Mount Sinai PPS: Life after DSRIP
Niyum Gandhi, Executive Vice President and Chief Population Health Officer at Mount Sinai Health System, speaks about the collaborative spirit of DSRIP during a recent Crain’s 2018 Health Care Summit.
As we approach the end of DSRIP’s five-year program, there’s much to be grateful for – most notably the relationships forged due to the collaborative nature of the program. DSRIP created opportunities for organizations to strengthen old partnerships and create new relationships. The dozens of committee and workgroup meetings created a framework and space for all of us to share and connect on both our clinical and operational successes and challenges. Together we’ve launched programs to provide better care to our patients, created new guidelines and tools to improve our workflows, and influenced a number of changes at our organizations. The collaborative spirit within Mount Sinai PPS has been undeniable and a sentiment that should be carried forward even after DSRIP.
While the complete roadmap for DSRIP is not entirely known, a primary vehicle to continue the Mount Sinai PPS partnerships is Mount Sinai Health Partners IPA (MSHP). This population health-focused entity is governed by a Board of Managers that is largely comprised of physicians— including both community providers and those employed by Mount Sinai Health System and Icahn School of Medicine.
MSHP enters into value-based contracts with payers for its clinically integrated network (CIN), which is made up of Mount Sinai’s full-time faculty physicians, affiliated community physicians, and eight hospitals spanning Manhattan, Brooklyn, Queens, and Long Island. CIN providers are held to high standards and must meet program participation, quality, and efficiency requirements annually while providing high-quality care to patients within our community.
In the context of DSRIP, partners who are not primary care or specialty physicians may be most eligible to participate with MSHP as clinical coordination partners or preferred service providers.
- Clinical coordination partners are other billing providers who do not contract with health plans for their fee-for-service reimbursement through MSHP. While there isn’t a formal contracting relationship, these clinical coordination partners have the ability to coordinate care clinically with CIN providers. Providers that offer similar types of care will be able to collaborate with one another, continue to share best practices and create meaningful processes, while also creating and enhancing relationships with CIN providers and other clinical coordination partners.
- Preferred service providers are non-billing providers such as community based organizations and other organizations that provide high-value non-medical patient services. Preferred service providers would have the opportunity to develop relationships with CIN providers to fulfill non-medical patient care gaps within the network.
Over the next year, Mount Sinai Health Partners and Mount Sinai PPS will work together to evaluate CIN needs and engage high-value and high-performing Mount Sinai PPS partners to serve our community. As Mount Sinai PPS plans for life after DSRIP, it is essential that our DSRIP partners consider their own plans after 2020. There is much to be said about the collaboration and the results we’ve created during our time together at Mount Sinai PPS. We encourage partners to think back on those successes, gather insights from this experience, and consider what this next chapter of collaboration may look like. For questions, please reach out to email@example.com.