1. IORA Health Case Study Discussion

2. Iora Health

3. “Why is there so little innovation in this sector when there are such big problems to solve?”
-Christopher McKown
Co-founder
Iora Health

4. Disruptive Innovation in Health Care
Where do they typically start?
What prompted the Iora innovation to happen?
Why did Dr. Fernandopulle leave Renaissance Health?
“Every day I lose a little piece of my soul”
“Changing healthcare is going to require de novo providers”

5. Principal-Agent in Healthcare
How does Iora resolve the Shopping Problem?

6. Unique Principles
“What are trying to do is all about conferring agency on patients”
“get the payment system out of the way and focus on just delivering the right sort of health care.”
Per member per month fee plus a fixe practice mgmt fee
“The docs here don’t have a lot of ego”
IT system that is a “joy to use”
Culture-driven service organization
Hug factor

7. Business Principles
Specifically chose to operate as a for-profit VC backed company
“ Get an extra 5% of HC spending in primary care and reduce 20% of costs on the back end”
Health coaches
Economic agency is not an effective lever
Mental health should never have been divorced from physical health
Built IT system in house

8. Questions to consider What types of sponsors make the most sense?
Self-employed employers
Unions
Government employees
Health plans? Humana Medicare Advantage
Are they saving money?

9. Questions to consider Is this sustainable?
Can it expand beyond primary care?
What are the major threats to Iora?
Implications for Health Systems?

10. “We are well designed to solve major problems in healthcare”
-Neil Patel
Associate Medical Director
Iora Health