LONG BEACH, CA – agilon health of Long Beach, California, a year-old company founded by world-class health care leaders, is helping U.S. physicians manage the leap from fee for service to value-based health care. Recognizing the increasing pressure on physicians caused by the existing healthcare system, agilon health has created a complete operating platform for value-based healthcare that brings people, process, and proprietary technology together in partnership with physicians to take responsibility for total healthcare spend. The company has now expanded its operations to leading positions in five U.S. markets.
agilon health was founded in 2016 by Clayton Dubilier & Rice, one of the nation’s leading private equity firms. The agilon health team includes Chairman Ronald A. Williams, formerly Chairman & Chief Executive Officer of Aetna, and CEO Ron Kuerbitz, formerly Chief Executive Officer of Fresenius Medical Care North America.
Building upon a model of establishing anchor positions in key markets, agilon health has entered Central Ohio through a joint venture with Central Ohio Primary Care Physicians (“COPC”), the nation’s largest independent, physician-owned primary care medical group. This pioneering model, called COPC Senior Care Advantage, supports comprehensive care in Central Ohio with a full risk model for over 20,000 Medicare Advantage members across multiple payers. agilon health’s proprietary technology-enabled clinical and administrative operating system will support the partnership’s ability to accept and manage this comprehensive care full risk model for Medicare Advantage patients in the Central Ohio geography.
In the Central Valley of California, agilon health formed Sequoia Health, a new risk-bearing partnership with Golden Valley Health Centers, one of central California’s largest non-profit networks of community clinics that provides care to thousands of underserved patients through California’s Medicaid program. This new venture provides Golden Valley Health Centers the opportunity to direct not only the care their providers personally perform, but also to assume responsibility for coordinating all care and quality initiatives for their patients. It positions Golden Valley Health Centers to expand access to primary and specialty care services in additional underserved communities.
These recent partnerships expand upon agilon health’s efforts to both improve and accelerate the growth of risk-based models of care in geographies across the country through the introduction of a complete operating platform for risk. Beyond the Central Valley of California, agilon health has established positions in southern California and Fresno with significant investments in partnerships with leading local IPAs. In greater Southern California these partnerships serve more than 390,000 Medi-Cal, including through the Vantage Medical Group. In Fresno, agilon health is implementing its operating model through First Choice Medical Group, which serves over 70,000 Medi-Cal members and 7,000 MA members. In Hawaii, agilon health, operating as MDX Hawaii, operates a full risk model to provide care to more than 28,000 MA members. This full risk model is the first of its kind in Hawaii and enhances the value that MDX Hawaii currently provides to physicians, patients, and health plan partners.
“Our mission is to be a great partner to physicians, whose pivotal role in improving care quality and efficiency puts them on the front lines of the transition from fee-for-service to high quality, sustainable value-based healthcare,” said Ron Kuerbitz, chief executive officer of agilon health. “We know from experience that it is virtually impossible to effect a piecemeal migration out of fee for service care models and that even large, well-organized physician groups have a hard time making the full leap into value-based care. By providing industry experience, process, technology platforms, capital and a value-based infrastructure, we are able to help them make the transition, and enable doctors to expand the capabilities they need to ensure the right care for each patient at the right time. My team at agilon health is driven by the opportunity to reduce physician burnout and to help physicians rediscover the joy of practicing medicine.”
Physicians from many of the U.S.’s largest medical groups have joined agilon health to help physicians improve quality and the patient experience. “As a physician-led organization, our goal is to put the patient’s needs first and foremost, and our partnership with agilon health positions us perfectly to enhance the great care we have historically provided to our Medicare Advantage patients,” said William Wulf, M.D., chief executive officer of Central Ohio Primary Care Physicians.
“We are in the process of expanding to other markets in the U.S. based on our unique physician-centric partnership model tailored for each local area,” said Ronald A. Williams, chairman of the board for agilon health. “The growth in risk-based models driven by growth in government lives such as Medicare and Medicaid, and pervasive physician dissatisfaction with the current system is creating a need to reinvent local health care delivery systems through aligned partnerships,” he said. “We are finding that our partner physicians are very pleased to be able to expand their focus on comprehensive management of patient care with a partner to help manage the complex business of health care financing and administration.”
Based in downtown Long Beach, California, agilon health has expanded its operations in Honolulu, Hawaii and Corona, California, with newly opened offices in Columbus, Ohio, Fresno, California and Anaheim, California to support its growth. In total, agilon health, with a staff of more than 500 professionals, is currently serving 1,800 primary care physicians, caring for more than 500,000 patients in five markets.