2025 Virginia Task Force on Primary Care Reports
Virginia Primary Care Investment Report
This 2025 report, published on behalf of the Virginia Task Force on Primary Care, presents an inflation-adjusted, claims-based analysis of primary care investment across major payer types from 2019 to 2023 with estimates derived from the Virginia All-Payer Claims Database (APCD). This report is intended to inform state policy and guide future recommendations of the Task Force.
Primary care is foundational to a high-performing, cost-effective healthcare system— yet most states lack a consistent way to measure investment in the primary care ecosystem. To address this barrier, the Virginia Task Force on Primary Care publishes an annual Primary Care Investment Report to inform state policy and Task Force initiatives. Now in its fourth year, this report provides a longitudinal view of claims-based primary care investment in Virginia, using the Virginia All-Payer Claims Database (APCD) (see Appendix A for methodology). The findings in this report represent inflation-adjusted spending trends across commercial, Medicaid, and Medicare markets, offering policymakers, payers, and provider leaders with actionable insight into the health of the primary care ecosystem and trends in expenditures.
Virginia Primary Care Scorecard
Key findings include:
• Virginia spent 2.1 to 3.9% of total healthcare dollars on primary care, lower than the previous year.
• 13.7 to 45.5% of localities in Virginia lack a sufficient number of primary care physicians.
• 33.1 to 43.7% of insured Virginians utilized primary care services, with variation by payer type and locality.
• Quality of life decreased overall in Virginia and 93 localities are worse than the national average.
A robust primary care infrastructure has been shown to improve the health and well-being of populations. VTFPC defines primary care using a narrow definition and abroad definition. the Task Force established a 4-quadrant approach to defining primary care based on a narrow and broad set of services and provider types. Only the broadest and most narrow definitions are reported here to provide the full range of estimates. The narrowest definition is based on physician-led preventive services. The broadest definition includes all outpatient and professional services performed by primary care physicians, advanced practice practitioners (APPs), OBGYNs, School Health Clinics, Rural Health Centers and Federally-Qualified Health Centers (FQHCs).
Virginia Task Force on Primary Care SFY '26 Recommendations
The Virginia Task Force on Primary Care published eight recommendations for SFY ’26.
2024 Virginia Task Force on Primary Care Reports
The Virginia Task Force on Primary Care is pleased to share its completed reports for SFY’24. The primary care spend report reflects information about primary care spend and utilization, including telehealth and behavioral health in primary care. There is also a total cost of care brief and a primary care scorecard. The primary care scorecard now includes a patient experience section and an interactive dashboard coming soon. A one-page comprehensive outline provides key initiatives and recommendations for SFY ’24 and ’25.
Virginia Primary Care Scorecard
This scorecard aims to provide an annual tracking tool to monitor the health and well-being of primary care in Virginia, including expenditures, workforce, service utilization, outcomes, and patient experience.
Virginia Total Cost of Care Report
The VTFPC conducted a total cost of care analysis to better understand healthcare cost drivers in Virginia by payer and locality.
Virginia Primary Care Investment Report
This report describes trends in expenditures and utilization of primary care services.
Virginia Task Force on Primary Care Initiatives and Recommendations
This one-page comprehensive outline provides a summary of deliverables for SFY '24 and '25.
The 2024 Primary Care Scorecard Dashboard provides an interactive exploration of the data presented in the Primary Care Scorecard with charts and maps that reflect expenditures, workforce, primary care use, outcomes, and patient experience. All map information is also available for view consolidated by locality.
2023 Virginia Task Force on Primary Care Reports
The Virginia Task Force on Primary full set of reports for SFY’23 include three new reports — a primary care scorecard, a telehealth report, and a behavioral health report — as well as updates to Virginia’s primary care spend report, its total cost of care report, and a comprehensive report of task force activities for SFY’23.
Collectively, these six reports substantiate your concerns that Virginia’s primary care workforce is burned out, leaving the profession, and already too small to care for the needs of Virginians. Additionally, we note significant regional differences in access, utilization, and investment in primary care, with far fewer primary care providers in Virginia’s rural communities.
Virginia Primary Care Scorecard
This scorecard, developed by the VTFPC supported by VCHI, aims to provide an annual tracking tool to monitor the health and well-being of primary care in Virginia, including expenditures, workforce, service utilization, and outcomes.
Virginia Telehealth Report
To better understand utilization patterns in telehealth services, the VTFPC conducted an analysis of service utilization and expenditures.
Virginia Behavioral Health Report
The VTFPC identified behavioral health as a priority area of investment and research to better understand the intersection of primary care and behavioral health.
Virginia Primary Care Spend Report
This report describes trends in expenditures and utilization of primary care services.
Virginia Total Cost of Care Report
The VTFPC conducted a total cost of care analysis to better understand healthcare cost drivers in Virginia and define appropriate local solutions.
VCHI Comprehensive Report SFY 2023
In state fiscal year (SFY) 2023, the VTFPC was tasked with addressing primary care clinician retention concerns, improving quality measurement, reviewing payment mechanisms, addressing social determinants of health, and developing a series of reports to better understand current trends in primary care. Recommendations from the VTFPC based on these tasks are outlined on the next page.
