Wednesday, August 1, 2018

Mount Sinai Health Partners Clinically Integrated Network Newsletter

Each month we'll provide you with a podcast recorded by our senior leadership team, key announcements and resources that will help you achieve your CIN requirements, and reminders of important dates.

Podcast

Podcast Episode 1: Preview of MSHP Podcasts with Dr. Robert Fields, Senior Vice President and Chief Medical Officer at MSHP

Dr. Robert Fields introduces himself as Mount Sinai Health Partners' Senior Vice President and Chief Medical Officer in this first podcast in a series of MSHP podcasts. He talks about his passion for healthcare as an independent physician growing his practice and caring for the most vulnerable patients. Each month, we will feature 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. Feel free to e-mail us at mshp@mountsinai.org if you are interested in hearing about a specific topic. Play Episode 1: Preview of MSHP Podcasts Also available through iTunes and Google Play

Key Announcements

Wednesday August 1, 2018: MSHP Provider Experience Survey Due Tuesday, August 14, 2018: Board of Managers Elections Concludes Monday, September 17, 2018: Annual Membership Fees Due Friday, September 28, 2018: Program Engagement Requirement Due for First Year CIN providers Friday, September 28, 2018: Program Education Requirement Due Friday, September 28, 2018: Privacy Training Requirement Due Friday, October 12, 2018: Q3 2018 Quality Reporting Due Wednesday, October 17, 2018: Free UnitedHealthcare Provider Information Expo

Your 2018 MSHP Annual Membership Dues On Tuesday, June 26, you should have received an e-mail from Mount Sinai Health Partners regarding your 2018 MSHP annual dues. The deadline is September 17, 2018. Annual membership dues are for the calendar year and vary depending on provider type and network participation. Please note that dues for primary care providers are waived. Please refer to that email for details on how much your practice should pay. You can also learn more by visiting our Pay Dues page after you log into https://mshp.mountsinai.org / . Tell Us How We're Doing: MSHP Provider Experience Survey - Due August 1st Be sure to complete the MSHP Provider Experience Survey that was sent you on Wednesday, July 11th. We would like to hear from you on the communications, services and resources that we offer. Your feedback is important to us and will help inform our efforts to improve outreach, communication, and customer service efforts.  Update to Empire CIN Rates On July 1, 2018, Empire BlueCross BlueShield increased its CIN rates by 3.5 percent.

Available: 2018 Quick Guide for Participating Providers in Top Tier Network Familiarize yourself with the benefits and copays you should be collecting for the Mount Sinai Health System employee health benefits plans. Also included are sample member ID cards for all of the Mount Sinai employee plans that include information on Top Tier copays. Log into mshp.mountsinai.org and go to Forms and Guides and access the 2018 Quick Guide for Participating Providers in the Top Tier Networ k .

Available: CIN Rates and Value Based Contracts Quick Guide Learn about fee-for-service rates and valued-based arrangements offered for members of our clinically integrated network through MSHP’s payers partnerships. Log into mshp.mountsinai.org and go to Forms and Guides and access the CIN Rates and Value Based Contracts Quick Guide . 

October 17, 2018: Free UnitedHealthcare Provider Information Expo UnitedHealthcare will be hosting a free provider information expo on October 17, 2018 at Brooklyn Borough Hall, 2019 Joralemon St in Brooklyn. The event is from 10:30 AM to 4:00 PM covering topics on women's preventive health, Medicare medication adherence, dual special needs plans, and much more. Download this flier for more information

Clinical Integration Program Tips and Resources

Need a refresher on these requirements? Log into mshp.mountsinai.org and go to the Clinical Integration page to find the MSHP 2018 Clinical Integration Program Requirements document . You'll need to complete these requirements to stay in the CIN and for PCPs to be eligible for care coordination payments.

Missed our last Town Hall? Fulfill your Program Education Requirement by watching it online. Due September 28th

MSHP Q1 2018 Voluntary Town Hall Topics include utilization optimization, pharmacy quality and utilization priorities, usage of skilled nursing facilities for patients, and an update on Provider Insights. MSHP Q2 2018 Voluntary Town Hall - Topics include a highlight on Provider Insights and a strategic update from our new Chief Medical Officer, Dr. Robert Fields.

Continue to attend our Town Halls and view modules on our Clinical Integration Learning Center to receive credit for the optional participation elements. You will need to click on "Learning Events" to view the full list of available courses.

Fulfill Your Optional Participation Elements As a reminder, physicians who complete optional participation elements within established time frames in addition to the mandatory requirements are eligible for enhanced (extra) care coordination payments. Patient Access and Advancing Care Information Forms are now available to fulfill the two optional elements: Patient Access: Offer 24/7 access for patients to speak to and/or electronically communicate with a provider representative, gain instructions for off-hours access to urgent care or priority next day access. Attestation of MSHP policy or provide written policy for review by MSHP Advancing Care Information (2 points): Install and utilize an EMR by 12/31/18 and receive 1 point. If you are a MIPS-eligible clinician and install a MIPS-Certified EMR you will receive 1 point. A MIPS-Certified EMR may be required by 12/31/19.  To access these forms, log into mshp.mountsinai.org and click on Forms & Guide to find the MSHP Advancing Care Information Attestation and MSHP Patient Access and Availability Attestation forms.

Provider Insights Usage (PCPs only): Log onto “Provider Insights,” MSHP’s primary care physician dashboard at least 4 times per year to identify areas of quality and utilization improvement. To fulfill this requirement, you can log into mshp.mountsinai.org and click on Performance Center. We've refreshed the data and now you are able to see: Clinical Integration Quality data available through March 2018 Current patient panel through June 2018 Patients with emergency department visits, including potentially preventable visits from October 2016 to March 2018  Hierarchical Condition Category (HCC) Risk Adjustment Factor (RAF) score through April 2018

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.

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Contact Us P: 877-234-6667 F: 212-523-5775 E: MSHP@mountsinai.org Provider Engagement Managers