciente 24/7
• Interface de saúde digital com 89,6% de satisfação do paciente
• Equipe de coordenação de atendimento de 672 profissionais

Gerenciamento abrangente de atenção primária

Estatísticas de gerenciamento de cuidados primários:

• Parcerias com 3.200 médicos de cuidados primários
• Tamanho médio do painel do paciente: 425 pacientes por médico
• Investimento anual por gerenciamento de cuidados por paciente: US $ 1.287

Agilon Health, inc. (AGL) - Modelo de negócios: relacionamentos com o cliente

Parcerias de Grupo de Médicos de Longa Prazo

A partir do quarto trimestre 2023, a Agilon Health gerencia parcerias com 74 grupos médicos em 11 estados. A duração média do contrato é de 10,2 anos, cobrindo aproximadamente 275.000 vidas do Medicare Advantage.

Métrica de Parceria	Valor quantitativo
Grupos médicos totais	74
Estados geográficos cobertos	11
Medicare Advantage Lives gerenciados	275,000
Duração média do contrato	10,2 anos

Plataformas de engajamento em saúde digital

Suporte de plataformas digitais da Agilon Health:

• Integração de dados de pacientes em tempo real
• Capacidades de consulta de telessaúde
• Sincronização do registro eletrônico de saúde

Comunicação personalizada do paciente

Os canais de comunicação incluem:

• Alcance proativo: 92% das interações do paciente
• Comunicação multicanal (telefone, texto, e-mail)
• Notificações personalizadas de gerenciamento de saúde

Serviços contínuos de monitoramento de saúde

Serviço de monitoramento	Porcentagem de cobertura
Rastreamento de condições crônicas	87%
Monitoramento remoto de pacientes	65%
Alertas de cuidados preventivos	79%

Suporte de coordenação de cuidados dedicados

As métricas de coordenação de cuidados incluem:

• Tamanho da equipe de coordenação de cuidados médios: 6,3 profissionais por 1.000 pacientes
• Coordenation Touchpoints: 4,7 por paciente mensalmente
• Taxa de sucesso do gerenciamento de transição de atendimento: 94%

Agilon Health, inc. (AGL) - Modelo de negócios: canais

Redes de médicos de cuidados primários diretos

A partir do quarto trimestre 2023, a Agilon Health faz parceria com 272 grupos médicos de cuidados primários em 11 estados. Número total de médicos de cuidados primários na rede: 3.847.

Estado	Número de grupos médicos	Total de médicos
Flórida	64	892
Texas	53	743
Arizona	41	578

Plataformas digitais de telessaúde

Métricas de engajamento da plataforma digital para 2023:

• Total de consultas de telessaúde: 1,2 milhão
• Usuários ativos mensais médios: 187.000
• Taxa de satisfação da plataforma: 87,3%

Interfaces de plano de vantagem do Medicare

Detalhes da rede do Medicare Advantage:

Métrica	2023 dados
Membros do Total Medicare Advantage	228,500
Premium mensal médio	$42.37
Área de cobertura da rede	11 estados

Aplicativos de saúde móvel

Desempenho de aplicativo móvel em 2023:

• Downloads de aplicativos totais: 326.000
• Usuários ativos mensais: 142.000
• Engajamento médio do usuário: 18,5 minutos por sessão

Portais de provedores de saúde

Estatísticas de utilização do portal do provedor:

Recurso do portal	Taxa de uso
Acesso ao registro do paciente	92%
Submissão de reivindicações	88%
Gerenciamento de cobrança	85%

Agilon Health, inc. (AGL) - Modelo de negócios: segmentos de clientes

Medicare Advantage inscrito idosos

A partir do quarto trimestre 2023, a Agilon Health atende a aproximadamente 324.000 pacientes do Medicare Advantage em 26 estados.

Faixa etária	Pacientes totais	Percentagem
65-74 anos	187,000	57.7%
75-84 anos	98,000	30.2%
85 anos ou mais	39,000	12.1%

Médicos de cuidados primários

Agilon Health Partners com 1.200 médicos de cuidados primários em toda a sua rede.

