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So far agilon health has created 10 blog entries.

agilon health Expands Into Five Markets Through Innovative New Joint Venture Partnerships. Company Empowers Physician Partners to Win in Value-Based Care Through a Complete Integrated Operating Platform.

 

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.

Golden Valley Health Centers Launches Sequoia Health, a New Populations Health Management Joint Venture, with agilon health.

GOLDEN VALLEY HEALTH CENTERS LAUNCHES SEQUOIA HEALTH, A NEW POPULATION HEALTH JOINT VENTURE, TO EXPAND AND IMPROVE CARE TO CENTRAL VALLEY UNDERSERVED PATIENTS

Transformative Joint Venture with agilon health enables Golden Valley Health Centers To Focus on Prevention and Highly Coordinated Clinical Care and Access New Payment Model

 

Merced, CA (November 1, 2017) – Golden Valley Health Centers (GVHC), one of central California’s largest non-profit network of community health centers that provide care for thousands of underserved patients, has partnered with agilon health of Long Beach, California, to launch Sequoia Health, a new entity that will allow GVHC and other high-quality providers to offer a provider-led, value-based, population health program that improves access and quality care for the patients they serve.

Serving more than 150,000 patients through its network of 29 clinics, GVHC is one of the largest medical providers to Medi-Cal patients in the Central Valley. GVHC will continue to operate as it always has and the brand will not change. Sequoia Health will enable GVHC and other providers to participate in a population health program by providing contracting, data collection and management, care coordination, clinical programs and administrative services.

The nation’s health care system continues to transition from the fee-for-service model that rewards the volume of services a provider delivers, to a more value-based approach. Organizations like Sequoia Health, which offer risk-bearing population health programs that provide efficient coordinated clinical care and expanded access to high-quality care for vulnerable populations, allow providers like GVHC to stay ahead of the curve.

“Sequoia Health is a unique partnership with agilon health that will create a new footprint in how we expand and serve our patients,” said Tony Weber, Chief Executive Officer of GVHC, which is headquartered in Merced. “This new model puts the patient at the center of our clinical care model, with our dedicated care teams working side-by-side to ensure that each patient gets the appropriate care at the right place at the right time. This is an exciting new model for GVHC because it allows us to direct locally the dollars that are spent on the right care to meet the needs of our community. Moreover, it will allow us to recruit additional high performing providers and add more resources to improve access to high-quality care. “

GVHC’s partner in Sequoia Health is agilon health, a Long Beach, California-based company that serves nearly 500,000 Medi-Cal members, is investing capital and bringing resources in technology-enabled clinical, operational and administrative expertise that help independent organizations like GHVC to transition into value-based health care. “In Golden Valley Health Centers, we found a like-minded partner which has a rich history of providing great medical, behavioral, and dental care to the underserved,” said Manoj Mathew, MD, agilon health’s Market President for California. “GVHC is an ideal partner to embrace a transformative payment model which puts overall control for patient care back into the hands of physicians and care teams. Patients will benefit greatly with a focus on prevention and highly coordinated clinical care.”

The concept of highly coordinated care is effectuated through efficient processes, systems, and data that enables intense collaboration between doctors, nurses, assistants and other allied health care team members such as social services and specialists among others. In a population health model, preventive care is the flagship focus.

“This new partnership will allow Golden Valley Health Centers to expand existing efforts to provide high-quality cost-effective care to our patients. Through increased focus on clinical metrics such as childhood immunizations, age-appropriate well-child visits, preventative care screenings for breast and colon cancer as well as improved focus on the care of chronic diseases such as diabetes and hypertension, Sequoia Health will improve not just the care of our individual patients but of the entire community” said Ellen Piernot MD, MBA, Chief Medical Officer for Golden Valley Health Centers.

“Through GVHC’s participation in Sequoia Health, our team is responsible both financially and clinically for the health of each patient. Sequoia Health will partner with us to develop local programs to ensure higher quality health care, including programs that prevent people from needing emergency room care and help them remain independent in their homes. We value the trust our partners have shown in our ability to improve the health status of our communities,” added Weber.

In its launch, Sequoia Health has contracted with Health Net, a large California health plan that provides and administers health benefits to many Medi-Cal enrollees, as its first partner in this new model.

