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