In observance of National Doctors' Day

Mount Sinai Reaches Agreement with UnitedHealthcare

We are pleased to share that we have reached a new agreement with United, which will restore in-network access to Mount Sinai facilities for United- and Oxford-insured patients, EFFECTIVE IMMEDIATELY. Additionally, in-network access to Mount Sinai employed and voluntary providers will continue without interruption. 

This is an enormous victory for our patients and for each of you who work so hard to provide the best possible experience and care for those we serve. This has been a difficult, uncertain time and we are so appreciative of the way you have continued to show up day in and day out, ready to take care of our patients and each other. 

Tonight's town hall on this topic has been canceled.

Read the full announcement

Coming Soon: April VBC Performance Reports 

Voluntary PCPs and pediatricians in our network will receive customized value-based care (VBC) performance reports in their OneDrive accounts in early April. The patient opportunity report includes patient-level information on care gaps and can be used to identify cohorts of patients that need visits to re-engage in care, close quality care gaps, and/or manage and document chronic conditions. Please be sure to use these reports for effective patient outreach.

New this year: Adult PCPs will also receive an In-Network Integration Performance Report, which includes practice-level measures on new office visits to CIN specialists. To learn more, please review the 2024 CI Program Scoring and Funds Flow Guide for Adult PCPs.

Complete Your Practice Communication Requirement by Friday, June 28

On March 13, you received this communication on how to complete the mandatory Practice Communication requirement for the 2024 Clinical Integration Program. Please update your practice’s demographic information on the MSHP Practice Profile by June 28, 2024.

Note: Office managers can complete this on behalf of all physicians in your practice.

Complete Your 2024 HIPAA Privacy Training Today

The Health Insurance Portability and Accountability Act (HIPAA) privacy training module is a requirement of the 2024 Clinical Integration Program for all providers and is now available on MSHP’s Clinical Integration Learning Center (CILC) (log in required). 

2024 Member Dues: Please remit payment by May 6

Being a part of Mount Sinai Health Partners means access to enhanced fee schedules with payers, educational courses and tools to help you offer the highest standard of care to your patients, collaboration with a network of high-performing health care providers, and support services to assist you with credentialing, regulatory requirements, and other administrative demands.

To ensure that we can continue to provide value and high-quality service to our network, we collect annual member dues. Refer to the invoice we sent you on March 4 for your annual dues assessment. Please pay online by May 6.

MSHP Board of Managers Spotlight: Dr. Ailian Chen 

Meet Mount Sinai Health Partners’ Board Member, Ailian Chen, MD, FACE, ECNU. Dr. Chen is an endocrinologist at Ailian Chen MD, PC. We recently caught up with Dr. Chen to learn more about her as a new MSHP Board member!

What do you like most about serving on MSHP’s Board of Managers?

I gain insight on the inner workings of the board and I have a chance to improve its operation

What do you hope to accomplish while serving on MSHP's Board of Managers? 

To help MSHP providers find the most qualified members in my field of specialty

What are your interests/hobbies outside of work?

Reading, music, and charity work



We look forward to Dr. Chen serving on MSHP’s Board of Managers! 

Clinical Takeaways: Anticoagulants to minimize stroke risk

Anticoagulation medication is recommended for patients with heart failure and atrial fibrillation for stroke prevention with a CHA2DS2-VASc score of ≥2 (for men) or ≥3 (for women).

Learn more about anticoagulant recommendations and coding for secondary hypercoaguable state in our most recent Condition Management Tip of the Month.

Payer updates regarding Change Healthcare cyber security incident

You are likely already aware of the recent Change Healthcare cybersecurity incident. As many payers use Change Healthcare as an intermediary for certain Electronic Data Interchange (EDI) transactions, and many providers use Change Healthcare to transmit claims information to payers, you may have concerns as to how this incident impacts you and your practice.

Click here to review the updates we shared with you on March 8.

EmblemHealth Updates

EmblemHealth shared their February and March newsletters with us. Highlights include:

• Annual HEDIS medical record review information; due March 29
• Policy updates related to claims reimbursement
• Effective May 1, Emblem is disconnecting their fax lines and all preauthorization requests and supporting documentation must be submitted through the provider portal

Review the portal training materials for guides and videos on using the provider portal.

2024 CI Program Materials

Please review the communication we sent on February 13 to learn more about the available program materials and requirements. You can also access these materials through our website (login required).

Welcome to MSHP!

We'd like to extend a warm welcome to the newest members of our Clinically Integrated Network:

Specialty Care

Rondai Evans, MD

Ophthalmology

3 Visions Ophthalmology P.C.

Brooklyn, NY

Judith Hellman, MD

Dermatology

Judith Hellman MD PLLC

New York, NY

Antonia Kofinas, MD

Dermatology

Judith Hellman MD PLLC

New York, NY

Stephanie Miller, AUD

Audiology

ENT and Allergy Associates

Plainview, NY

Jack Perrone, MD

Obstetrics & Gynecology

Cohen Medical Practice, PC

New York, NY

Natalia Potapova, MD

Ophthalmology

Natalia Potapova Ophthalmology PLLC

New York, NY

Gabriela Rachmaciej, AUD

Audiology

ENT and Allergy Associates

Hackensack, NJ

Marissa Reuter, AUD

Audiology

ENT and Allergy Associates

Brooklyn, NY

Advanced Practice Providers

Danielle Natoli, PA

Physician Assistant

MiDoctor Primary Care/Eastside Physicians of NYC, PLLC

New York, NY