Mount Sinai and Healthfirst® Announce Innovative Medicare Advantage Insurance Plan Designed by a Health System for Patients in New York City

(New York – October 1, 2014) – The Mount Sinai Health System and Healthfirst today announced the establishment of a new Medicare Advantage plan for Manhattan residents to be co-sponsored by a health system and a Medicare insurer. The Healthfirst Mount Sinai Select (HMO) plan, like other Medicare Advantage (MA) plans, is an alternative to the traditional Medicare program and allows Medicare beneficiaries to secure private insurance coverage financed by the federal government.
“We are very proud to partner with Healthfirst in providing this new, innovative model of care,” said Kenneth L. Davis, MD, CEO and President of the Mount Sinai Health System. “This plan gives members affordable and exclusive access to Mount Sinai’s top-rated network of doctors and specialists.”
The Healthfirst Mount Sinai Select (HMO) differs from other Medicare Advantage plans in that the majority of physicians within the Mount Sinai community will participate and be available within the network. Healthfirst Mount Sinai Select (HMO) offers a tiered network of hospitals and physicians. Members who access care through the preferred Tier 1 Mount Sinai Health System will pay lower cost shares. Beneficiaries will also have access to thousands of additional Tier 2 providers in the Healthfirst network. The plan includes all of the traditional Medicare benefits and in addition, offers coverage for prescription drugs, dental care, hearing aids, acupuncture and eye wear. No copayments are charged for visits with a Tier 1 Preferred Primary Care Physician, an annual routine eye exam or for any Medicare covered preventive services such as mammograms or prostate screenings. Other benefits include up to 12 round trips per year (3 round trips, every 3 months) of no-cost car service to and from doctors’ appointments.
“Healthfirst is very pleased to be at the forefront of provider-payer collaboration through this innovative partnership with Mount Sinai, one of the finest health care systems in the world,” said Pat Wang, Chief Executive Officer of Healthfirst. “Our partnership will blend the best elements of our well-established Medicare Advantage plan infrastructure with the outstanding innovation and clinical excellence of the Sinai system to create a cost-efficient, superb new offering for Medicare members.”
The offering of Healthfirst Mount Sinai Select (HMO) coincides with national trends involving shifting of traditional roles between providers and insurers. More and more, providers are embracing the challenge of higher quality, lower cost, and greater access.
Manhattan residents, who meet the eligibility requirements, can enroll between October 15th and December 7, 2014, for coverage effective January 1, 2015.
About the Mount Sinai Health System
The Mount Sinai Health System is an integrated health system committed to providing distinguished care, conducting transformative research, and advancing biomedical education. Structured around seven member hospital campuses and a single medical school, the Health System has an extensive ambulatory network and a range of inpatient and outpatient services—from community‐based facilities to tertiary and quaternary care.
The System includes approximately 6,600 primary and specialty care physicians, 12‐minority‐owned free‐standing ambulatory surgery centers, over 45 ambulatory practices throughout the five boroughs of New York City, Westchester, and Long Island, as well as 31 affiliated community health centers. Physicians are affiliated with the Icahn School of Medicine at Mount Sinai, which is ranked among the top 20 medical schools both in National Institutes of Health funding and by U.S. News & World Report.
For more information, visit http://www.mountsinai.org, or find Mount Sinai on Facebook, Twitter and YouTube.
About Healthfirst
Healthfirst is a not-for-profit health plan serving more than one million members in downstate New York. It is the top-rated Medicaid managed care plan for quality in New York and Long Island. Created in 1993 by a consortium of the region’s health systems, Healthfirst’s operating model strives to achieve quality outcomes, cost effectiveness, and member satisfaction through collaboration with its extensive provider network and community organizations.
Healthfirst offers a comprehensive selection of free and low-cost health insurance options for individuals and families at every stage of life, including government-sponsored health plans such as Child Health Plus, Medicaid Managed Care, Medicare Advantage, Managed Long Term Care, as well as commercial plans, such as Healthfirst Leaf Plans. We treat our members with the same care and attention we give our own families.
For more information on Healthfirst, please visit www.healthfirst.org.
Contacts:
Sasha Walek
Mount Sinai Press Office

(212) 241-6738
Sasha.Walek@mountsinai.org
Errol Pierre
Healthfirst

(212) 801-1599
EPierre@healthfirst.org

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