For more information, click www.SequoiaHealthIPA.com

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Introducing COPC Senior Care Advantage, the joint venture between Central Ohio Primary Care Physicians and agilon health

October has been a tremendous month, in which we together delivered very tangible accomplishments across the organization. These ongoing achievements, that I have the pleasure of highlighting each month, don’t belong to any individual. Rather they are the product of the good work all of you perform together each day. A reputation of enabling high-quality care, efficient processes, and speed to execution is critical to our ongoing success. I thank you for the strength of our reputation we are building on each day. We should all thank the teams that are striving to respond to customer calls faster than we’ve ever done before, focusing on processing referral authorizations with increased precision, and ensuring our physician partners receive timely and accurate payment for the good work and services they provide our members. These are the activities that build a strong, durable and admired organization and provide a reputation that enables future success.

This month’s focus is deservingly directed toward the newest agilon health market: Columbus, Ohio. Over the course of the last ten months, the local market team collaborated with enterprise-based colleagues in Long Beach, Corona and now Anaheim, to develop an operational and clinical model designed to transform the healthcare delivery system and launch an innovative new program called COPC Senior Care Advantage.

It is with great pleasure that I announce the launch of COPC Senior Care Advantage, the joint venture between Central Ohio Primary Care Physicians, the nation’s largest independent, physician-owned primary care practice and agilon health. COPC Senior Care Advantage is a new population health management program designed to improve the quality, value, efficiency, patient experience and outcomes for COPC’s Medicare Advantage patients. It is made possible through risk-based agreements with Aetna, Anthem, Humana, and MediGold, all of which were signed in the last four weeks. Executing risk-agreements, in a market that is unaccustomed to the healthcare delivery models we all take for granted in California, is no easy feat, even with the support and commitment of an incredible partner in COPC. Please join me in recognizing the contracting team that has paved the way for transforming the central Ohio market:

Market-based team
Ben Shaker, Ohio Market President
Mary Cook, MD, Ohio Market Medical Director
William Wulf, MD, CEO Central Ohio Primary Care Physicians

Enterprise team
Elizabeth Russell, Chief Payment Transformation Officer
Myong Lee, VP HMO Contracting
Ted Halkias, Chief Financial Officer
Maria Adams, Consultant
Katie Kauachi, VP, Payor Contract Analysis

I can’t underscore enough the importance securing these risk-based contracts in Columbus, Ohio holds for the future of our organization. Bringing new payment models to communities across the country will fuel the transformation of the delivery system and enable physicians to bring the right care to each patient at the right time. I know you all are motivated by this promise like I am. I invite you to enjoy a short, inspiring, video clip featuring Dr. Wulf and a COPC patient who has joined us in celebrating the launch of COPC Senior Care Advantage on a local news station by clicking here

 

 

 

Central Ohio Primary Care Physicians and Area Medicare Health Plans Partner Through COPC Senior Care Advantage To Launch New Population Health Management Model to Revolutionize Care for Medicare Members in Central Ohio

COPC Senior Care Advantage Will Focus on Prevention and Highly Coordinated Care delivered through a Team of Experts to Improve the Health and Wellness of Medicare Advantage Patients in a Value-Based, Population Health Model.

To revolutionize the care it provides its Medicare Advantage patients, Columbus-based Central Ohio Primary Care (COPC), the largest physician-owned independent primary care medical group in Ohio and the largest in the U.S., has entered into an agreement with local and national Medicare Advantage plans through COPC Senior Care Advantage, a new population health management program designed to improve the quality, value, efficiency, patient experience and outcomes of Medicare Advantage patients.

COPC Senior Care Advantage will commence transforming care for Medicare Advantage patients beginning in January of 2018, thanks to new population-health based contracts with all Aetna Medicare Plans (HMO/PPO), Anthem Mediblue Dual Advantage, Anthem Mediblue Access, Anthem Mediblue Access Enhanced, Anthem Mediblue Access Core, Anthem Mediblue Access Basic, Humana Gold Plus HMOs and HumanaChoice PPOs, MediGold Classic Preferred (HMO), MediGold Essential Care (HMO), MediGold Flexible Choice (PPO) and MediGold Medical Only (HMO). COPC is also contracted with other Medicare Advantage plans through legacy agreements.

“As a physician-led organization, our goal is to put the patient’s needs first and foremost, and this program by COPC Senior Care Advantage will 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, which has more than 350 providers and 62 practice locations throughout central Ohio. “This new model will be coordinated care on steroids,” said Dr. Wulf, a long-time advocate for value-based care. “COPC Senior Care Advantage is an innovative population health model designed to provide higher quality, more efficient care for local Medicare Advantage patients,” said Ben Shaker, President of COPC Senior Care Advantage. “Through this collaboration with COPC, we are taking the value-based model to a new level of health and wellness by focusing on prevention and highly coordinated clinical care.”

