Iora Health has built a new model of care delivery from the ground up, built on relationships and not transactions, and centered around the concept of health coaches, people from the community who are chosen for empathy and work closely with doctors to help patients execute on their care plans. We work with progressive employers and health plans to serve their populations, and build new primary care practices based on our model. We get paid not fee for service (per sick visit) but for actually keeping people healthy. We have 3 health coaches per doctor, and they are key to our incredible outcomes which include much better health, and keeping our patients out of unnecessary specialist visits, ER trips, and hospital admissions, resulting in 15-20% lower total healthcare costs. We also built our own IT system to help our coaches do their job.