Pendulum in the News

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 ...

MSSP: Can Providers Participate in Multiple ACOs? By Jennifer Lubell - December 20, 2011

A primary care physician recently had a question for consultant William DeMarco. The doctor had his own practice, but he also worked part time for a clinic and did rounds in a nursing home and had to bill that component for primary care.

In examining the final Medicare Shared Savings Program (MSSP) regulations that came out several months ago, the physician wondered: Was it possible for him to participate in more than one accountable care organization (ACO)?

The answer: It depends on how many tax identification numbers (TINs) the physician uses, says DeMarco, president and CEO of Pendulum HealthCare Development Corp., a management services firm in Rockford, Ill., that builds ACOs for providers.

Nothing has changed since the proposed regulation, which essentially stated that primary care doctors could participate in just one MSSP ACO, DeMarco clarifies. “There’s just a small exception for those primary care doctors” who have more than one TIN.