By partnering with like-minded Medicare health plans, COPC Senior Care Advantage will be accountable for improving the health care of COPC’s Medicare Advantage patients. Under this model, the physicians at COPC will coordinate all of the care for enrolled members, including primary care, specialists, major local health systems and hospitals, laboratories and all of the ancillary services necessary to improve the health status of such members. They will also engage in advanced data analytics to support clinical decisions, ensuring that the appropriate care is delivered at the right time and place.

“We believe that more efficient care is possible if physicians assume both clinical and financial responsibility for patient care. By having robust data and increased resources at their fingertips, COPC physicians will be better able to deploy highly integrated, prevention-oriented care. Better outcomes are possible when innovative clinical programs are supported by actionable and timely data,” said Ben Shaker.

The COPC Senior Care Advantage program is designed to allow COPC physicians to spend more time with their patients. “Taking care of senior patients is more complicated than ever before given the prevalence of chronic illness among this population. Through this new arrangement, COPC Senior Care Advantage will be supporting COPC physicians with case managers, social workers, nurses and quality assurance staff,” said Dr. Wulf. “The purpose is to allow our doctors to spend more time with patients, providing support, counseling and prevention services to help patients remain independent and improve their health.”

Across the country, health care officials are seeking ways to change the health care system from one that rewards the volume of services doctors provide to one that rewards high quality and value. The goal is to offer better quality care and save money by providing the right level of care at the right time with a focus on prevention. If patients are healthier, they are less likely to need expensive hospitalization or emergency care.

“This is an innovative approach to medical care for seniors, one that would benefit our members for years to come,” said Michael Vincent Smith, MD, FACC, FACS, FCCP, Regional Vice-President, Medical Director, Central Region Medicare, Anthem, Inc., one of the Medicare Advantage plans partnering with COPC Senior Care Advantage. “This new partnership has the potential to improve health outcomes and keep costs down for both members and health plans, particularly for those members who suffer from such prevalent chronic illnesses such as congestive heart failure, diabetes, COPD and hypertension. We are very excited to be a lead partner in this new model of care for our Medicare Advantage members.”

After more than a year of planning and staff additions, COPC Senior Care Advantage brings together multiple health care providers and health plans under a program dedicated to transform the health and wellbeing of Medicare Advantage members in the greater central Ohio area. The COPC Senior Care Advantage program through COPC will be available beginning January 1, 2018 for all Medicare Advantage members of participating health plans. For more information about COPC Senior Care Advantage, please visit www.COPCseniorcareadvantage.com

William Wulf, MD, agilon health board member and CEO of Central Ohio Primary Care Physicians, is one of esteemed speakers featured in an upcoming CAPG webinar on MACRA

 

agilon health board member and CEO of Central Ohio Primary Care Physicians (COPC), Willam Wulf, MD is one of the esteemed speakers featured in an upcoming CAPG webinar on MACRA (Medicare Access and CHIP Reauthorization Act).  COPC, the largest independent and physician-owned primary care practice in the country and partner with agilon health in a new healthcare delivery model in Columbus, Ohio called COPC Senior Care Advantage, is navigating the complexity of MACRA by not only participating in CPC Plus, which is recognized by CMS as an Advanced Alternative Payment Model which qualifies COPC for the preferential APM track within MACRA, but they are also focusing on growing the number of their patients in Medicare Advantage plans, thereby reducing their exposure to changes in traditional Medicare reimbursement. COPC Senior Care Advantage provides COPC patients a compelling alternative to traditional Medicare coverage and is made possible by the innovative payer agreements agilon health and COPC executed with the leading insurance plans in the market.

