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Clinically Integrated Network Newsletter
September 27, 2023
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Thank you for joining us at our clinical education events! | |
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We are very appreciative of all who took time out of their busy schedules to join our educational events, and we are grateful for your commitment to providing the highest quality, evidence-based care to your patients.
If you were unable to attend or would like to review the slides and recordings, please click the links below to access course materials.
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Caring for Patients with Complex Chronic Disease | Key Components and Updates to Diabetes & CKD Management | |
Recording coming soon!
Download the slides
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MSHP Town Hall
Gathering
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| Obesity management and administrative updates | |
A Conversation with
SAMSHA Leaders
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Review Your Final 2023 VBC Performance Reports on October 5
Voluntary PCPs and pediatricians in our network will receive their final 2023 customized value-based care (VBC) performance reports in their One Drive accounts on October 5. Please be sure to view these reports to see how you’re performing on quality, clinical documentation (adult PCPs only), and efficiency metrics for patients under VBC contracts. 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.
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Care Coordination Payments and CI Incentive Checks
Be on the lookout for your Q2 2023 care coordination payments in early October. We will notify you when they’re on their way! 2022 CI Program Incentive Checks will also be arriving in early October for those who qualified for a payment.
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Updated COVID-19 Vaccines
The CDC recommends everyone 6 months and older receive an updated COVID-19 vaccine this fall. The immunization can be administered at the same time as the flu shot.
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Chronic Condition Management | |
Two key steps to your workflow to help detect Peripheral Artery Disease (PAD) and reduce the risk of limb amputation | |
The AHA recommends starting patients with HFrEF on ARNIs as a first line of treatment and should also be considered for HFmrEF and HFpEF patients, when clinically appropriate. | |
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1. Ask the patient about claudication and associated symptoms
- When does the pain worsen (i.e. at rest vs. with exercise/walking)?
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2. Socks off for the physical exam
- Check for pulses in legs and feet
- Look for ulcerations or non-healing wounds
- Look for hair loss over the legs
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If claudication is present and/or pulses are diminished | |
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Order an ankle brachial index (ABI)
- Screening is reasonable if asymptomatic but PAD risk factors present
Engage patient in a self-directed exercise program
Continue management of co-existing conditions
Pharmacotherapy for PAD
Review the PAD Quick Reference Guide for pharmacological treatment and more details on interventions and management targets.
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EmblemHealth September 2023 Provider Newsletter
EmblemHealth shared their September 2023 provider newsletter which includes portal updates, an announcement of their NCQA Health Equity Accreditation, policy changes, and more.
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Complete the Cigna Special Needs Plan Model of Care Training
The 2023 Special Needs Plan (SNP) Model of Care training is now available to Cigna Medicare Advantage providers. All providers who see Medicare Advantage patients must complete this 10-minute training by December 31, 2023 to better understand the types of SNPs and how they help the special needs population. This training is required by the Centers for Medicare & Medicaid Services (CMS).
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Providers who contracted with Cigna Medicare Advantage in 2023, click here.
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Providers who contracted with Cigna Medicare Advantage prior to 2023, click here.
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Complete Your Q3 CI Program Requirements by September 30
Practice Communication Requirement
If you haven’t done so already, please complete the mandatory Practice Communication requirement for the 2023 Clinical Integration Program by September 30. Log on now to update your practice’s demographic information on the MSHP Practice Profile.
HIPAA Privacy Training
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Be sure to stay on top of your CI Program requirements! Download the checklist by logging into the MSHP Provider Portal and clicking on “Clinical Integration.” | |
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Welcome to MSHP!
We'd like to extend a warm welcome to the newest members of our Clinically Integrated Network:
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Advanced Care Practitioners | |
Elizabeth Gettings, NP
Gynecology & Integrative Women's Care, PC
New York, NY
Jeslin Mattathil, NP
Bethany Medical Clinic of New York, PLLC
New York, NY
ToniMarie O'Neill, NP
Bobby Buka MD, PC
New York, NY
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Keara Durand, AUD
Audiology
ENT and Allergy Associates
Babylon, NY
Arron Gravina, DO
Otolaryngology
ENT and Allergy Associates
Parsippany, NJ
Samantha Marcolini, AUD
Audiology
ENT and Allergy Associates
New Hyde Park, NY
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Grigoriy Mashkevich, MD
Facial Plastic and Reconstructive Surgery
MO-MA Medical PLLC/Specialty Aesthetic Surgery
New York, NY
Lina Pilshchik, DO
Obstetrics & Gynecology
Goncharov Medical PC
New York, NY
Karina Rotella, MD
Allergy & Immunology
ENT and Allergy Associates
Yorktown Heights, NY
Asmi Sanghvi, DO
Dermatology
Bethany Medical Clinic of New York, PLLC
New York, NY
Kathryn Smithwick, AUD
Audiology
ENT and Allergy Associates
Islandia, NY
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If you have any questions about any of our announcements, please contact your Population Health Manager, email Mount Sinai Health Partners at mshp@mountsinai.org or call us at 877-234-6667.
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P: 877-234-6667
F: 646-537-1481
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