agilon health Lobbies for MA-Like Model for Traditional Medicare Beneficiaries 2019-08-22T15:52:42+00:00

agilon health Lobby’s for MA-Like Model for Traditional Medicare Beneficiaries

agilon health applauds the Centers for Medicare and Medicaid Services’ (CMS) work to develop Direct Contracting models in traditional Medicare.  These new models are a step toward creating global risk delegated service models for traditional Medicare patients.  Such models have been proven to be effective in improving population health and individual patient care in Medicare Advantage, Medicaid and commercial arrangements.  Direct Contracting models have the potential to bring this financial and clinical alignment to patients in traditional Medicare.

Since the announcement of the Direct Contracting options, agilon health has undertaken a series of steps to engage with CMS on the model design.  agilon health leaders, including Ron Kuerbitz, Lisa Dombro, and Dr. Bill Wulf have met with Innovation Center leadership, including Adam Boehler, Deputy Administrator for Innovation Policy and Director of the Innovation Center, Pauline Lapin, Director of the Seamless Care Models Group, and their staff.

agilon health and its partners have provided comprehensive written feedback to the CMS Innovation Center in response to a request for information on the Direct Contracting models.  agilon health also created a one-page summary white paper to capture key points from our comment letter.  We distributed that document to 40 congressional offices, focusing on offices that have a strong interest in delivery system reform, congressional districts where agilon health partners have a presence, members on Committees with jurisdiction over Medicare and payment reform issues, and relevant committee staff.  We also sent the white paper to numerous CMS staff members and external stakeholders, including trade associations and other thought leaders in DC.

In response, we have received several inquiries from key stakeholders, including from Senator Cassidy’s office (R-LA), staff from the Energy and Commerce and Senate Finance Committees, the members of the Innovation Caucus in the House of Representatives, and others, like the Medical Group Management Association and Mark McClellan, looking to learn more about agilon health, its model, and its perspective on Direct Contracting.