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BAHN to participate as Pioneer Accountable Care Organization

October 08, 2019

"By focusing on preventing health problems rather than just treating them, Montefiore is a pioneering and proactive care provider," said Stephen Rosenthal, President and CEO of the Care Management Company (CMO) of Montefiore Medical Center and Chief Operating Office of the ACO. "With the start of the Pioneer ACO program in January, we will identify the Medicare "fee for service" beneficiaries most in need of care coordination and implement interventions immediately."

The Pioneer ACO is one of a number of initiatives developed by the new Innovation Center to test new models of health care delivery and payment. The Montefiore ACO was chosen in a competitive process in which it demonstrated its experience in coordinating care for patients across multiple care settings and working with innovative payment models.

Unlike a managed care plan, Medicare beneficiaries in a Pioneer ACO will maintain the ability to see any doctor or healthcare provider, continue to receive the full benefits associated with traditional Medicare as well as receive the ACOs augmented care management services.

"These Pioneer ACOs represent our nation's leaders in health systems innovation, providing highly coordinated care for patients at lower costs," said Marilyn Tavenner, Acting Administrator of CMS. "Montefiore's Pioneer ACO has demonstrated significant experience in providing high quality, coordinated care, and we are excited to partner with them."

Source: Montefiore Medical Center