agilon health

Home/agilon health

About agilon health

This author has not yet filled in any details.
So far agilon health has created 56 blog entries.

agilon health Announces Participation in the Center for Medicare & Medicaid Services Innovation Center Direct Contracting Model

 

LONG BEACH, California, November 9, 2020 – agilon health is pleased to announce that, together with its physician practice partners, it is participating in six Direct Contracting Entities effective Oct. 1, 2020. The Centers for Medicare & Medicaid Services (CMS) Innovation Center Direct Contracting model aims to reduce expenditures and improve quality of care for seniors in traditional Medicare. CMS announced that 60 entities are participating in the model at this time. agilon health and its partners represent the participation of approximately 500 primary care doctors providing care to more than 70,000 fee-for-service Medicare patients in seven states.

The Direct Contracting model is a voluntary demonstration project that changes the way that physicians and physician practices are paid, moving away from a fee-for-service system that incentivizes volume to a capitated model that rewards better health outcomes. The model seeks to align traditional Mcedicare and Medicare Advantage, creating efficiencies and reducing burden for physician practices. Furthermore, the ability to offer enhanced benefits and payment waivers gives participants, like agilon health and its partners, greater opportunities to coordinate care for seniors in traditional Medicare.

“COVID-19 has underscored the relative strength and importance of pre-paid models like Direct Contracting. agilon health and its physician practice partners are looking forward to playing a central role as innovators in care delivery for seniors in traditional Medicare,” said Steven Sell, Chief Executive Officer, agilon health.

Building on the momentum of agilon health’s value-based care partnership model covering more than 160,000 Medicare Advantage patients, the new Direct Contracting model will expand agilon health practice partners’ responsibility for total care to all of their seniors, regardless of coverage choices.   Leading independent physician practices, like Central Ohio Primary Care, who partner with agilon health, are invigorated and thriving as a result of models which allow them to move away from fee-for-service payments to patient-centric reimbursement mechanisms which prioritize optimizing the experience and health outcomes of older adults.  COPC has been committed to innovative value-based care models in both Medicare Advantage and traditional Medicare for many years.  With the introduction of Direct Contracting and through the agilon health partnership, COPC physicians can expand their ability to care for seniors holistically.  This is energizing to primary care physicians and will allow COPC to set the standard for quality, patient, and physician experience in the greater Central Ohio community.

 

About agilon health

agilon health is the only health-care company of its kind, empowering and partnering with doctors to lead the transformation of their practices toward a future that rewards bold action, market-leading growth and durable patient relationships. Through the power of a national community of like-minded physicians and an integrated operating platform, we are leading the reinvention of health care delivery.

A unique and practice-branded joint operating model developed with its physician partners allows practices to boldly design and launch a financially aligned total care model for Medicare Advantage patients, unifying the physician and patient experience.  The result: empowered physician leaders, thriving practices, healthier communities, and practicing physicians who are rewarded intrinsically and financially by spending the right amount of time with the right patients who get the right treatments.

Since its founding in 2016 , the agilon health community of physician partners has grown to 11 markets across 7 states.  Leading physician groups such as Austin Regional Clinic, Buffalo Medical Group, Central Ohio Primary Care, Preferred Primary Care Physicians, and Wilmington Health are collaborating through the agilon health platform. Today there are more than 160,000 Medicare Advantage members on the agilon health platform with 1,500 primary-care physicians. Visit www.agilonhealth.com.

 

About Central Ohio Primary Care

Central Ohio Primary Care (COPC) is the largest physician-owned primary care medical group in the United States. COPC was established in 1996 when a group of 33 physicians chose to focus more on the quality of patient care they were providing and less on the administrative paperwork. Today, they have over 445 physicians and 80 practice locations throughout central Ohio, along with a full-service laboratory, radiology, cardiac testing, physical therapy and hospitalist services, and several first-rate disease management programs.

 

###

The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.

 

2020-11-09T14:29:39-07:00November 9th, 2020|

Finding Your First Job in a time of COVID-19: The Seven Principles for Navigating the Physician Job Market in a Post-Pandemic World

 

Ben Kornitzer, MD
Chief Medical Officer, agilon health

So, you’re finishing residency this year. Congrats! Sort of. Chances are, you are $200K or more in debt. You’ve survived a pandemic, and probably have a few battle scars to show for it. And now you are starting to look for your first real job (as if 80-hour weeks and barely making minimum wage as a resident doesn’t qualify as a “real” job) in the most turbulent and unpredictable physician job market in generations.

