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Moving Toward an  Accountable Care Organization Montefiore Medical Center Donald Ashkenase, MHA Special Advisor to the President National Academy for State Health Policy 23 rd  Annual State Health Policy Conference October 4-6, 2010
Moving Toward an Accountable Care Organization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Care Management
Today’s Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Bronx: Poor, Minority, Young, Heavy Disease Burden
Highest Overall  Morbidity *  in NYS Percent of  Residents Sources: 2010 County Health Rankings, Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute; www.counthealthrankings.org/new-york.com *Morbidity defined as: Poor or fair health, low birth weight, poor physical and mental health days.  Low birth weight is defined as <2,500 grams (5.5 pounds). Target is 90% percentile of U.S. Counties. Sample Population Health Status Measures Bronx vs. other NYC, NY State and US Averages - 2010
Montefiore: “The Public Option” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Montefiore Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Information Systems  100% MD Order Entry Scheduling Care Plans >600 Expert rules and Decision Support Problem List Rx Pad Doctor’s Office and Home Ambulatory Care Medical Group Hospitals 2 million patients Master Patient Index Lifetime Medical Record 100% MD Order Entry Scheduling Care Plans >600 Expert rules and Decision Support Problem List Rx Pad ,[object Object],[object Object],[object Object]
Over 85% of the Bronx Providers participating the Bronx RHIO
Montefiore-Albert Einstein College of Medicine An Academic Medical Center *All clinical faculty and MMG physicians are salaried by Montefiore ** Includes residents/medical students from New York Medical College
Montefiore Integrated Delivery System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Montefiore Network
Experience with Pre-payment or Capitation
Risk Transfer Arrangements Savings Capitation
Montefiore IPA and CMO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Montefiore IPA CMO  care management operations
Managing Care MMC’s Capitation Contracts Serve Our Community
Network Cross-Cutting Functions Care Management Activities for payers Acute Care Responsibilities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Network Care Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CMO Care Management Operations
CMO
Next Step Toward Accountable Care Coordination Incentives CMS Medicare  High Cost Beneficiary  Demonstration The Bronx Collaborative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Patient Centered  Medical Homes
Future Opportunities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lessons Learned ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Moving Toward an Accountable Care Organization

  • 1. Moving Toward an Accountable Care Organization Montefiore Medical Center Donald Ashkenase, MHA Special Advisor to the President National Academy for State Health Policy 23 rd Annual State Health Policy Conference October 4-6, 2010
  • 2.
  • 4.
  • 5. The Bronx: Poor, Minority, Young, Heavy Disease Burden
  • 6. Highest Overall Morbidity * in NYS Percent of Residents Sources: 2010 County Health Rankings, Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute; www.counthealthrankings.org/new-york.com *Morbidity defined as: Poor or fair health, low birth weight, poor physical and mental health days. Low birth weight is defined as <2,500 grams (5.5 pounds). Target is 90% percentile of U.S. Counties. Sample Population Health Status Measures Bronx vs. other NYC, NY State and US Averages - 2010
  • 7.
  • 8.
  • 9.
  • 10. Over 85% of the Bronx Providers participating the Bronx RHIO
  • 11. Montefiore-Albert Einstein College of Medicine An Academic Medical Center *All clinical faculty and MMG physicians are salaried by Montefiore ** Includes residents/medical students from New York Medical College
  • 12.
  • 15. Risk Transfer Arrangements Savings Capitation
  • 16.
  • 17. Managing Care MMC’s Capitation Contracts Serve Our Community
  • 18.
  • 19. CMO
  • 20.
  • 21.
  • 22.