agilon health Representatives Reveal Their Model During Meeting with CMS to Reaffirm Direct Contracting Initiative

Earlier this month, Ron Kuerbitz, Mara McDermott and Lisa Dombro attended advocacy meetings with the Centers for Medicare & Medicaid Services (CMS) and the CMS Innovation Center in Washington, DC and Baltimore.

We met with Amy Bassano, the Acting Director of the CMS Innovation Center since Adam Boehler’s recent departure.  Staff for the Direct Contracting and Primary Care First models also attended the meeting.  At the meeting, Amy underscored the Administration’s commitment to moving forward with Direct Contracting and to releasing the Requests for Applications for both models in the near future.  agilon health reiterated its request that the model be closely aligned to Medicare Advantage wherever possible.  We also stated our strong support for the Direct Contracting model and the interest of agilon health and its partner physician practices in participating in this model.  The Innovation Center staff was enthusiastic about our letter of intent covering nearly 700 providers representing over 97,000 fee-for-service beneficiaries.  While the staff did not offer a specific timeline for the release of the Direct Contracting application, they did indicate that the application should be rolled out in the near future, with additional specifications for the financial model to follow.

We also met with Demetrios Kouzoukas, Principal Deputy Administrator and Director of the Center for Medicare who oversees much of the Administration’s Medicare Advantage (MA) work, including recent rulemaking that increased flexibility for MA plans and providers.  We provided an overview of agilon health’s model and shared our success stories. Demetrios asked about our on-the-ground experience with the recent regulatory changes and we explained how those changes have positively impacted agilon health and our partners. We offered to serve as a thought partner going forward and to share our ideas on how to further strengthen the MA program, especially in light of the recently released Executive Order expressing strong support for MA.

We continue our efforts to build a strong presence for agilon health and our partners in Washington, DC.