With so much uncertainty — hospitals and clinics furloughing employees, elective surgeries cancelled, an economy on the brink of recession — how can you plan long-term career moves when everything around you is changing by the minute? You anticipate. You adapt. To quote the hockey great, Wayne Gretzky, “Don’t skate to where the puck has been, skate to where the puck is going to be.”

For those of you looking for your first job, there is no better time than the present to position yourself to succeed in a rapidly evolving health care landscape. If you can anticipate how health care is transforming, you can see past the chaos and chart your own career path.

So, what does the future hold? Looking into our crystal ball, here are seven factors to consider as you set sail to chart new waters:

1) Think outside the office: Of course, most patients will continue receiving care within the four walls of a clinic. Nothing can replace the diagnostic and therapeutic importance of face-to-face interactions with our patients. However, increasingly, health care is moving out of the office. Young tech-savvy patients expect care to be just as convenient as ordering the newest gadget online. At the same time, many of the highest risk patients are the ones who aren’t coming into the office, either because they are too infirm, unable, or simply disengaged. To stay relevant to these patients, and to prepare yourself for the “health care system of the future,” look for a medical practice that is just as committed to caring for patients outside the four walls of the medical office as inside.

2) Prepare for the “silver tsunami”: Over the next decade, the number of Americans over the age of 65 is expected to double. Among the painful lessons of the pandemic was just how vulnerable this population is. In the coming years, those over 65 will need dedicated physicians who can address the special care needs of an aging population, including geriatricians, behavioral health specialists, and a focus on end of life/palliative care. All physicians will increasingly be called upon to care for older Americans, and those physicians who embrace that challenge will not only be highly sought after, but will find a deep, meaningful calling.

3) Think outside the hospital: COVID-19 has exposed deep and unsustainable inefficiencies in hospital compensation. To cover huge infrastructure overhead, health systems went on a buying spree over the last decade, acquiring physician practices, especially around highly lucrative specialties like cardiology and oncology. In fact, starting in 2018, more physicians were employed by hospital systems than private physician practices. Now, with deep losses due to postponed elective surgeries, many hospitals systems are reporting record shortfalls. As more care is delivered in ambulatory settings, the future increasingly looks like it will be outside of the four walls of the hospital. Candidates who are prepared for care models of the future should hitch their wagons to practices that embrace community-based, outpatient care.

4) Get on the value side of the equation: It is estimated that almost $1 trillion of health care spending in the U.S. is considered “waste” (e.g., duplicative testing, avoidable admissions, medical mistakes, low value testing and procedures, etc.). Considering that 18% of gross domestic product in the U.S. goes to health care, one doesn’t need to be an economist to know that this wasteful model of care is unsustainable. Increasingly, the government, insurance companies, employers, and patients are demanding higher value for their health care dollars. As our country transitions from a broken fee-for-service model to a model that focuses on value, physicians who can deliver the highest quality, most efficient care will be positioned to win. Success is not measured by how many patients you see in a day. Rather, it’s about your patient outcomes, and efficiently using resources to enhance those outcomes. Look closely for practices that don’t just pay lip service to catchphrases like “value-based care“ or “population health,” but that fully embrace the future by taking on meaningful financial risk for their patients’ care. And equally important, find a practice that rewards physicians for the service they provide patients — a practice where 20% of a physician’s compensation is tied to the value and quality of care provided.

5) Patient relationships cannot be replaced: COVID-19 has also accelerated the pace of disruption in health care. Retail stores are launching walk-in clinics and setting up kiosks to connect remotely with providers. Tech companies are advertising smartwatches that can track O2 saturation and heart rhythm. No doubt, the amount of money and technology being thrown at health care will only increase, but nothing can replace the importance of the doctor-patient relationship — it is our greatest currency as healers. In a health care world that changes day-to-day, find a practice where you can develop and sustain long-term relationships with patients and where your patients are at the center of everything you do.

6) Medicine is a team sport: The days of the physician as a solitary genius are quickly receding in the rearview mirror (apologies to fans of the TV show “House”). As medicine becomes more and more complex, quality patient care depends on teams that work well together. Seek out practices that have a culture of true collaboration, where physicians work hand-in-hand with colleagues across disciplines, including pharmacists, social workers, health coaches, navigators, behavioral health specialists, RNs, NPs, and PAs.