COPC Senior Care Advantage is a new program for patients covered by the Medicare Advantage plans from Aetna, Anthem, Humana and MediGold in Central Ohio, which expands the cooperation and coordination between COPC and these insurance companies*. COPC Senior Care Advantage is not a new Medicare Advantage plan.  Rather it is a new program that allows patients the flexibility to choose a health plan from four participating insurance companies and still have access to the same innovative care program COPC and agilon health have designed to enhance access to wellness and health education services, as well as care coordination resources.  It provides patients the best of both worlds – flexibility in choosing their benefits from any one of the health plan partners and at the same time consistent access to this new program at COPC.  COPC Senior Care Advantage will begin on January 1, 2018. 

agilon health CEO, Ron Kuerbitz, Celebrates a Milestone at MDX Hawaii and Commitment to Collaboration

 

I am heartened to again showcase significant success in moving agilon health forward through collegial and effective collaboration between our market-based teams and resources in our Long Beach office. The team at MDX Hawaii is well-deserving of this month’s spotlight.

Over the course of the Labor Day weekend, the team at MDX Hawaii, directed by the tremendous leadership of Bill Farry, were the first to transition to our new CORE platform. By all accounts, the implementation was a resounding success, and could not have been possible without significant contributions from many colleagues in Honolulu, Long Beach and beyond. MDX Hawaii has paved the way for the remainder of our markets to transition to the CORE operating system over the next few months, which is critical to the ongoing success of our organization. I want to personally thank everyone involved in this significant achievement and for the commitment to collaboration across the organization you demonstrated with this success. While the entire MDX Hawaii team and many, many other colleagues supported the implementation, I would be remiss to not publicly acknowledge several key leaders, including:

Hawaii-based team
• Leah Kamalu was our claims champion throughout the process and led the effort to drive improvements and overall claims related functionality.
• Letty Lian-Segawa was our utilization management champion throughout the implementation. Letty led the efforts to drive and test improvements in UM workflow and processing functionality.
• Myra Wong demonstrated an unflappable commitment to the details! In addition, she ensured we leveraged new capabilities to support configuration.
• Renerose Peralta worked tirelessly and combined her expertise in legacy system functionality, business requirements and reporting with CORE functionality and improvements.
• Trisha Loo wore several hats throughout the process by initially leading compliance-related development and then stepped up to assist with overall project management.

Long Beach/Other teams
• Darren Braun is our indispensable developer and key knowledge expert on the legacy and future functionality capabilities.
• Gail Walker jumped in to focus on EDI and Imagenet implementation efforts.
• Ruby Nicolas provided claims domain subject matter expertise and supported system upgrade and testing.
• Virginia Mungia provided application domain subject matter expertise and supported system upgrade, configuration, and testing.
• The technology team deserves special recognition for getting the Las Vegas data center stood up and operational to support the launch of CORE in Hawaii.

In addition to the tremendous collaborative effort to launch CORE, I want to note other key points of collaboration between MDX Hawaii and the agilon health corporate team. Over the past few weeks, we’ve seen an encouraging increase in the number of annual health assessments performed through our Burden of Illness program in Hawaii. MDX Hawaii medical leadership provided by Dr. Desai and Dr. Uytingco, coupled with the dedication of the entire Healthcare Quality team, Provider Network Operations team along with data analytics, communications, and operations excellence support from Long Beach has resulted in over 8,600 annual health assessments performed so far this year. I appreciate the continued focus on these important efforts and encourage you all to continue to collaborate and innovate to meet our organizational goals.
Sharing these bright spots of collaboration with you from across the organization is one of the privileges I enjoy most. I hope you find them valuable in thinking through the opportunities we have in all of our markets to support our primary care physician partners in improving the health and well-being of our members.

agilon health Quality Improvement Team Recognized for Excellence In Preventive Care Work

The coming of Fall and the change in seasons makes me think about the signs of change and progress throughout agilon health. Collaboration across markets abounds. And the fruits of that collaboration are remarkable. This summer, we have added a new office in Anaheim to accommodate growth, signed over 150 provider contracts in Ohio to build a network from scratch, finalized the work to implement the new CORE system in Hawaii and California, prepared to enter into another new partnership, instituted new processes to improve our risk adjustment and quality performance programs, launched new care improvement programs in all markets and are welcoming new colleagues in all of our regions. And those are but a small sample of the accomplishments we can be proud of. Whether you are part of the team in California, Hawaii or Ohio, our goals and aspirations are largely the same. We all support our partnerships with primary care physicians to ensure their long-term success. Together, as one organization, we are re-imagining quality, efficiency and patient experience by providing the people, solutions, capital and technology so that physicians can focus on the joy of practicing medicine.

An example of this commitment I’d like to share with you is the recruitment of eight dedicated quality-improvement professionals serving our patients in California.

