A Model Partnership
Physicians are looking for a better way to care for their patients and have fulfilling careers. Leading health plans understand this and are open to provider organizations that can improve the care experience for their members in economically sustainable ways. These challenges and opportunities are why agilon health was created and why there’s no better time for a partnership model designed to address these issues.
Leaders Today. Leaders Tomorrow.
The partnership model developed by agilon health is unique in the healthcare industry. We understand the importance of a local trusted brand and we deploy our clinical programs, communication plans, and administrative services to build upon this strength. We do not deploy capital to acquire leading medical groups, FQHCs or IPAs, rather we partner and invest in building our collective future.
We believe local provider organizations and brands should experience a halo effect from the partnership with agilon health that strengthens their relationship with patients, specialist physicians and elevates the provider organization’s position in the market and as well as its long-term sustainability.
Our partnership structure allows strong primary care physician organizations and their specialist networks to use the efficiencies they create within the negotiated capitation framework to invest in their practice and the care of their patients. Because of the high-quality, proactive care the partnership model brings to patients, hospitalizations and unnecessary procedures are reduced, generating savings. Partner organizations then have the flexibility to use those resources to expand the practice, further align physician behavior around quality and efficiency metrics, or invest in more practice resources that improve physician workload and patient experience.
Flexibility, Diversity & Geography
One of the hallmarks of agilon health’s approach is the flexibility of our clinical, business and operational models. This flexibility allows us to successfully launch in diverse markets with varying insurance products and partner structures. Our model embraces local market nuances and allows us to collaborate with our partners to develop a unique set of operating assumptions that best fit their goals and market constraints. Here are some of our current partners who are benefiting from this flexible approach:
CalCare IPA/LAMC IPA/Vantage Medical Group (Los Angeles metro market) are IPAs that serves over 200,000 members. They collaborate with Blue Shield of Califonia, Care1St, HealthNet, Humana, and Molina to manage the quality and efficiency of care for patients in the greater LA and San Diego metro markets.
MDX Hawai’i is a leading payor network caring and managing global risk for over 30,000 Medicare Advantage members. A leader in the transformation from fee-for-service to risk-based agreements, MDX Hawai’i collaborates with Humana and UnitedHealthcare.
FirstChoice Medical Group (Central Valley, CA) is a leading IPA caring for about 70,000 Medicare and Medicaid members in Fresno and Madera counties. Health plan collaborators include local, regional and national health plans, such as Anthem, Blue Shield of California, CalViva Health, Care1St, and Humana who are committed to innovating the delivery system with their physician organization partners.
Central Ohio Primary Care Physicians Medical Group is the largest independent medical group in the country with over 300 providers treating forty percent of the local market’s patients. With over 25,000 Medicare Advantage patients, COPC is collaborating with the leading local and national health plans in central Ohio.
Connected Senior Care Advantage, two leading Austin-based medical groups, Austin Regional Clinic, and Premier Physicians, are collaborating with agilon health to create Connected Senior Care Advantage, an innovative new model designed to deliver high-quality affordable care to an estimated 15,000 seniors in central Texas beginning in 2019.
Austin Regional Clinic is a multispecialty medical group committed to providing comprehensive healthcare services throughout Central Texas. Founded by three physicians in 1980, it now provides health care to over 475,000 area residents in 25 locations in 10 cities, including both primary and specialty care. Premier Physicians is an independent, physician-owned practice that has been serving primary care need of Austin, Texas’ families for more than 25 years.
Paradigm Senior Care Advantage, Pioneer Physicians Network, a leading primary care independent physician group in Northeast Ohio, is collaborating with agilon health to launch Paradigm Senior Care Advantage, an innovative new model designed to deliver high-quality, affordable care to an estimated 10,000 seniors in Northeast Ohio beginning in 2019. Pioneer Physicians Network has 50 board-certified primary care providers practicing at 16 locations with specialties of Family Practice, Pediatrics, and Internal Medicine.