MONTEFIORE EINSTEIN: Vertical Consolidation in the Health Care - - PowerPoint PPT Presentation
MONTEFIORE EINSTEIN: Vertical Consolidation in the Health Care - - PowerPoint PPT Presentation
MONTEFIORE EINSTEIN: Vertical Consolidation in the Health Care Industry Steven M. Safyer, MD NATIONAL ACADEMY OF MEDICINE Leadership Consortium for A Value & Science-Driven Health System September 13, 2018 INTEGRATED ACADEMIC HEALTH
INTEGRATED ACADEMIC HEALTH SYSTEM
- Children’s Hospital at Montefiore
- Montefiore Einstein Center for Cancer Care
- Montefiore Einstein Center for Heart and Vascular Care
- Montefiore Einstein Center for Transplantation
- Clinical
- Translational
- Health
Services
- Medical students
- Residents &
Fellows
- Montefiore
School of Nursing
- Allied Health
Students
- PAs, PharmDs,
Social Work
- Home Health
Aides
- Home Health
Programs
- Primary Care
- House Call Program
- Telehealth
- Short- and long-term
care
- Hospitals: 11
- Certified (total) Beds:
3,111 (including 166 rehab)
- Skilled Nursing Beds:
150
- Hutchinson Campus –
hospital without beds
- Freestanding ED
- Burke Rehabilitation
Hospital Home Care Hospitals
- Health Education
- Community Advocacy
- Wellness
- Disease Mgmt.
- Nutrition
- Obesity Prevention
- Physical Activity
- Reduce Teen Pregnancy
- Lead Poisoning Prevention
Community Academic Health Care
Montefiore Einstein Centers of Excellence Primary & Specialty Care
- Advanced Primary
Care
- Mental Health
- Substance Abuse
- Sub-specialty Care
- Dental
- School-Based
Health Centers
- Mobile Health
- Faculty
- Students (MD, PhD,
Combined)
- Postdoctoral
Fellows Science Education Community Health
MONTEFIORE MOVES UP THE PREMIUM STREAM
POPULATION HEALTH REQUIRES AN INVESTMENT
- Montefiore IPA and Hudson Valley IPA
- The entity that assumes the financial risk
through contractual agreement with insurance companies
- Montefiore Care Management Organization
- Performs care management delegated by
health plans as well as other administrative functions like claims payment
- Develops innovative population health
management tools – Data – Risk Stratification, Predictive Analytics, Clinical Looking Glass and more
MEDICAID INNOVATOR
Health First Blue Cross Blue Shield
Next Gen ACO Pioneer ACO Medicare Advantage
Aetna
ESTABLISHED IN 1995
MEDICARE COMMERCIAL
VERTICAL INTEGRATION IN CONTIGUOUS GEOGRAPHY
2008 2018
HISTORY OF PHYSICIAN INTEGRATION CONTINUES
AMBULATORY CARE EMBEDDED IN THE COMMUNITY
MONTEFIORE URGENT CARE MONTEFIORE WELLNESS CENTER HUTCHINSON CAMPUS MONTEFIORE SCHOOL HEALTH PROGRAM MONTEFIORE MEDICAL GROUP
AFFILIATIONS AND INNOVATIVE PARTNERSHIPS EXPAND REACH
SYSTEM CONNECTIVITY SUPPORTS OUR GROWTH
ERP
EDUCATION AND TRAINING
MANAGING THE SUPPLY CHAIN THROUGH BULK AND GROUP PURCHASING
ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH
MONTEFIORE SCHOOL HEALTH PROGRAM MONTEFIORE HEALTHY STORE INITIATIVE HEALTHY STEPS BEHAVIORAL HEALTH INTEGRATION PROGRAM (BHIP)