Under the leadership of Dr. Khaliq Siddiq, California Medical Director, Adina Guthrie and her team are working diligently to support both physicians and patients in reducing gaps in preventative care in the nearly 450,000 Medi-Cal members we serve in the Inland Empire, San Diego and Fresno.

I believe their initial success of closing over 76,000 gaps in care for Vantage members in 2016 speaks volumes to their commitment as well as the likelihood of achieving their lofty goals for 2017.

By year’s end, Dr. Siddiq and Adina have challenged the Quality Improvement team with closing over 115,000 gaps in preventative care for Vantage members, which represents a 50% increase over the success of 2016. Appreciating the magnitude of the task, the team has implemented a full complement of tactics, including:

• Establishment of clear and measurable goals
• Cross-departmental collaboration with Provider Relations, MDX Technology, and Corporate Communications
• Physician incentive plan
• Physician recognition plan; Excellence in Preventative Care awards are provided to physicians who excel in closing gaps in care
• Data reporting, monitoring and transparency with physicians
• Implementation of agilon health’s proprietary technology to monitor gaps in care
• Member outreach and incentive plan
• Media campaign

The new Quality Improvement team in California is just one example of the investments agilon health is making across the organization to secure our future. Investing in quality not only fulfills the commitments to our physician customers and health plan partners, but also positions agilon health to enhance member growth, available resources and reputational benefits in the community.

I look forward to sharing additional bright spots with you from across the organization. I hope you find them valuable in thinking through the opportunities we have in all of our markets to support our primary care physician partners in improving the health and well-being of our members.

agilon health CEO, Ron Kuerbitz, commemorates first anniversary with employees

It’s hard for me to believe that we are celebrating the one-year anniversary of the formation of agilon health. It’s an important milestone, and the perfect time to take a minute and think about what you’ve accomplished and where we’re going.

As you all know, over the course of the last twelve months, our colleagues from PPMC and MDX all joined together to become agilon health. Then we grew beyond that with new teams based in Long Beach and Columbus, Ohio and now we’re adding even more strength through the opening of our newest office in Anaheim, California. Together, at nearly 500 colleagues, we are well positioned to support our growth in both existing markets as well as expand into new markets.

And that size and strength is dedicated to a high purpose. Here at agilon health we have the privilege to be part of a vibrant and growing organization that is changing healthcare. We’re creating jobs, helping doctors rediscover satisfaction in the practice of medicine, and most importantly helping to make healthcare accessible and affordable for those who need it most. In short, we’re bringing comfort and support to people who need help navigating the healthcare system, in many cases when they are facing new and challenging moments in their lives. While those sound like simple goals, they have eluded the best and brightest minds for decades. Some of the most prominent people in the country have tried and failed to solve the problems of our current healthcare system and reach those goals – from Presidents and leaders in Congress to policy experts and technology visionaries. Personally, I think we have the solution. There is no magic; we’re bringing a level of focus on fundamental processes, a level of experience and judgment, a level of creativity in solving problems, a level of technology sophistication, and most importantly, a level of enthusiasm and dedication that I haven’t seen anywhere in twenty-five years in healthcare. We’re already using those skills – we’ll be serving more than 1,700 physicians and more than 500,000 patients in three states by January 2018 – and we have thousands of more physicians all across the country asking for our help.

So, to the team at Clayton, Dubilier & Rice who had a vision, to all of you at PPMC, MDX and MDX Hawai’i and in Long Beach who took a chance to join together and form this new enterprise, to the pioneers in Fresno and at Central Ohio Primary Care who saw the vision and decided to lend their strength to the effort, to our newest partners who are in various stages of joining the company, I say it’s time to stop for a moment and marvel at what you’ve had the courage and determination to produce.

I invite you to pause to appreciate what we’ve already accomplished. But as our Chairman, Ron Williams, reminded me last week, we’re in a marathon, not a sprint. And the first anniversary of our founding is a great reminder that we’ve already taken our first steps. We’re coming into the second mile. Enjoy the run.

agilon health Names Ronald J. Kuerbitz Chief Executive Officer

Appointment of Former Fresenius Medical Care North America CEO Caps Six Months of Strong Growth

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Long Beach, Calif., January 13, 2017 – agilon health, a healthcare services and technology company dedicated to partnering with physicians to create value-based healthcare delivery systems, announced today the appointment of Ronald J. Kuerbitz as chief executive officer, effective February 20, 2017.  Mr. Kuerbitz’s announcement caps a period of strong momentum for agilon in which the company filled key leadership roles with deep expertise in value-based healthcare, expanded its geographic reach through strategic partnerships, and grew the number of patients served.