• Tamanho médio da prática: 8-12 médicos
• Cobertura geográfica: 26 estados
• Especialização da rede: modelos de cuidados baseados em valor

Grupos de prestadores de serviços de saúde

Tipo de grupo de provedores	Número de grupos	Total de médicos
Associações de práticas independentes	38	780
Grupos médicos	22	420

Populações de pacientes em risco

A quebra de condições crônicas para a população de pacientes:

Condição crônica	Contagem de pacientes	Percentagem
Diabetes	102,000	31.5%
Hipertensão	156,000	48.1%
Doença cardíaca	68,000	21%

Consumidores de saúde idosos

Mercado endereçável total para idosos consumidores de assistência médica: 12,4 milhões de inscritos no Medicare Advantage nos estados -alvo.

• Gastos médios anuais em saúde por paciente: US $ 12.480
• Crescimento do mercado projetado: 6,2% anualmente
• Penetração atual de mercado: 2,6%

Agilon Health, inc. (AGL) - Modelo de negócios: estrutura de custos

Despesas de gerenciamento de rede de médicos

No ano fiscal de 2023, a Agilon Health relatou despesas de gerenciamento de redes médicas de US $ 183,4 milhões, representando 22,7% do total de custos operacionais.

Categoria de despesa	Valor ($ m)	Porcentagem de custos totais
Compensação médica	98.6	12.2%
Credenciamento de rede	35.2	4.4%
Serviços de suporte ao provedor	49.6	6.1%

Desenvolvimento da plataforma de tecnologia

Os investimentos em tecnologia para 2023 totalizaram US $ 76,2 milhões, com alocações específicas da seguinte forma:

• Desenvolvimento de software: US $ 42,3 milhões
• Infraestrutura em nuvem: US $ 18,7 milhões
• Aprimoramentos de segurança cibernética: US $ 15,2 milhões

Infraestrutura de análise de dados

Os custos de infraestrutura de análise de dados para 2023 foram de US $ 54,8 milhões, divididos como:

Componente de análise	Investimento ($ m)
Sistemas de processamento de dados	24.6
Ferramentas de aprendizado de máquina	16.9
Modelagem preditiva	13.3

Prestação de serviços de saúde

Os custos de prestação de serviços em 2023 totalizaram US $ 267,5 milhões, com a seguinte distribuição:

• Operações clínicas: US $ 142,3 milhões
• Coordenação de cuidados: US $ 65,7 milhões
• Sistemas de gerenciamento de pacientes: US $ 59,5 milhões

Custos de marketing e aquisição de pacientes

As despesas de marketing para 2023 foram de US $ 42,1 milhões, alocadas em vários canais:

Canal de marketing	Gastos ($ m)	Percentagem
Marketing digital	18.9	44.9%
Referências de prestadores de serviços de saúde	12.6	30.0%
Mídia tradicional	10.6	25.1%

Agilon Health, inc. (AGL) - Modelo de negócios: fluxos de receita

Pagamentos de vantagem do Medicare por paciente

No terceiro trimestre de 2023, a Agilon Health reportou US $ 274,1 milhões em receita total dos pagamentos por paciente por paciente. A empresa gerencia aproximadamente 204.000 vantagens do Medicare em vários estados.

Métrica	Valor
Receita Total Medicare Advantage	US $ 274,1 milhões (terceiro trimestre de 2023)
Vidas gerenciadas do Medicare vantagem	204,000

Pagamentos de incentivo de cuidados baseados em valor

A Agilon Health gerou US $ 42,3 milhões em pagamentos de incentivos de atendimento baseados em valor no terceiro trimestre de 2023, representando um componente-chave de sua estratégia de receita.

• Porcentagem de pagamento de atendimento baseado em valor: 15,4% da receita total
• Pagamento médio de incentivo por paciente: $ 207

Licenciamento da plataforma de tecnologia

A empresa registrou US $ 18,7 milhões em receita de licenciamento de plataforma de tecnologia para o terceiro trimestre de 2023.

Receita de licenciamento	Quantia
Q3 2023 Licenciamento da plataforma de tecnologia	US $ 18,7 milhões

Serviços de Insights de Dados de Saúde

Os Serviços de Insights de Dados de Saúde contribuíram com US $ 12,5 milhões para a receita da Agilon Health no terceiro trimestre de 2023.

• Receita de insights de dados: US $ 12,5 milhões
• Número de organizações de saúde servidas: 37

Taxas de coordenação de atendimento

As taxas de coordenação de atendimento totalizaram US $ 22,9 milhões no terceiro trimestre de 2023.

Métrica de coordenação de atendimento	Valor
Taxas de coordenação de cuidados totais	US $ 22,9 milhões
Taxa média por paciente	$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.