Tag Archives: Mark El-Tawil

healthcare

Humana, Iora Health partner in Arizona

Improved health and more coordinated care for Medicare Advantage members is the goal behind a new Accountable Care arrangement and population health management partnership between Humana Inc. and Iora Health.

The partnership launches Iora’s unique health care model in Arizona and Washington where Iora Health will open four new primary care practices – two in Phoenix and two in Seattle – under the Iora Primary Care brand.

The primary care practices are designed exclusively for Humana’s Medicare Advantage members and will provide members access to affordable, quality care. Building on Iora’s proven success, these practices will have integrated care teams that include doctors, nurses, health coaches, medication management, behavioral health and social services resources. Iora builds practices to meet the specific needs of the communities they serve, including hiring teams who speak their patients’ languages and who understand the local challenges patients face.

“The partnership with Humana allows Iora to help improve the lives of seniors in Phoenix and Seattle,” said Rushika Fernandopulle, M.D., M.P.P., CEO and Co-Founder of Iora Health. “Seniors deserve care matched to their specific needs. Iora’s people-first primary care operating system helps do just that. We’re thrilled to partner with Humana to continue to restore humanity to health care.”

Iora Health serves over 9,000 patients in seven primary care practices across four states. Iora has expanded the definition of primary care to include integrated health and wellness, offering behavioral health and groups like Diabetes Club and yoga. Results have shown improved patient engagement, experience and clinical outcomes. Additionally, Iora’s proprietary collaborative care technology enables Iora to treat and manage their full patient population and allows for patients to view and contribute to their medical record.

“Partnerships like the one with Iora Primary Care help Humana close the gap for our members by making access to care easier and providing coordination of care,” said Mark El-Tawil, West Division Leader for Humana’s Senior Products. “We’re excited that Iora’s unique care model will provide innovative patient-centered care for our Humana Medicare Advantage members, improving their well-being.”

The Arizona primary care practices are located at 3137 W. Indian School Road in Phoenix and 6611 W. Peoria Avenue in Glendale. The Washington primary care practices are located at 306 23rd Avenue South in Seattle and 15214 Aurora Avenue North in Shoreline.

The Arizona and Seattle primary care practices will open September 2014, and will start seeing Humana Medicare Advantage members on Oct. 1, 2014. The Shoreline, Wash., primary care practices will open October 2014, and will start seeing Humana Medicare Advantage members on Nov. 1, 2014.

Humana aims to work closely with doctors and hospitals through its Accountable Care Continuum. The continuum is a stepped approach to pay-for-value reimbursement that allows the company to implement different value-based partnerships with hospitals and doctors based on their infrastructure capabilities and risk-tolerance.

The new partnership between Humana and Iora Health includes value-based incentives tied to performance improvement and will bring better patient care coordination, more cost effective, quality care and a world-class patient experience to Humana members in Arizona and Washington. The partnership will offer more personalized care and a broad range of population management tools like predictive analytics and chronic care, disease management and wellness programs.

The Humana/Iora Health partnership emphasizes quality outcomes with a focus on care coordination and leverages measures as defined by the National Committee for Quality Assurance Healthcare Effectiveness Data and Information Set like diabetes care and treatment, breast cancer screenings, colorectal cancer screenings and high-risk medication.

Humana has a 25-year Accountable Care relationship history with more than one million members that are cared for by 33,000 primary care physicians, in more than 900 Accountable Care relationships across 40 states and Puerto Rico.

Tawil in front of Kmart

First Job: Mark El-Tawil, President of Arizona Market, Humana Inc.

Mark El-Tawil
President, Arizona Market, Humana Inc.

Describe your very first job and what lessons you learned from it.
My first job was as a pre-opening stock clerk at Kmart. It was in the small town where I grew up and went to college, and Kmart was about the only place an unskilled worker like myself could get a good job! That job paid 30 cents over minimum wage, the shift started at 7 a.m. — or earlier — daily, we could be scheduled for any day (weekends and holidays included), and we were considered the bottom of the Kmart totem pole — but it was a great first job. I learned the value of money, the importance of working hard and of having a good attitude about work, and that everyone wins when you try to deliver great customer service, as well as the power of positive reinforcement through my Employee of the Month awards (I don’t usually gloat, but that was “awards” — three of ‘em!).

Describe your first job in your industry and what you learned from it.
My introduction to the health care industry came in my first professional position after moving to Arizona. I was an auditor with Deloitte predecessor, Touche Ross, in Phoenix. That was a great first professional job. It introduced me to many industries, one of which was health care, while working among an incredibly talented group of highly motivated, fun-loving individuals. From Deloitte, I left to help build a financial analysis team at a health care client of mine, and after some time advancing through finance roles, including CFO, I moved into the lead general management role. In that position I gained a broader perspective of the industry and the companies in it, and ultimately decided to make the move to Humana in 2008.

What were your salaries at both of these jobs?
Kmart paid $3.65 an hour to start, with a raise to $3.90 an hour after 90 days if you had a favorable review of your probationary period (which I did, thankfully!). As an auditor at Touche Ross, my starting salary was $25,000 a year, and I got company-paid health insurance benefits for the first time.

Who is your biggest mentor and what role did he or she play?
My parents, grandparents and in-laws all played crucial roles in my development as a person, which has enabled me to be a good businessperson. Beyond mentors though, I believe that I have learned, and will continue to learn, from everyone for whom I have worked, as well as from everyone who has worked for me.

What advice would you give to a person just entering your industry?
Be open to and ready for change! This is a dynamic, fast-moving industry in a constantly changing environment, so the ability to foresee changes, the impact of change and to adapt to new environments is critical.

If you weren’t doing this, what would you be doing instead?
I’d either be playing basketball full time (for love or money — this is a fantasy question, right?) or be deep(er) into wine, either as a winemaker myself or … as a buyer for an international beverage conglomerate.