MONTEFIORE EINSTEIN:Vertical Consolidation in the Health Care Industry

NATIONAL ACADEMY OF MEDICINELeadership Consortium for

A Value & Science-Driven Health SystemSeptember 13, 2018

Steven M. Safyer, MD

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

HomeCareHospitals

• 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

ScienceEducation

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 ACOPioneer ACO

Medicare Advantage

Aetna

ESTABLISHED IN 1995

MEDICARE

COMMERCIAL

VERTICAL INTEGRATION IN CONTIGUOUS GEOGRAPHY2008 2018

HISTORY OF PHYSICIAN INTEGRATION CONTINUES

AMBULATORY CARE EMBEDDED IN THE COMMUNITY

MONTEFIORE URGENT CAREMONTEFIORE 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

MONTEFIORESCHOOL HEALTH PROGRAM

MONTEFIORE HEALTHY STORE INITIATIVE

HEALTHY STEPS BEHAVIORAL HEALTH

INTEGRATION PROGRAM (BHIP)

OUR MISSION: CARE FOR ALL