Advanced Primary Care Transformation: How Our Integrated APC Model Improved Outcomes, Reduced Costs, and Strengthened Value-Based Performance

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Advanced Primary Care Transformation: How Our Integrated APC Model Improved Outcomes, Reduced Costs, and Strengthened Value-Based Performance

Advanced Primary Care (APC) has become a critical strategy for improving outcomes, reducing total cost of care, and enabling success in value-based arrangements—especially as patient needs grow more complex. Our team partnered closely with providers and clinic staff to implement an integrated APC model that delivers proactive, coordinated, and data-driven care.

This case study highlights how our APC approach transformed the primary care environment by strengthening care teams, embedding behavioral health, streamlining referrals, and improving visibility into patient needs. Through this transformation, clinicians were better equipped to manage rising acuity, reduce avoidable utilization, and achieve measurable improvements in cost, quality, and patient and staff experience.

Challenge

The client’s existing primary care model was no longer meeting the complex and evolving needs of its patient population. Care delivery was fragmented, with limited coordination across providers and minimal visibility into referral pathways—leading to long wait times for specialists and inconsistent follow-up. Behavioral health services were difficult to access, creating additional barriers for patients with comorbid physical and mental health needs.

Additionally, the absence of centralized, actionable data made it difficult for clinicians to proactively manage care, close quality gaps, and make informed decisions. These challenges collectively drove higher costs, contributed to avoidable utilization, and hindered progress toward value-based performance goals.

Solution

We partnered with primary care providers and clinic teams to design and implement an integrated, patient-centered Advanced Primary Care (APC) model. The model focuses on improving outcomes and reducing total cost of care through data-driven preventive care, enhanced population health analytics, and streamlined care coordination.

Key improvements included:

Reducing administrative burden to restore provider capacity and improve workflow efficiency
Streamlining referrals to high-quality specialists with clearer pathways and shorter wait times
Embedding behavioral health services directly into the primary care environment to expand access
Aligning care teams around shared goals to improve continuity, patient experience, and overall performance

This integrated approach empowered clinicians to deliver more proactive, coordinated, and equitable care—supporting both quality improvement and sustainable cost reduction.

Results (In 12 months)

PMPM decreased by 10%
PCP and specialist utilization decreased by 13%
ED visits (commercial populations) decreased by 10%
Average wait times improved to 2.6 days (vs. 7-day industry average)
Patient satisfaction increased by 8%
Referral adherence improved by 25%
100% of staff completed culturally competent care training, earning Violet Health Inclusive Organization status

Key Takeaway:

Our integrated Advanced Primary Care model produced measurable results, including reduced total cost of care, more efficient utilization across the network, and improved experience for both patients and care teams. These outcomes demonstrate how a proactive, data-driven primary care approach can drive better quality, lower costs, and stronger value-based performance.