Clinically Integrated Network Newsletter
July 15, 2021
Announcements
Save the Date! Next Care Standardization Excellence CME Event is September 21st

Mark your calendars for the next care standardization CME event! Join us September 21st for the third and final module of this series, focusing on vascular disease and COPD. Watch your inbox in August for your invitation to attend.
Join Us! Mind Matters ECHO

We have two more meetings in our depression module on August 18th and September 15th. Sign up here.

Missed a session? Watch the recordings.
Have a case to share with the group? Submit it here.
May 19, 2021: Barriers to Screening for Depression
June 16, 2021: Effective Treatments for Depression: Psychotherapy
July 27th MSHP Behavioral Health Workgroup

Plan to attend our next MSHP Behavioral Health Workgroup session on Tuesday, July 27, 5:30 – 6:30 pm. Receive an update on MSHP behavioral health initiatives and share your thoughts on:

  • Mind Matters ECHO CME Behavioral Health Learning Collaborative - we'll discuss data and feedback shared by providers on how they are using learnings from these meetings in their practice and how you can too.
  • Behavioral Health Referral Pathway – learn about our behavioral health referral pathway pilot and next steps to implement the referral pathway to providers in our network.
Upcoming Payments

Providers who earned bonuses through the 2020 PCP Bonus Program can expect to receive payment this month. Following, in August, we will be issuing Q1 2021 care coordination payments.
The Passing of Barbara T. Murphy, MD

It is with tremendous sorrow that we inform you of the passing of our beloved colleague, Barbara T. Murphy, MD. A world-renowned and award-winning nephrologist and researcher, Dr. Murphy was also a trailblazer. In 2012, she became the first female Chair of a Department of Medicine at an academic medical center in New York City and, at the time, was only the second female Chair of any Department at a top 20 medical school in the United States. Dr. Murphy was also a member of MSHP's Board of Managers. However, her extraordinary resume does not fully represent or encapsulate the deep and lasting impression she made on her colleagues, friends, and mentees throughout the Mount Sinai Health System and the greater medical community. She was admired by faculty, colleagues, staff, and trainees for her enormous integrity, energy, and generosity.

Dr. Murphy was a mentor to many and a role model to all. Our thoughts are with her husband, Peter Fogarty; their son, Gavin; her parents, John and Anne Murphy; her brother, Dr. Kieran Murphy; her sister, Dr. Celine Murphy; and her extended family and friends. She will be sincerely missed.
Welcome New MSHP Providers!
 
We'd like to extend a warm welcome to all new provider members who recently joined our clinically integrated network.
Primary Care
Rada Norov, MD
Internal Medicine
Manhattan Specialty Care
New York, NY
 
Christal-Joy P. Forgenie, MD
Pediatrics
Soha Pediatrics, LLC
New York, NY
 
Janice N. John-Lewis, DO
Pediatrics
Ryan-NENA Community Health Center
New York, NY
 
Specialty Care
Cerise O. Adams, DPM
Podiatry
Starrett Podiatry, LLC
New York, NY

Dorothy R. Fernandez, MD
Dermatology
Bobby Buka MD, PC
New York, NY
 
Amr Hosny, MD
Anesthesiology
Riverside Spine & Pain Medicine, PC
New York, NY
 
Alexander Barkan, MD
Bariatric Surgery
Richmond Health Partners IPA LLC
Staten Island, NY
 
Ila Dayananda, MD
Obstetrics & Gynecology
Lower Manhattan Medical Care PC
Brooklyn, NY
 
Andrew J. Peranteau, MD
Dermatology
Bobby Buka MD, PC
New York, NY
Deepali Gupta, MD
Anesthesiology
Riverside Spine & Pain Medicine, PC
New York, NY
 
Sanjosh Singh, DO
Dermatology
Bobby Buka MD, PC
New York, NY
 
Denny Varughese, MD
Otolaryngology
ENT and Allergy Associates
Wayne, NJ
 
Advanced Care Practitioners
Erin P. Alt, PA
Physician Assistant
Sisselman Medical Group PC
Massapequa, NY
 
