Navina, Agilon Health team up on clinical insights for primary care providers in at-risk contracts

Navina, a platform turning patient data into clinical insights, is teaming up with Agilon Health to help deliver additional insights to primary care docs at the point of care.

Navina’s AI-driven platform helps providers get a complete picture of their patients’ health by pulling on structured and unstructured patient data from places like the electronic health record, health information exchanges and claims data. From there, it surfaces actionable insights, which the company says make clinical workflows more efficient. Navina’s platform will now support Agilon’s network of physician partners, made up of more than 2,800 PCPs.

Navina has grown quickly, Maor Adlin, Navina’s chief business development officer, told Fierce Healthcare. It started with smaller practices before expanding to managed services organizations, accountable care organizations, health systems, payers and multispecialty groups. Today, it has 2.5 million patients on its platform. While it has been primarily focused on value-based care, it is now expanding beyond that, he said.

Agilon, for its part, has also grown quickly, Adlin said. Now, Navina will help Agilon’s providers get a more comprehensive view of patient populations. “It’s going to help them support very high-quality of care at scale,” Adlin said.

Agilon was established in 2016 to help providers transition to full-risk in Medicare Advantage and fee-for-service innovation models. While it has its own tech platform that has been delivering insights to clinicians, Navina’s integration can generate even more insights more efficiently, per Karthik Rao, M.D., chief medical officer at Agilon. These insights are important not only for decisions made at the point of care but for Agilon’s other offerings. For example, it risk stratifies patient populations to determine who might need more intensive care. “The reason it’s helpful for that is really understanding our patients from a comprehensive view,” Rao told Fierce Healthcare.

Value-based care aligns clinical and economic incentives to deliver quality care, Adlin argues. But a lot of patient data today are fragmented and not always interoperable. That makes it more complicated for clinicians to understand the whole patient and create the most optimal treatment plan. “One major thing that could help [providers] drive better performance is the data … there are so many things that are being missed,” he noted.

Other value-based care organizations using Navina include Privia Health and Millennium Physician Group. 

Editor's Note: A previous version of this story misstated the Navina spokesperson. Fierce Healthcare spoke to Maor Adlin, Navina’s chief business development officer, not Ronen Lavi, the CEO.