1. Moving Toward an Accountable Care Organization Montefiore Medical Center Donald Ashkenase, MHA Special Advisor to the President National Academy for State Health Policy 23 rd Annual State Health Policy Conference October 4-6, 2010

3. Care Management

5. The Bronx: Poor, Minority, Young, Heavy Disease Burden

6. Highest Overall Morbidity * in NYS Percent of Residents Sources: 2010 County Health Rankings, Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute; www.counthealthrankings.org/new-york.com *Morbidity defined as: Poor or fair health, low birth weight, poor physical and mental health days. Low birth weight is defined as <2,500 grams (5.5 pounds). Target is 90% percentile of U.S. Counties. Sample Population Health Status Measures Bronx vs. other NYC, NY State and US Averages - 2010

10. Over 85% of the Bronx Providers participating the Bronx RHIO

11. Montefiore-Albert Einstein College of Medicine An Academic Medical Center *All clinical faculty and MMG physicians are salaried by Montefiore ** Includes residents/medical students from New York Medical College

13. The Montefiore Network

14. Experience with Pre-payment or Capitation

15. Risk Transfer Arrangements Savings Capitation

17. Managing Care MMC’s Capitation Contracts Serve Our Community

19. CMO