6 of 6
BACKNEXT
Simplifying a complex process
Simplifying a complex process
Pranav Kothari, cofounder of Renaissance Health
Renaissance Health
renhealth.net
Headquarters:
Cambridge, Mass.
Launched: 2003
What it offers: A new model of primary care for the sickest 20% of the population

As a young internist working his way through rounds nearly a decade ago, Pranav Kothari grappled with what he saw as a broken delivery system. "When someone has a rash or strep throat, we do a pretty good job, the system works," he says. "But we tend to under serve those who need it most - those who are sick with chronic conditions. The frustration of the slow process of evolution and health care continued to nag at me."

After working as a reform-minded health care policy consultant, Kothari in 2004 joined with a colleague, Dr. Rushika Fernandopulle, and opened a new type of primary-care practice outside of Boston. Their clinic, which offered clients 24-hour access to physicians and same-day appointments, accepted a roster of about 1,000 patients. Patients paid a monthly fee of $20 to $40 a month to join the practice, which the two doctors used as an R&D lab for trying out new concepts of delivering primary-care service. Their first marketable idea: The Ambulatory Intensive Care Unit (AICU), a more affordable approach to serving the 20% of patients who fall into the highest-risk segment of the population.

Today Kothari and Fernandopulle act as consultants - their clinic was absorbed into Massachusetts General Hospital several years ago - and have launched AICU pilot programs in six cities, working with hospitals, clinics, and large employers such as Boeing to deliver a more streamlined version of primary care. Doctors are relieved of dealing with administrative work such as processing referrals and prescriptions, allowing them to spend more time taking care of clients. A support staff of non-physicians act as "health coaches," developing expertise on individual cases and staying in frequent contact with their clients by e-mail and phone.

"We're talking about cases where the health care is so complex, it's hard for patients to navigate," says Kothari.

While Kothari says that it's too early to yet see any cost-savings data, patients seems satisfied. Eventually, Renaissance Health hopes to move its AICUs beyond the pilot stages, opening permanent units in several cities.

"It's going to take a lot of non-traditional policy-making to cure our health care system," Kothari says. "There's a lot to learn from the smaller, nimbler companies - the quicker we get their dialogue into the system, the better the likelihood we'll see significant improvement."

More galleries

Email | Print | Share  |  RSS
 
google my aol my msn my yahoo! netvibes
Paste this link into your favorite RSS desktop reader
See all CNNMoney.com RSS FEEDS (close)
LAST UPDATE: Jun 18 2009 | 3:57 PM ET
Sponsored by
The hidden business killer Soaring health-insurance costs hurt small companies more than their big rivals. Here's how smart entrepreneurs are coping. More
5 ways to tame health care costs Finding affordable insurance is an exercise in frustration for many entrepreneurs, but there are ways to simplify this grim task. More
Blueprints for a fix How the national policy debate will affect your business. More

Market indexes are shown in real time, except for the DJIA, which is delayed by two minutes. All times are ET. Disclaimer Morningstar: © 2014 Morningstar, Inc. All Rights Reserved. Disclaimer The Dow Jones IndexesSM are proprietary to and distributed by Dow Jones & Company, Inc. and have been licensed for use. All content of the Dow Jones IndexesSM © 2014 is proprietary to Dow Jones & Company, Inc. Chicago Mercantile Association. The market data is the property of Chicago Mercantile Exchange Inc. and its licensors. All rights reserved. FactSet Research Systems Inc. 2014. All rights reserved. Most stock quote data provided by BATS.