Patricia A. Kennedy, PA
Physician Assistant
Bobby Buka MD, PC
New York, NY
 
Kathryn S. Sigler, CNM
Certified Nurse Midwife
Lower Manhattan Medical Care PC
Brooklyn, NY

Christine Lam, PA
Physician Assistant
Bobby Buka MD, PC
New York, NY
 
Amanda Weingarten, CNM
Certified Nurse Midwife
Lower Manhattan Medical Care PC
Brooklyn, NY
 
Baokim N. Bonelli, PA
Physician Assistant
Bobby Buka MD, PC
New York, NY
 
Ryan L. Leach, PA
Physician Assistant
Bobby Buka MD, PC
New York, NY
Payer Updates
Coverage of COVID-19 Vaccinations
The New York State Department of Financial Services has issued emergency regulations mandating coverage of COVID-19 vaccinations and waiver of related patient cost-sharing amounts until September 22, 2021. New York insurers will continue to be responsible for reimbursing hospitals for any applicable cost-sharing. Learn more.
Cost-Sharing Waivers Extended for COVID-19 Diagnosis and Testing

The New York State Department of Financial Services has issued emergency regulations requiring that cost-sharing waivers associated with COVID-19 diagnosis and testing remain in effect until October 1, 2021. New York insurers will continue to be responsible for reimbursing hospitals for any applicable cost-sharing. Learn more.
EmblemHealth June Newsletter        

EmblemHealth shared their June provider newsletter.  A few highlights include
  • The Bridge Program is being offered to fully insured members starting July 1. 
  • Policy updates, including a new Payment Integrity Policy effective August 1 and more.
EmblemHealth New Provider Portal

EmblemHealth is rolling out a new Provider Portal. Find information and training materials here.
Cigna Expands Precertification Requirements

Beginning August 1, 2021, Cigna will expand their precertification requirements for certain musculoskeletal procedures to include a medical necessity review of the site of care. Learn more.
Tip of the Month
Assess the ASCVD Risk of Your Diabetes Patients Annually

Patients with diabetes are twice as likely to have heart disease, which makes screening crucial. Risk factors for ASCVD and HF should be assessed annually, with the 10-year risk of a first ASCVD event used to guide interventions.

  • Use a prognostic tool such as the ASCVD Risk Calculator to determine 10-year risk.
  • Testing is indicated for typical/atypical chest pain, signs/symptoms of other vascular diseases, or an abnormal ECG.
  • Exercise testing with/without echocardiography is the recommended initial test. Pharmacologic stress echo or nuclear imaging is indicated for those who are unable to exercise or have significant resting ECG abnormalities.
  • Routine screening for ASCVD with CT calcium scores/CT angiography in asymptomatic high-risk patients is not recommended as it would not change management. CT Calcium scoring is indicated for CV risk assessment in asymptomatic adults ≥40 years of age at intermediate risk (7.5 to 19.9 percent 10-year ASCVD risk) by the American College of Cardiology/American Heart Association (ACC/AHA) pooled cohort risk calculators [1].
 
 
Learn more on the Condition Management Hub
Reminders
Complete Your CI Program Requirements              
    
Attention CIN providers and office managers! You can now complete your Practice Communication CIN requirement online through our new web app, the MSHP Practice Profile. Log on to the Practice Profile today to update and confirm your practice demographic information and ensure your practice information is accurately represented in MSHP and health plans' provider directories.

Need help? Download these user guides: Provider User Guide I Office Manager User Guide

Or contact the MSHP Provider Services team at MSHP@mountsinai.org, or call 1-877-234-6667.

Additionally, the 2021 HIPAA compliance module is now available in the Clinical Integration Learning Center (CILC). This online course explains the business and regulatory reasons for complying with HIPAA Privacy and Security regulations and includes examples that address common risks and challenges. Completion of this requirement is due by the end of quarter 3 for both PCPs and Specialists. Access the course here.
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
P: 877-234-6667
F: 646-537-1481