November 2, 2018
Mount Sinai Health Partners
Clinically Integrated Network Newsletter
Podcasts
Each month, we will feature at least one member from our senior leadership team to talk to you about a range of topics including policy and health care news to updates about clinical programs. E-mail us at mshp@mountsinai.org if you are interested in hearing about a specific topic.  

Dr. Stella Safo, Senior Medical Director of Clinical Transformation, Population Health, joins Dr. Robert Fields, Chief Medical Officer, in the latest episode of the Mount Sinai Health Partners podcast to discuss transforming primary care for population health. Motivated by the connection between social justice and primary care, Dr. Safo’s work addresses the question of how to survive in primary care in a way that’s sustainable. She and Dr. Fields discuss some of the stresses of primary care, goals of clinical transformation, and physician burnout. She also shares her vision on the art of medicine. 

Also available through  iTunes  and  Google Play
Key Announcements
Utilizing the MSHP Provider Search

Need to refer a patient to a specialist or other provider? Use the provider search to find like-minded physicians dedicated to the Triple Aim and keep care within the CIN. Search by ZIP code or name and narrow by specialty and/or accepted payers. Check the box at the bottom to limit your search to CIN members only. 
2018 Q3 Voluntary Town Hall Recording Available in CILC

If you were unable to attend the 2018 Q3 Voluntary Town Hall, you can fulfill a 2018 CIN program education requirement by reviewing the video through our Clinical Integration Learning Center . You will need to click on “Learning Events” to view the full list of available courses. 
2018 CIN Requirements Past Due Complete Them Today

While the due date to complete these requirements has passed, CIN providers still need to complete these requirements by December 31, 2018 to remain in the CIN. For more information or assistance, please contact your Provider Engagement Manager .

To learn about these requirements , log into  mshp.mountsinai.org   and go to the Clinical Integration page to find the  MSHP 2018 Clinical Integration Program Requirements document .

To complete these requirements , log into the Clinical Integration Learning Center with your MSHP portal email address and password.
Have questions about the CIN?
Ask our CMO.

Have questions for MSHP’s Chief Medical Officer, Dr. Robert Fields? Submit them to mshp@mountsinai.org with the subject line "Ask the CMO" and we may address them in an upcoming newsletter! Questions may pertain to strategy, quality, clinical integration, care management, or anything else related to our CIN. Please note that we cannot respond to all questions received nor can we guarantee personal follow up on questions.
Population Health in the Literature and Media
Study on Using Primary Care Wraparound Services to Reduce Hospitalizations

In this month’s issue of Health Affairs, Joshua Vest and colleagues report a 7% reduction in hospitalizations and 5% reduction in ED use associated with the receipt of primary care wraparound services (Dietitian, Social Work, Patient Navigation, Behavioral Health, Asthma Education) in an urban safety net health system in Indianapolis. Read more
Quality Corner
Reach Out to your Patients for Their Flu Shots

As the year end approaches, now is a crucial time to bring patients in to the clinic to complete their overdue screenings and get their flu shots! You may hear from your engagement manager about a list of your patients for outreach. These patients have been prioritized by level of engagement, and number of screenings/services due.
Value & Efficiency
Urgent Care or Emergency Room?

Urgent care centers serve non-life threatening but immediate healthcare needs. Emergency Department (ED) use should be reserved for life-threatening emergencies that need the highest level of care. To reduce unnecessary, expensive ED visits please help educate your patients on when to visit the ED versus urgent care and encourage same-day appointments in your practice. 
Payer Updates
MSHS Employee Health Benefit Plan Top Tier Transition
Effective Jan 1, 2019

The administrator of Mount Sinai Health System’s (MSHS) Employee Health Benefit Plan will transition from Empire BlueCross BlueShield to UMR, a division of United Healthcare effective January 1, 2019. Providers participating in the Top Tier network will automatically be migrated and loaded in UMR’s system for Mount Sinai employees and their eligible dependents only.
 
The “Top Tier” is a network of Mount Sinai Health System (MSHS) hospitals and employed and community-based health care professionals that provide health care services to MSHS faculty and staff, and their eligible dependents, at a level of coverage that has the least out-of-pocket cost to MSHS employees.
 
To learn more about this update click here for an FAQ document and here for the 2019 Top Tier Quick Reference Guide that includes information on benefits, copays, deductibles, ID card images, claims, submission, and prior approval processes.
 
To enroll in the Top Tier network, please call 877-234-6667 or email mshp@mountsinai.org.
New Fee-for-Service Agreement for HIP Medicare Advantage and HIP Commercial – Effective Oct 1, 2018

MSHP has entered into a new fee-for-service agreement with HIP, an EmblemHealth company, exclusively for CIN providers. The FFS rates are for HIP Medicare Advantage and HIP Commercial Plans. As a member of MSHP’s CIN, your practice is automatically enrolled in this FFS arrangement that became effective on October 1, 2018. The new rates are currently not available and we will be in touch with you when they are released by EmblemHealth. For more information, please see the communication sent on October 12 .
New MSHP Agreement with Bright Health Medicare Advantage Plans

Open enrollment for Medicare has arrived and your patients considering Bright Health Coverage may ask you or your staff if you participate. As a member of MSHP’s CIN, your practice is automatically enrolled in this fee-for-service arrangement that is effective on January 1, 2019 so please be sure that everyone in your practice is aware of your participation. To access rates, please sign into the  MSHP Provider Portal  and then  click on this link. Keep an eye out for the 2019 Bright Health Provider Welcome Kit that will be delivered to your office in the near future.
If you have any questions about any of our announcements, please contact your Provider Engagement Manager , email Mount Sinai Health Partners at mshp@mountsinai.org or call us at 877-234-6667.  
Contact Us
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