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.”
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.
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.
Meet Benjamin Kornitzer, MD: Chief Medical Officer for agilon health
agilon health is pleased to welcome our new Chief Medical Officer, Benjamin Kornitzer, MD! Dr. Kornitzer joins agilon health with broad clinical and operational experience leading a diverse range of medical enterprises, including community-based practices, ACOs, IPAs, and integrated ambulatory networks. For the past six years, Dr. Kornitzer has served as Chief Medical Officer of the Mount Sinai Health Network, which spans over 50 practice sites in New York, New Jersey, and Florida. As CMO, Dr. Kornitzer oversaw one of the premier academic delivery networks in the country as the system developed robust population health tools, quality programs, care coordination resources, and invested in practice transformation. As a faculty member of the Icahn School of Medicine, Dr. Kornitzer founded and directed Mount Sinai’s Physician Leadership Academy.
Dr. Kornitzer is board-certified in Internal Medicine and his clinical practice focuses on primary care for high risk, home-bound older adults. Earlier in his career, Dr. Kornitzer had operational and strategic positions at leading community-based healthcare organizations focused on quality and value, including Balance ACO and House Calls Medical Group. In addition to his clinical and operational roles, Dr. Kornitzer previously served as a strategic consultant with McKinsey & Company, where he worked with the U.S. and foreign governments, hospital systems, and pharmaceutical companies on some of their most critical strategic priorities. Dr. Kornitzer earned his medical degree with Alpha Omega Alpha honors from Mount Sinai School of Medicine and completed his residency at Harvard Medical School/Massachusetts General Hospital. He received his undergraduate degree in History from Brown University. When he is not rolling up his sleeves working with physicians, practices, and patients, Dr. Kornitzer enjoys travel, skiing, ice hockey, cooking, spending time with family, and trying (mostly in vain) to keep up with repairs in his 1890s loft apartment.
Dr. Kornitzer is eager to work with our exceptional partners and team members to transform care delivery and provide the best experience and outcomes for our patients and return the sense of joy and fulfillment to primary care.
Humana and agilon health Expand Relationship, Announce Value-Based Agreements with Physician Groups
Working Together to Help Independent Practices Transition from Fee-for-Service
LOUISVILLE, Ky. & LONG BEACH, Calif. – November 20, 2019 –Humana Inc. (NYSE: HUM), one of the nation’s leading health and well-being companies, announced today that it has signed value-based care agreements with agilon health, which helps physicians and medical groups manage the transition from fee-for-service reimbursement, on behalf of three independent physician practices located in Ohio and Texas.
Effective January 1, 2020, the contracts are designed to improve health outcomes and the patient experience for Humana Medicare Advantage Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) members seeking care from physicians and other clinicians at Physicians Group of Southeastern Ohio (PGSEO) in southeast Ohio, PriMed Physicians in southwest Ohio, and Capital Medical Clinic in central Texas. Clinicians participating in Humana’s Medicare Advantage network will be able to utilize tools and resources from both agilon health and Humana in delivering value-based care.
These agreements supplement existing value-based contracts between Humana and agilon health for MDX Hawai‘i in Hawaii, Central Ohio Primary Care (COPC) and Pioneer Physicians Network in Ohio, and Austin Regional Clinic (ARC) and Premier Family Physicians in Texas, for a total collaboration involving more than 1,800 independent primary care clinicians.
“We’re proud to deepen our work with Humana in support of independent physician groups as they care for their patients,” said Ron Kuerbitz, CEO of agilon health. “We’re pleased that through our expanding network of physician partners, and in collaboration with Humana, we can help additional communities become healthier, and enable a growing number of primary care physicians to spend more time with patients toward improving their care.”
Agilon health partners with primary care physician groups, and provides the tools – the data, technology, capital, and workflow – so doctors are free to be the doctors they trained to be and ready to take on the responsibility for quality care of their patients.
“Through our work with agilon health, Humana is pleased to expand our ability to support independent physicians interested in moving to a value-based care model,” said Oraida Roman, Vice President, Value Based Strategies at Humana. “We look forward to sharing data and analytics with these physicians, and improving health outcomes and the patient experience for our Medicare Advantage members in Ohio and Texas.”
The value-based agreements with agilon health are in keeping with Humana’s longstanding commitment to value-based care, which emphasizes:
- More personal time with health professionals and personalized care that is tailored to each person’s unique health situation;
- Access to proactive health screenings and programs that are focused on preventing illness;
- Improved care for people living with chronic conditions with a focus on avoiding health complications;
- Leveraging technologies, such as data analytics, that connect physicians and help them work as a team to coordinate care around the patient; and
- Reimbursement to physicians linked to the health outcomes of their patients rather than based solely on the quantity of services they provide (fee-for-service).
Humana has an extensive and growing value-based care presence. As of Sept. 30, 2019, Humana has more than 2.3 million individual Medicare Advantage members and approximately 115,000 commercial members who are cared for by more than 60,000 primary care physicians in more than 1,000 value-based relationships across 43 states and Puerto Rico. Humana’s total Medicare Advantage membership is more than four million members, which includes members affiliated with providers in value-based and standard Medicare Advantage settings.
Terms of the agreements were not disclosed.
About agilon health
agilon health of Long Beach, California, a company founded in 2016 by world-class health care leaders, is helping U.S. physicians manage the leap from fee for service to global risk-based health care. Recognizing the increasing pressure on physicians caused by the existing healthcare system, agilon health has created a complete operating platform for managing global risk-based health care that brings people, processes 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 nine U.S. markets. For more information visit www.agilonhealth.com.
Humana Inc. is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.
To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics and wellness solutions – combine to produce a simplified experience that makes health care easier to navigate and more effective.
More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.com, including copies of:
- Annual reports to stockholders
- Securities and Exchange Commission filings
- Most recent investor conference presentations
- Quarterly earnings news releases and conference calls
- Calendar of events
- Corporate Governance information
Humana is a Medicare Advantage HMO and PPO organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. Other providers are available in our network. The provider may contract with other Plans.