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October 20, 2022 09:00 AM

How Privia Health avoided a digital health post-IPO freefall

Brock E.W. Turner
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    Parth Mehrotra Privia Health
    Courtesy: Privia Health

    Parth Mehrotra, president and chief operating officer at Privia Health, said the company’s calculated growth strategy and unique business model is behind its success on the public stock market.

    While Mehrotra said some companies went public too early, Privia Health was strategic in its initial public offering in April 2021. The company’s business model is similar to United Healthcare’s OptumHealth business, which is a competitor.

    Privia operates in nine states and Washington D.C. It’s business relies on provider partnerships that aim to funnel patients into value-based care contracts. While the majority of its contracts are in fee-for-service arrangements, the company is “actively looking” to move as many of its patients into its value-based care reimbursement models.

    The strategy has paid off. Privia’s stock price has gone from $22.80 per share in October 2021 to $32.80 per share at the close of trading on Wednesday. According to the Digital Health Business & Technology’s quarterly report, Privia is one of two companies (Pear Therapeutics is the other) to see an increase in stock price out of the 20 companies that went public last year.

    Mehrotra chatted about the company’s plans to utilize M&A as a growth strategy, where other digital health companies- have faltered going public and more.

    The interview is edited for length and clarity. 

    There have been so many changes in how primary care is delivered over the past 18 to 24 months. How do you see this space developing?

    Everything around community doctors has pretty much been organized or consolidated over the last 20 to 30 years. Payers, distributors, labs, health systems for profit and those not for profit, so this is kind of the last mile. You're seeing a whole host of newer business models emerge, whether they are focused on a clinic-based strategy, Medicare Advantage, an alignment strategy, or a capital model like we are. This is all part of the journey towards empowering doctors in the communities.

    Experts expect M&A in this space to continue to increase. What does that mean for Privia? Are you in the market for smaller companies or providers to pick up and fold into your business?

    Look, M&A in healthcare services is not new.  This is a multi-year journey that will continue.  We’ve been candidly surprised that it’s taken this long for some of the larger companies to even attempt to catch up to United Optum. I think they were the first ones that have started this journey in understanding that the puck is going to move from the payer of healthcare to the delivery of health care. They bought a whole host of assets. They are focused on building a care delivery network that can enable lower cost to improve outcomes across a whole set of patient panels. I think what you're seeing from entities like Walgreens, CVS and others is they're trying to effectively catch up.

    It doesn’t change what we are doing. We partner with physicians in a unique way where we are building medical groups, building risk entities that have a full service and tech platform to support both of those entities. Physicians join Privia irrespective of their setting. We are obviously not buying large assets. We've grown organically, It's not an acquisition-led model. We’ve bought smaller entities, like a smaller medical group, a tax ID of a group, or a small management services organization entity to establish presence in a state. But we've historically not been relying on acquisitions in a big way.

    Quote teal solidI think a lot of companies went public when they may or may not have been ready. It may have been too early in their lifecycles. And obviously, the capital markets go in cycles and they are receptive to certain companies in certain stages going public sooner than they may be ready."
    Parth Mehrotra, Privia Health

     

    Your stock is one of the few digital health stocks that have performed well in the public markets.  What do you credit that success to? 

    We control the business. We don't control the stock price. I think we've been just very thoughtful pre-IPO when we were looking to go public and then post-IPO to make sure the business execution just remains paramount. We were very conscious when we decided to go public that we were cashflow positive, self-sustaining, did not need to rely on capital markets  for a large part of our funding. We've been public for about 18 months and our growth rate has accelerated in that period. The business has done really well. We've executed well ahead of our expectations that we set out even at the IPO. We're glad that our new public investors have appreciated that and bought into the story. And we think we can continue to enhance that shareholder value.

    I think a lot of companies went public when they may or may not have been ready. It may have been too early in their lifecycles. And obviously, the capital markets go in cycles, and they are receptive to certain companies in certain stages going public sooner than they may be ready. And now you're seeing some of the reversal of that period that we had in 2020 to 2021.

    What are the biggest challenges moving forward?

    I hate to compare doctors to taxi drivers, but just as Uber and Lyft are looking to create a big taxi company without owning a single car, you could think about Privia as establishing these big, massive medical groups in every state and risk entities without owning the four walls of the site. We are really enabling the driver of the car to drive a modernized version of a car, rather than a 1960s version and really succeed in taking care of every passenger that comes in for the ride, no matter where they're going. So, I think it's a unique model in this ecosystem and capital efficient model. I think our challenge is just to get it out in as many places as we can.

    What do you think is the biggest misconception of Privia?

    Investors have liked to bucket different companies in different silos just for ease of comparison. It is a common mistake when a bunch of companies go public in a very short period of time. Much like Optum, we are looking to create massive care delivery networks in every state we operate in. These are ecosystems that get developed over many years and are very sustainable. It's a decade or two decades plus journey, very similar to how health insurers built up to be become the companies they are or big health systems got formed. I think as people appreciate the scale and size that we are able to get in every state, the fact that we are the medical group, risk entity, service and technology provider all in one. It’s been very hard for folks to bucket us as one or the other, and I think that's the beauty of this business model.

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