7) Follow your passions: After months stuck in a COVID-19 bubble (and years of training), perhaps this strange wrinkle in the space-time continuum will give you a chance to hit the pause button and reflect on what truly matters to you. You’ve spent countless years studying, training, and caring for sick patients during overnight shifts on hospital wards. At the end of the day, what will sustain you through the ups and downs of a medical career is the meaning you find in caring for others. Follow your passions. Make a difference in the world.

Dr. Benjamin Kornitzer is the Chief Medical Officer at agilon health. He is board-certified in internal medicine and his clinical practice focuses on primary care for high-risk, home-bound older adults.

Click here to read this article appeared in Doximity.

 

2020-10-29T22:14:00-07:00October 26th, 2020|

agilon health is excited to welcome Buffalo Medical Group and offers a new population health model to the Buffalo area seniors

 

Buffalo Medical Group LogoMedicare beneficiaries considering 2021 Medicare Advantage plans now have a new reason to take a closer look: an innovative, Buffalo-based population health model that features the leading trusted local medical group providing services designed to improve the quality, value, and patient experience of Medicare Advantage patients.

Buffalo Medical Group is teaming up with five of the areas local and national Medicare Advantage plans to offer a new population health model, Senior Care Advantage ONE. A list of participating health plans can be found at www.SeniorCareAdvantageONE.com. Medicare beneficiaries can explore the benefits offered by these plans during the Medicare Annual Election Period from Oct. 15 through Dec. 7.

Buffalo Medical Group (“BMG”) continues its commitment to purpose-built care for seniors through this innovative model. Patients covered by participating Medicare Advantage plans can secure appointments, either in-person or virtually, within two weeks at all BMG locations. BMG seniors are also enjoying a commitment to preventative care and services which are unparalleled throughout the community, especially during these extraordinary times. As such, over 85% of seniors with a BMG PCP will undergo an annual wellness visit in 2020 and are benefitting from more time with their physician and a comprehensive approach to their health and wellbeing.

The two-county area is populated by 252,662 Medicare beneficiaries, according to 2020 governmental demographic figures. About 63 percent were enrolled in Medicare Advantage plans.

The goal is to offer high quality care by providing the right care at the right times in the right locations, with a focus on preventing illnesses from occurring or worsening, explained John Notaro, MD, Medical Director of SCAONE and a primary care physician with Buffalo Medical Group. “If patients stay healthier, they are less likely to require costly emergency care or hospitalizations. Better coordination will be safer for patients and lead to less duplication of testing, such as unnecessary MRIs, X-rays, or overprescribing medications that can conflict with each other.”

Seniors Selecting Medicare Advantage Coverage is Accelerating
A 2020 Study from the Better Medicare Alliance found that Medicare Advantage patients save $1,598 over those with traditional Medicare. These patients also report 99% satisfaction with the care they receive under their Medicare Advantage plans and have 78% more plans to choose from nationally than they did five years ago. Because of Medicare Advantage coverage offers more benefits for the money, seniors are increasingly selecting Medicare Advantage coverage over traditional Medicare. In fact, experts predict that the number of Medicare Advantage-covered seniors will double by 2029. By collaborating with five Medicare Advantage plans in Buffalo, BMG is providing patients with the opportunity to save money and have more choice than ever in terms of the Medicare Advantage plans contracted with the practice.

For more information about SCAONE, visit www.SeniorCareAdvantageONE.com.

About Buffalo Medical Group
Founded in 1946, Buffalo Medical Group, P.C., is among the first and largest multi-specialty physician practice groups in New York State. With nearly 200 primary care, specialist, sub-specialist physicians and advanced practitioners – as well as a team of more than 800 nurses, technologists and other health care professionals – BMG records more than 850,000 outpatient visits annually at its main locations in Buffalo, Williamsville and Orchard Park as well as more than 10 satellite sites. For more information on BMG, visit www.buffalomedicalgroup.com.

 

2020-11-09T13:54:57-07:00October 23rd, 2020|

agilon health Partner Innovation & Platform Updates – August 2020 Newsletter

agilon health Provider Partners logo

Partner Innovation & Platform Updates

Partner Leadership

Team Member Bulletin

Innovation on the agilon health Platform

Industry News

agilon health
© 2020 | Privacy Policy

2020-08-18T14:38:02-07:00August 17th, 2020|

agilon health Partner Innovation & Platform Updates – June 2020 Newsletter

agilon health Provider Partners logo

Partner Innovation & Platform Updates

Partner Leadership

Team Member Bulletin

Innovation on the agilon health Platform

Industry News

agilon health
© 2020 | Privacy Policy

2020-06-12T11:17:24-07:00June 8th, 2020|

We Are Here For You

DOCTORS SEND NATIONWIDE MESSAGE TO PATIENTS:
WE ARE HERE FOR YOU

Concerned that virus fears could lead to secondary health crisis, physicians launch a public service campaign urging patients to not neglect their health

