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Despite Challenging Payer Mix, Health System Grows

Rene Letourneau, for HealthLeaders Media, March 24, 2014

"We believe in a regional model of care with an academic medical center as the anchor. This allows us to hopefully do good and do well. We preserved many thousands of jobs in areas that suffer from high unemployment, and, as importantly, we preserved access to good healthcare in communities that because of low income levels, high unemployment, and high disease burden struggle with access."

Emphasizing Population Health Management

Perlman says Montefiore has been focused on population health management for many years and believes this strategy is critical to the future of healthcare delivery, especially for providers caring for poor communities with complex health issues.

Montefiore is one of CMS's Pioneer ACOs, but its roots in accountable care precede the program, Perlman says. "We were an accountable care organization before accountable care organizations were defined. We go back to the mid-90s in terms of accountable care and a model based on alignment and engagement."

Montefiore's School Health Program is one example of the work it does to engage the community and promote good health.

"It's the largest school-based healthcare program in the country, encompassing 21 schools in the Bronx," Perlman says. He notes that through this program, Montefiore provides school kids with access to an array of healthcare professionals, including nurses, pediatricians, internists, nutritionists, health educators, and dentists.

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