Mr. Kuerbitz was CEO of Fresenius Medical Care North America (“Fresenius”), the $13 billion renal-care specialist with 70,000+ employees serving 1.3 million patients. He joins agilon having held a range of senior leadership positions during his 20-year career at Fresenius, including Chief Administration Officer, Executive Vice President of Government Affairs, Chief Legal Officer, and Senior Vice President and General Counsel. Mr. Kuerbitz is credited with instituting a number of strategic initiatives, including restructuring Fresenius’ core dialysis services operations and creating one of the nation’s leading hospitalist physician practice management companies, supporting 2,000 providers under both fee-based and Medicare shared savings payment systems. Mr. Kuerbitz led the company’s focus on bringing value-based care models to the renal community by creating a Medicare Advantage chronic special needs plan for end stage renal disease patients, entering into delegated capitation agreements for managing end stage renal disease and establishing Fresenius as the largest participant in Medicare’s renal shared savings program.

“We are delighted to welcome Ron to agilon health. He brings a powerful combination of leadership skills in healthcare services broadly and in physician-focused business models specifically,” said Ronald A. Williams, Chairman of agilon and former Chairman and CEO of Aetna. “Ron is a proven business builder with a strong reputation for integrity and a passion for improving the quality of patient health using value-based care.”

agilon was formed in July 2016 through the combination of leading management service organizations and technology businesses in California and Hawaii. The company partners with physicians to deliver better patient outcomes through an enhanced suite of integrated services, including clinical, administrative, and technology solutions. agilon is reinventing the primary care market by establishing long-term strategic and financial partnerships that allow physicians to take greater control of the insurance premiums that flows through their practices.

“I am delighted to join an exceptionally talented management team at agilon, which includes many accomplished health care industry and health IT veterans,” said Mr. Kuerbitz. “We share a common vision for making healthcare more effective by empowering physicians with the administrative, technology and management resources, which can enable them to focus their energies on improving their patients’ health. This is the heart and soul of what agilon is uniquely positioned to facilitate – the transition from fee-for-service to value-based care – with better economics for all participants in the system.”

Mr. Kuerbitz is a graduate of Albion College and received a J.D. degree from Yale Law School. He is a member of the Advisory Board for Columbia University’s Mailman School of Public Health.

In addition to the appointment of Mr. Kuerbitz, agilon has made significant investments in its leadership architecture across multiple functional areas. The leadership team includes highly experienced professionals from across healthcare and technology with a distinct set of skills to bring to life the integrated payment and delivery model of the future.

 

About agilon health

agilon health partners with physicians to provide high-quality, value-based healthcare. The company, formed in July 2016, operates in major markets across the United States, including Fresno, Hawaii and Southern California, managing care for more than 475,000 patients through a network of more than 9,000 physicians. agilon also is an important partner to payors, other providers and communities. For more information about agilon health, please visit www.agilonhealth.com.

agilon health, a New Healthcare Services and Technology Company, Formed at the Forefront of Value-Based Healthcare

Partnering with Physician-Centric Organizations to Implement Next Generation Value-Based Care Delivery Systems That Improve Care Quality and System-wide Economics

Platform Currently Managing Over 475,000 Patients in Multiple Geographies Expects to Expand Nationally Supporting Medicaid, Medicare and Commercial Populations

Management Team Includes World Class Healthcare Operating Talent

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Long Beach, Calif., October 4, 2016 – agilon health, a healthcare services and technology company aiming to accelerate the conversion to value-based healthcare, announced its formation today. The company brings together established value-based healthcare delivery systems, physician risk enabling infrastructure, and proven operating talent from across healthcare. The combination of these capabilities and a unique partnership-centric approach offers providers on a national basis the opportunity to successfully transition to risk-based business models.

agilon health empowers physicians and other providers with the clinical, technological and administrative capabilities to function effectively in a healthcare system undergoing a structural shift to a compensation model based on outcomes, rather than traditional fee-for-service, and to capture the inherent opportunity in bearing global financial risk associated with improving patient outcomes and lowering system costs. agilon health, through its value-based delivery systems, has a strong track record operating in multiple capitated markets, currently managing more than 475,000 patients through a network of more than 1,500 primary care physicians and 8,000 specialists. agilon health’s partnership solution includes information and support systems, data analytics and sophisticated medical management infrastructure to support physicians across the risk spectrum, from professional capitation to full capitation. Ronald A. Williams, former chairman and chief executive officer of Aetna, is agilon health’s chairman.

