Independent Pharmacy Accountable Care Organizations

...William DeMarco, August 26, 2015: "Drug stores as care outlets versus retail vendors can make a very big difference in areas of managing drug costs and adherence. The leading cause of readmission to a hospital is non-adherence to drug therapy - which puts people in the ER. This is a classic example of a Preventable and Avoidable Cost (PAC) that could be better managed on an outpatient basis by having care coordinated by the pharmacists and the PCP."...

CareFirst Says Its PCMH Program Showed Savings Over Four Years

... According to William DeMarco, president at Pendulum HealthCare Development Corp., “part of the manner in which payment and bonuses are shared may also slow down innovation as the CareFirst payment schedule goes to small groups of physicians, not individual physicians. So to wring out more savings means there needs to be more tools given to the PCMH to enforce change within their group ...

Independent Pharmacy Accountable Care Organizations

... the cost of pharmacy will continue to rise as medical research promotes more effective drugs, we know employers and health plans can better manage utilization and patient experience at the delivery point of care, and that is, for many, the local home town pharmacist ...

New PHOs Are Being Structured As Stepping Stones to ACOs

... sure it works equally well for both parties,” William DeMarco, CEO of Pendulum Healthcare Development Corp., tells ABN . “In the ... each other for any financial benefits to be gained,” DeMarco says, “and this failed to produce the kind of integration needed to ...

Health Reform Accountable Care Organizations: Strategies for Health Plans and Providers

Speakers William DeMarco of DeMarco & Associates, Inc., Bruce Fried, J.D. of SNR Denton, and Randall ... shared? ### Speakers ### {#speakers} WILLIAM DeMARCO is the president and chief executive officer of DeMarco & Associates...

Health Plan Business Hospitals That Don’t Move on ACOs Risk Losing MD Referrals

... valuable assets — their physician referral base. Bill DeMarco, CEO of Pendulum Healthcare Development Corp., predicts that if local ... and employers, making the hospital a last-resort provider. DeMarco and others point to sophisticated physician groups such as Sharp ...

 

Health Reform Venture Capital Invests in ACO Suppliers, Not ACOs Themselves (with sidebar: ACO-Focused HIT Firms Are a Major Venture Capital Target)

... Cerberus have ever heard of an ACO,” he says. William DeMarco, CEO of Pendulum Healthcare Development Corp., agrees. “I would argue ... Sheridan Powers for Jamilkowski at This email address is being protected from spambots. You need JavaScript enabled to view it., deMarco at (815) 387-2001 and Rebecca Potts for MacBain at ...

Health Reform CMS Innovation Center Launches With Four Projects, Some Doubts

... from both Medicare and Medicaid, notes consultant Bill DeMarco, president and CEO of Pendulum Healthcare Development Corp., which ... beneficiaries. “History repeats itself,” comments DeMarco, noting that the original FQHCs were asked in the 1970s to participate ...

Health Reform Tenet Trains for ACOs by Having Docs Contract on Single Signature

... in ACOs, says veteran provider consultant Bill DeMarco, president and CEO of Pendulum Healthcare Development Corp. ACOs are ... be in a position to get bundled payments for services, DeMarco tells *HRW*, physicians must be in “alignment,” and primary care ...

Health Reform Insurer Consolidation Is Called ‘Inevitable;’ Larger Plans May Face New Competitors

... to drive further consolidation among plans, says William DeMarco, president of Rockford, Ill.-based consulting firm DeMarco and Associates, which works primarily with provider organizations. But ...

Health Plan Business Partnering With Physicians and Focusing On Clinical Gains Can Mean P4P Success

... physicians and end with physicians,” asserts William DeMarco, president and CEO of consulting firm Pendulum HealthCare Development ... they should share the information with physicians, DeMarco says. “By having physicians themselves look at the data…this gets ...

Health Plan Business2010 Outlook: With or Without Reform, Insurers Face Another Challenging Year

... other functions to be corrected, says consultant William DeMarco, president of Rockford, Ill.-based DeMarco and Associates. “This is not an easy crosswalk because the ICD-10 ...

Health Plan Business HPW’s 2009 Industry Outlook: 22 Critical Challenges Insurers Will Face In the Year Ahead, and Tips to Survive Them

... to merge to achieve economies of scale, she adds. William DeMarco, president of Rockford, Ill.-based DeMarco and Associates, adds that small health plans [i.e., fewer than 100,000 ...

Health Plan BusinessRecession Could Prompt Higher Utilization, Consolidation, Reliance on Public Programs

... firms to consider acquiring them, he adds. William DeMarco, president of Rockford, Ill.-based consulting firm DeMarco & Associates, agrees and says some local and regional carriers could be ...

Health Plan Business Increased Consumer Complaints May Mean Greater Plan Scrutiny, Regulators Warn

... address where consumers can lodge complaints, says William DeMarco, president of DeMarco & Associates, an Illinois-based health care consulting firm. Some ...

Health Plan Business Demands on Providers in Mass. Illustrate Potential Challenges of Covering Uninsured

... in a guarantee-issue environment, says consultant William DeMarco, president of Rockford, Ill.-based DeMarco and Associates. “Larger plans that can juggle premium subsidy and ...