Care Management Company of Montefiore Medical Center

Grant Status

In Progress

Project Title

The Bronx Collaborative Care Transitions Program: Providers and Payers Working Together to Improve Quality and Reduce Medical Expenditures

Award Amount

$574,090

Location

The Bronx, NY

Website

http://www.montefiore.org/prof/managedcare/cmo/

Date Awarded

April 1, 2010

Costly health care services for predominantly low-income residents of the Bronx are largely paid for by public health insurance programs, and costs could be reduced by improving post-hospital care to prevent hospital readmissions. The Care Management Company (CMO) successfully completed a 2009 NYSHealth cost-containment planning grant that established the Bronx Collaborative and developed a care transitions intervention. The Collaborative currently includes three major hospital systems (Montefiore Medical Center, Bronx-Lebanon Hospital Center, and St. Barnabas Medical Center) and two insurers (HealthFirst and EmblemHealth). The Collaborative is also working with the major home care agencies serving the Bronx.

Under the implementation grant, the Bronx Collaborative will test a care transition demonstration based on nationally recognized evidence-based models, such as Project RED, Project BOOST, and the Coleman Care Transitions Initiative. The Bronx Collaborative’s goal is for 1,600 cases to participate in the care transition demonstration over 12 months.

When the intervention is implemented at full scale, the Bronx Collaborative could reach an estimated 9,300 cases at risk of readmission each year, generating an estimated annual net savings of $5.5 million.