Categories: MedicareNews

Pearl Health Releases 2025 Primary Care Pulse Report, Pointing to Structural Readiness Gaps Despite Increased Value-Based Care Participation

NEW YORK, Dec. 9, 2025 /PRNewswire/ — Pearl Health, an AI-native platform that helps clinicians and care organizations align incentives, coordinate care, and improve performance in value-based models, today released its 2025 Primary Care Pulse Report, providing a data-driven view of the challenges shaping U.S. primary care amid accelerating shifts toward outcomes-based payment models.

Based on responses from 246 primary care physicians, the report identifies a widening gap between participation in advanced payment models and the capabilities required to succeed in them. While 66.7% of physicians report involvement in value-based contracts, only 45.5% believe their organizations are equipped to deliver proactive, preventive care, and just 34.1% report access to technology that supports outcomes-based performance.

Survey findings also reflect persistent economic misalignment within primary care. Only 34.9% of physicians agree that their revenue model supports improving patient health, and only 26.8% say their compensation enables holistic, coordinated care. Cash-flow variability remains a significant issue for 34.2% of respondents, including 54.4% of independent private practices. These pressures coincide with rising clinical demand driven by Medicare growth and chronic disease prevalence.

Technology adoption remains limited despite its importance in managing population health. Only 39.9% of respondents say their organizations use technology to support care coordination, and 45.9% report not using structured tools such as care-gap or chase lists. These gaps impede systematic outreach, timely follow-up, and consistent performance under value-based arrangements.

The report places these findings within broader demographic and policy trends, including the continued expansion of Medicare participation and federal momentum toward accountable, prevention-oriented care models. Together, the data indicates that many organizations are entering risk-bearing arrangements without the operational infrastructure necessary to meet program requirements or fully realize their potential benefits.

The 2025 Primary Care Pulse Report outlines these dynamics and identifies opportunities for policymakers, health systems, and physician organizations to strengthen primary care sustainability through aligned incentives, redesigned workflows, and integrated technology.

The report is available for download at: https://www.pearlhealth.com/primary-care-pulse-report-2025

About Pearl Health

Pearl Health is an AI-native platform that enables clinicians and care organizations to deliver better outcomes at a lower cost through actionable insights, automation, and aligned financial incentives. Pearl helps providers and payers optimize risk contracts, drive measurable clinical and financial improvement, and increase care team capacity through streamlined workflows.

Pearl combines predictive analytics, automation, and next-best-action guidance to help organizations improve benchmark accuracy, reduce avoidable utilization, enhance quality outcomes, and achieve stable financial performance across Medicare value-based programs. Through risk-sharing and enterprise SaaS models, Pearl delivers a unified operating system for value-based care that supports health systems, physician groups, and independent practices without adding administrative burden or headcount.

Founded in 2020, Pearl now supports leading health systems and thousands of primary care providers across 40+ states. Our team brings deep expertise in clinical care, actuarial modeling, population health operations, and advanced technology. Pearl is supported by leading investors including Andreessen Horowitz, AlleyCorp, Viking Global Investors, and Ulysses Management. Learn more at www.pearlhealth.com.

Contact: Madison Klein, madison.klein@pearlhealth.com 

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SOURCE Pearl Health

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