Edward S. Cohen, MD, presented “Private Equity and Value-Based Care: Is There a Future?” during the 29th Annual Perspectives in Urology: Point-Counterpoint, on November 18, 2021, in Coronado Island, San Diego, California.

How to cite: Cohen, Edward S. Private Equity and Value-Based Care: Is There a Future?” November 18, 2021. Accessed Jul 2024. https://grandroundsinurology.com/private-equity-and-value-based-care-is-there-a-future/

Private Equity and Value-Based Care: Is There a Future?

Edward S. Cohen, MD, CEO of Genesis Healthcare Partners in San Diego, California, looks at how private equity can help independent urology practices provide value-based care and remain financially viable. He begins by emphasizing the importance of value-based care, noting that the United States currently spends more on healthcare than any other country, and does not get the best value for the money spent. Dr. Cohen also observes that Medicare’s value-based payment model trajectory is supposed to get to capitation, meaning that practices will not be paid for how many procedures they perform but for how many patients they manage. He then considers the various difficulties facing independent practice, such as increasing difficulty in remaining viable, increasing cost of doing business, the need to have other income streams to maintain viability, and the need to be competitive with the employed physician market. Dr. Cohen argues that independent practitioners need a “seat at the table,” and he suggests that private equity is a good, viable way to do so. He claims that private equity can provide capital, improve management, help with expansion of ancillary revenue streams, allow for consolidation, and provide leverage in the community, all while allowing independent private practice to maintain its identity. Dr. Cohen stipulates that practices need to find the right partner with an aligned vision, but argues that when practices and private equity form good partnerships, they can help independent practice thrive and form a counterbalance to large hospitals.

About the 29th Annual Perspectives in Urology: Point Counterpoint conference:
Presented by Program Chair and Grand Rounds in Urology Editor-in-Chief E. David Crawford, MD, this conference brought together leading experts in urology, medical oncology, and radiation oncology to discuss and debate the latest topics in genitourinary cancers, primarily prostate cancer and bladder cancer. This interactive conference offered topical lectures, pro/con debates, interesting-case presentations, interactive panel discussions, and interactive audience and faculty networking. 


Dr. Cohen was born and raised in Los Angeles and earned his undergraduate degree from UCLA with magna cum laude honors and initiation into Phi Beta Kappa. He then attended the University of California Davis School of Medicine in Sacramento. After obtaining his medical degree, Dr. Cohen completed his surgical internship and urologic residency at the University of San Diego Medical Center. He has been in practice in La Jolla and Encinitas, California, since 1990.
Dr. Cohen has served as Chief of Urology at Scripps La Jolla and Scripps Encinitas Hospitals and has served as Chief of Staff of Scripps Encinitas. He is currently President of Genesis Healthcare Partners, a multi-specialty LUGPA in San Diego with 30 providers.