Worried about the long-term health consequences caused by social distancing and isolation, physicians from all over the country are sounding the alarm to patients through a video released on social media:  “Don’t neglect your health. Make a promise to reach out.”   The “We are Here for You” video is being introduced as part of a national public service campaign, outlined on the website: www.WeAreHereForYou.us.  The campaign urges patients to resume critical healthcare services and allaying their fears of contracting the virus.

History has proven this can happen. During the SARS outbreak in 2002-2004, hospitalizations for patients with diabetes plummeted during the epidemic and then skyrocketed afterwards, according to a study by two Taiwan universities and Johns Hopkins Bloomberg School of Medicine in the U.S.  A recent ProPublica article indicates that a rise in at-home deaths may be due to patients with conditions such as heart attacks not being able to reach a hospital or refusing to go during the COVID-19 outbreak. (hyperlink) In addition, the New York City Fire Department is reporting an 800 percent increase of at-home cardiac deaths (not Coronavirus-related).

“We are trying to prevent a crisis within a crisis,” says Ben Kornitzer, M.D., Chief Medical Officer for agilon health. Dr. Kornitzer, whose expertise is caring for high risk, home-bound older adults, added, “Although older adults are at a heightened risk of contracting the disease, non-COVID19 medical care should not be overlooked – especially for seniors and patients with underlying conditions. That’s why agilon health and physician partners developed the ‘We are Here for You’ public service campaign to encourage patients to see their doctors now – before secondary symptoms arise or their conditions worsen.”

But with challenges, come opportunities.  “Pandemics always change the way society functions,” admits Dr. Kornitzer. “In the midst of a crisis, there are opportunities to learn how to do things better and to innovate. For example, telehealth has become a lifesaver for those who are desperately in need of care and reassurance during this difficult time.”

The website, which features resources for patients, includes new telehealth options and other ways of getting healthcare services during this challenging time. Some of those services include “telehealth on demand,” virtual annual wellness visits, drive-in telemedicine in parking lots, COVID-19 testing in parking lots and tents, and staggered clinic appointment hours for patients with symptoms of the virus and those who have other healthcare needs.

“Technology and science are helping us out now more than ever,” added Dr. Kornitzer. “As our partners connect with their patients via telehealth, they not only see their physical condition, but also their living situation – and can flag any important concerns or needs. Collectively, we all want patients to know we are here to help, and we won’t let them down.”

2020-05-15T14:05:43-07:00May 14th, 2020|

Steven Sell Named as New CEO

Steven Sell to Guide Accelerated Growth and Emphasize Collaboration with Physician Partners.

 

LONG BEACH, Calif.May 11, 2020 — agilon health, a company at the forefront of transforming health care delivery, today announced the appointment of Steven Sell, former Chief Executive and President of Health Net, to lead the company’s next growth phase and efforts to build deeper collaboration and partnerships with the local physicians at the foundation of its success.

Mr. Sell joins agilon June 1 after a successful 22-year career with Health Net and related companies.  At Health Net, a subsidiary of Centene Corp., he served as CEO and president from 2016 to 2019 and was responsible for the strategy, execution and financial performance of a $14 billion business with 3 million members.

Over the past three years, agilon has grown rapidly to establish a reputation for helping physicians nationwide to improve quality, the total cost of health care, and the patient experience.   The company’s purpose-built and practice-branded joint operating model has proven to be particularly effective in unlocking the Medicare Advantage opportunity embedded in physician practices.

agilon Chairman Ron Williams said while the company is proud of what it has built so far, this is the right time to bring in Mr. Sell, whose experience will help agilon strengthen its collaborative network.

“Steve wants to go fast – as do we,” Williams said. “This is a dynamic, thriving place, and we see a path to even deeper alignment with our current partners and more partnerships across the country.”

Mr. Sell will succeed Ron Kuerbitz, who oversaw the early success of agilon in developing physician partnerships and establishing the company’s distinctive reputation for physician empowerment. Mr. Kuerbitz is leaving to pursue other career endeavors.

During Mr. Kuerbitz’s tenure, agilon grew Medicare Advantage members on its platform from 22,000 to 150,000 and increased its relationships with payor partners and overall impact on regulatory reform.