“Our mission is to be a great partner with physicians, whose pivotal role in improving care quality and efficiency puts them on the front lines of the transition to value-centric healthcare,” said Mr. Williams. “We have the specialized capabilities and clinical, administrative and technological infrastructure necessary to help providers navigate this transition.”

“We believe our innovative model improves quality, reduces cost, satisfies providers and engages patients, adding up to a system of care that any of us would want for our family and friends, all while transforming the physician economic model,” said Dr. Stuart Levine, Chief Medical and Innovation Officer for agilon health.

“In a very real way, agilon health is helping to revive the joy of practicing medicine by providing physicians with the opportunity to participate in a next generation care delivery system that allows them to focus more on quality of care and less on volume of activity,” said Dr. Manoj Mathew, agilon health’s National Medical Director.

Core to the company’s relationships with physicians are its integrated clinical, administrative and financial solutions, specifically built for the delegated physician risk market. Initially developed in 1996 by Gerry Ibanez, who remains a senior executive at agilon health, the company’s proprietary technology platform currently includes products for Medicare’s STARS program, burden of illness management (HCC), Pay for Performance (P4P), care management and a fully integrated administrative platform that includes claims payment, and is particularly tailored for managing the growing Medicaid, Medicare, Expansion and Duals populations, which agilon health currently serves directly in California and Hawaii.  The technology platform, which is highly portable to new markets, also supports the management of more than 1.3 million patients for numerous well-known third-party providers and health plans across the country.

In California, agilon health has made a significant investment in supporting and enhancing the quality of care delivery in the rapidly growing Medi-Cal market (California’s version of Medicaid). agilon health operates a leading Management Services Organization (MSO) that, along with its affiliated Independent Provider Associations (IPAs), services a patient base of more than 450,000 primarily Medi-Cal members in Riverside, San Bernardino, San Diego, Fresno, and Los Angeles. agilon health’s largest affiliated IPA, Vantage Medical Group (formed in 1993), is the largest independent Medi-Cal IPA in the Inland Empire (Riverside and San Bernardino counties), one of the largest and fastest growing Medicaid communities in the country.

In Hawaii, agilon health is delegated for professional and institutional risk, taking full risk for the management of approximately 24,000 Medicare Advantage patients in exchange for a percentage of the CMS premium. The full risk model developed by agilon health is the first of its kind in the Hawaii market, which has historically been defined by traditional, fragmented and more expensive fee-for-service healthcare. agilon health has been operating in Hawaii since 2003, and, as of today, more than 800 primary care physicians and 2,000 specialists are a part of the agilon health network in Hawaii. agilon health’s unique MSO model relies on its own proprietary clinical and administrative technology applications to support its management of delegated risk.

“I am excited to team up with a strong financial partner like Clayton, Dubilier & Rice (CD&R) and a growing group of operating talent to accelerate investment in the technology platform and unique physician risk infrastructure we have developed to expand our footprint and help transform care delivery nationally at a critical time in healthcare,” said Mr. Ibanez.

“We are in the process of expanding to other geographies based on agilon health’s unique physician-centric partnership model tailored for local market needs. The growth in risk-based models driven by reimbursement changes, growth in government lives, and growing physician dissatisfaction is creating an opportunity to re-invent local healthcare delivery markets through creative strategic partnerships with providers,” said Mr. Williams.

About agilon health

agilon health serves as a partner to physicians and other providers so that they can be more productive and effective in providing high-quality, value-based care. The company is both a management services organization serving more than 475,000 patients through a network of more than 9,500 physicians and a proprietary technology platform that both supports the management of agilon health’s delegated patients and is also offered to third-party provider organizations and payers. The company’s unique mix of technology-based services and clinical capabilities supports physicians serving a diverse mix of patients across multiple geographies, with differentiated expertise managing underserved Medicaid and Medicare Advantage patients. agilon health is also an important partner to payers, other providers and communities, positively impacting access, quality and cost of care for patients. agilon health was initially formed through the combination of leading MSO and technology businesses in California and Hawaii, facilitated by Clayton, Dubilier & Rice (CD&R), an investment firm. Mr. Williams is an Operating Advisor to CD&R’s funds. www.agilonhealth.com.

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