Mount Sinai Care To Participate as a Medicare Shared Savings Program Accountable Care Organization
New care coordination program created to offer high quality service and care to beneficiaries through partnership with medicare.
Mount Sinai Care, LLC, today announced it has been selected to participate in the Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organization (ACO), a multifaceted new program sponsored by the Centers for Medicare and Medicaid Services (CMS).
Through the Shared Savings Program, Mount Sinai Care will work with CMS to provide Medicare fee-for-service beneficiaries with high quality service and care, while reducing the growth in Medicare expenditures through enhanced care coordination. Approximately 26,000 Medicare beneficiaries in the New York metropolitan area will participate in Mount Sinai's ACO, which builds on a number of longstanding programs that have improved patient care and outcomes.
"In structuring our ACO, we examined every aspect of the care continuum and thought creatively about how we could deliver care in a more integrated fashion," said Mark Callahan, MD, CEO of Mount Sinai Care and Chief Medical Officer and Associate Dean for Excellence in Clinical Care at Mount Sinai School of Medicine. "Based on our extensive experience with highly targeted programs and pilots, we are sure that Mount Sinai Care will successfully reduce fragmentation and improve population health."
Mount Sinai is located between one of the most affluent and one of the most underserved communities in the United States. "The fault line between Manhattan's Upper East Side and East Harlem runs right through our main campus," said Kenneth L. Davis, MD, CEO and President of The Mount Sinai Medical Center. "It is our challenge—and our mission—to do something about the health care disparities that are all around us, and provide the best care possible for every patient who walks through our doors."
Within Mount Sinai's ACO, specially trained care coaches will work directly with patients to streamline and integrate their care across the clinical spectrum—from chronic disease management to specialty care and complex procedures, explained Dr. Callahan. "Coaches will expand existing telephone outreach and follow-up efforts, assist patients with electronic medical record portals, and make house calls to help individuals and families overcome barriers to health care access and adherence to treatment plans," he said, adding that they can also be involved with clinical visits as needed.
Mount Sinai already has a robust care coordination platform that spans a number of outpatient practices, inpatient hospital services, and post-acute care transition programs. Since 1995, the institution's Visiting Doctors Program—one of the largest in the nation—has brought high-quality medical care to the homes of people with complex and serious illness, and the East Harlem Health Outreach Partnership has provided free weekend medical care to the community at Mount Sinai Hospital. In response to the twin epidemics of obesity and diabetes in New York City, Mount Sinai developed the Diabetes and Cardiovascular Alliance to provide 1,200 patients with community-based care from endocrinologists, cardiologists, and certified diabetes educators.
More recently, Mount Sinai launched an innovative post-acute care program called Preventable Admissions Care Team that has resulted in a 55 percent reduction in emergency department visits, and a 45 percent reduction in hospital admissions, for a targeted group of high-risk patients. Early in 2012, Mount Sinai also established the first geriatrics emergency department, designed to meet the special needs of the region's growing elderly population in New York City. The EPIC electronic medical record system, already rolled out across inpatient and outpatient settings, is also a critical component for improved communication among members of a patient's care team, and between providers and patients.
"The ACO is an opportunity to integrate our innovative programs, pool resources for improved patient care, and develop new methods for streamlining payments and administrative processes," Dr. Callahan said. "Mount Sinai is renowned for its tradition of breakthrough medical research and groundbreaking therapeutic advancements. With the ACO, we will become exemplars for innovative health care delivery," he explained.
About The Mount Sinai Medical Center
The Mount Sinai Medical Center encompasses both The Mount Sinai Hospital and Mount Sinai School of Medicine. Established in 1968, Mount Sinai School of Medicine is one of the leading medical schools in the United States. The Medical School is noted for innovation in education, biomedical research, clinical care delivery, and local and global community service. It has more than 3,400 faculty in 32 departments and 14 research institutes, and ranks among the top 20 medical schools both in National Institutes of Health (NIH) funding and by U.S. News and World Report.
The Mount Sinai Hospital, founded in 1852, is a 1,171-bed tertiary- and quaternary-care teaching facility and one of the nation's oldest, largest and most-respected voluntary hospitals. In 2011, U.S. News and World Report ranked The Mount Sinai Hospital 16th on its elite Honor Roll of the nation's top hospitals based on reputation, safety, and other patient-care factors. Of the top 20 hospitals in the United States, Mount Sinai is one of 12 integrated academic medical centers whose medical school ranks among the top 20 in NIH funding and U.S. News and World Report and whose hospital is on the U.S. News and World Report Honor Roll. Nearly 60,000 people were treated at Mount Sinai as inpatients last year, and approximately 560,000 outpatient visits took place.
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About the Mount Sinai Health System
The Mount Sinai Health System is New York City's largest integrated delivery system encompassing seven hospital campuses, a leading medical school, and a vast network of ambulatory practices throughout the greater New York region. Mount Sinai's vision is to produce the safest care, the highest quality, the highest satisfaction, the best access and the best value of any health system in the nation. The System includes approximately 6,600 primary and specialty care physicians; 10 joint-venture ambulatory surgery centers; more than 140 ambulatory practices throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and 31 affiliated community health centers. The Icahn School of Medicine is one of three medical schools that have earned distinction by multiple indicators: ranked in the top 20 by U.S. News & World Report's "Best Medical Schools", aligned with a U.S. News & World Report's "Honor Roll" Hospital, No. 13 in the nation for National Institutes of Health funding, and among the top 10 most innovative research institutions as ranked by the journal Nature in its Nature Innovation Index. This reflects a special level of excellence in education, clinical practice, and research. The Mount Sinai Hospital is ranked No. 18 on U.S. News & World Report's "Honor Roll" of top U.S. hospitals; it is one of the nation's top 20 hospitals in Cardiology/Heart Surgery, Gastroenterology/GI Surgery, Geriatrics, Nephrology, and Neurology/Neurosurgery, and in the top 50 in six other specialties in the 2018-2019 "Best Hospitals" issue. Mount Sinai's Kravis Children's Hospital also is ranked nationally in five out of ten pediatric specialties by U.S. News & World Report. The New York Eye and Ear Infirmary of Mount Sinai is ranked 11th nationally for Ophthalmology and 44th for Ear, Nose, and Throat, while Mount Sinai Beth Israel, Mount Sinai St. Luke's and Mount Sinai West are ranked regionally.