“These impressive results are a testament to Ron’s leadership and the work of the company’s team and physician partners,” said Ravi Sachdev, agilon’s founder, and Clayton, Dubilier & Rice Partner.

Sell said he was impressed with agilon’s innovative spirit and ability to scale.

“I look forward to working with a remarkable team to dramatically grow agilon’s reach, build on its already substantial innovations and market contributions, and ultimately reinvigorate the delivery of care across the country,” Sell said.

Before joining Health Net, Mr. Sell was a consultant for Booz Allen Hamilton and held a variety of strategic and operational roles at The Prudential. He received his bachelor’s degree in economics and political science from Swarthmore College and his master’s degree in business administration from the Stanford Graduate School of Business.

ABOUT AGILON HEALTH

agilon health is the only health-care company of its kind, empowering, and partnering with doctors to lead the transformation of their practices toward a future that rewards bold action, market-leading growth, and durable patient relationships. Through the power of a national community of like-minded physicians and an integrated operating platform, we are leading the reinvention of health care delivery.

A unique and practice-branded joint operating model developed with its physician partners allows practices to boldly design and launch a financially aligned total care model for Medicare Advantage patients, unifying the physician and patient experience.  The result: empowered physician leaders, thriving practices, healthier communities, and practicing physicians who are rewarded intrinsically and financially by spending the right amount of time with the right patients who get the right treatments.

Since its founding in 2016, the agilon health community of physician partners has grown to 11 markets across seven states.  Leading physician groups such as Austin Regional Clinic, Buffalo Medical Group, Central Ohio Primary Care, Preferred Primary Care Physicians, and Wilmington Health are collaborating through the agilon health platform. Today there are more than 150,000 Medicare Advantage members on the agilon health platform with 1,200 primary-care physicians. Visit www.agilonhealth.com.

2020-06-03T11:04:13-07:00May 11th, 2020|

agilon health Partner Innovation & Platform Updates – April 2020 Newsletter

agilon health Provider Partners logo

Partner Innovation & Platform Updates

Partner Leadership

Team Member Bulletin

Innovation on the agilon health Platform

Industry News

agilon health
© 2020 | Privacy Policy

2020-04-08T11:12:34-07:00April 8th, 2020|

agilon health to Participate in New CMS Payment Model

agilon health, with Nine Independent Physician Practice Partners, Applied to Participate in New CMS Direct Contracting Payment Model

March 11, 2020, Long Beach, CA – agilon health, in conjunction with nine independent physician practice partners, applied to participate in the Centers for Medicare and Medicaid Services (CMS) Innovation Center Direct Contracting model. The model is aimed at reducing expenditures and enhancing the quality of care for seniors in fee-for-service Medicare. The applications represent potential participation by over 500 primary care doctors providing care to 78,000 fee-for-service Medicare patients in five states.

The Direct Contracting model is a voluntary demonstration project that changes the way that physicians and physician practices are paid, moving away from a fee-for-service system that incentivizes volume to a capitated model that rewards better health outcomes for patients. The model seeks to align payment models across traditional Medicare and Medicare Advantage, creating efficiencies for physician practices. Furthermore, the ability to offer enhanced benefits gives Direct Contracting model participants additional tools to improve patient care.

“We see tremendous potential for the Direct Contracting model to improve the quality of care for seniors in traditional Medicare while alleviating the burden for primary care physicians. This model places our primary care physician partners at the center of the health care system and will drive a patient-centered approach in traditional Medicare. Our applications demonstrate a robust commitment to advancing and fulfilling the promise of value-based care models, like Direct Contracting, for our physician partners and their senior patients,” said Ron Kuerbitz, Chief Executive Officer, agilon health.

CMS announced the Direct Contracting model as part of the agency’s Primary Cares Initiative in April 2019. The initial phase of the program is scheduled to begin in July 2020, and CMS is expected to release additional details about the model later this year. “We look forward to continuing to work with the federal government to design and implement this model going forward,” Ron continued.

 

2020-05-12T08:42:08-07:00March 11th, 2020|

agilon health Partner Innovation & Platform Updates – February 2020 Newsletter

agilon health Provider Partners logo

Partner Innovation & Platform Updates

Partner Leadership

Team Member Bulletin

Innovation on the agilon health Platform

Industry News

agilon health
© 2020 | Privacy Policy

2020-02-24T16:49:57-07:00February 20th, 2020|
Load More Posts