December 07, 2012
David Glusman, Advisory Services Partner, Quoted in Philadelphia Business Journal Article "Renaissance Growing as ACO Provider"
By John George
Marc Malloy, after being invited to testify before the Senate Finance Committee, called up his dad earlier this year to brag a little.
He didn’t quite get the reaction he wanted.
“He said, ‘What did you do,’” recalled Malloy, president and CEO of Renaissance Medical Management Co., a doctor-owned physician practice management company.
Malloy wasn’t in any kind of trouble. Instead he was invited along with a handful of other health-care executives to talk about innovations in health-care delivery and new payment models.
At the end of last year, Renaissance was one of 32 health-care providers selected by the Centers for Medicare & Medicaid Services to participate in the Pioneer Accountable Care Organizations initiative for Medicare beneficiaries.
David Glusman, the Philadelphia partner-in-charge for the national health-care accounting and consulting firm Marcum LLP, said he did not believe CMS offered enough financial incentives for the region’s large health systems to take part in the Pioneer ACO program.
“[The doctors] at Renaissance are not beholden to a hospital, they work with the hospitals,” said Glusman, who has worked with the company. “They believe, as primary-care physicians, they are in the best position to get boots on the ground as well as see the view from 30,000 feet.”
Glusman noted that while health systems didn’t bite on the Medicare ACO program, they continue to work with health insurers on payment models that incorporate many of the components of an ACO. In particular, he noted, several health systems in the region have created, or are in the process of creating, co-management models with physician practices to oversee and monitor the care of heart disease patients to reduce hospital readmission rates.