NEW YORK – The Mount Sinai Health System plans to expand its hospital-at-home program through a partnership with Contessa Health, a company that manages acute care services at home through prospective bundled payment arrangements.
Contessa Health will use its ContessaCare system to manage Mount Sinai’s participation in a bundled payment program, ensuring a fixed price in advance for all services within an episode of care and freeing up the health system to focus on patient care.
“We ran into a tremendous amount of administrative burden in reimbursing for this program,” said Niyum Gandhi, executive vice president and chief population health officer for Mount Sinai Health System. “There’s no code for this.”
Mount Sinai launched the Mobile Acute Care Team program three years ago with a grant from the Centers for Medicare and Medicaid Services, but the health system has struggled to fund and scale the program.
Through the MACT program, which recently treated its 600th patient, eligible patients receive hospital-level care for certain conditions at home from Mount Sinai providers. Telemedicine services, tablets, video and remote patient monitoring are all part of the program. The health system is planning to add post-surgical care to the program in the future.
“Mount Sinai’s clinical outcomes speak for themselves and we are excited to help accelerate their program so that more patients have access to a health care model that truly is changing the delivery of care,” said Travis Messina, CEO of Contessa Health, which is also using the ContessaCare system with the Marshfield Clinic Health System in Wisconsin for patients with congestive heart failure, COPD and several other conditions.
Gandhi said the partnership with Contessa Health was a lucky fit and a way for the companies to share their expertise.
“The right way to do it is to partner,” he said. “When you want to launch a new clinical service line, sometimes it’s better to team up with someone who has the necessary operating system.”