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CMO, Montefiore Care Management
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For Professionals

CMO, Montefiore Care Management

Managing the Business of Health Care So You Can Concentrate on Your Patients

CMO, Montefiore Care Management, provides technologically advanced services and interventions to help federal and state healthcare program and commercial insurer members, in the Bronx and Westchester, achieve optimal health. We work with a network of more than 3,100 physicians and ancillary providers who provide care to more than 225,000 individuals covered by a variety of private and government-sponsored health insurance programs.

CMO has experience meeting the diverse health and business needs of our patients and providers. Our expertise in network management relieves you of time consuming business concerns keeping you away from your patients.

With Montefiore's CMO you benefit from:

  • More time for your patients
  • Effective management and administration
  • A network of shared information
  • Improved performance and member satisfaction
  • Maximized returns
  • Network growth
  • Enhanced communications

Our CMO services provide you with:

  • Medical management
  • Provider profiling
  • Benefit administration
  • Contracting
  • Finance
  • Network development and growth
  • Provider relations
  • Credentialing
  • Member services
  • Teleservices

Improving Clinical Quality, Enhancing Patient Experiences and Reducing Health Care Costs

Montefiore has developed and relied on advanced models of healthcare delivery and innovative payment methodologies since 1996. This leadership in coordinating care across multiple settings earned us recognition from the federal Centers for Medicare & Medicaid Innovation (CMMI). In 2011, the Montefiore Accountable Care Organization (ACO) was designated as one of the first Pioneer ACOs. The Pioneer ACO is one of a number of initiatives developed by CMMI 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.

Our ACO is one of only 32 organizations in the nation and the only one in New York State, to operate under this new model of providing traditional Medicare beneficiaries with higher quality care, while reducing expenditures through enhanced care coordination. Based on current or past use of one or more of Montefiore's employed and community-based physicians, there are currently more than 20,000 Medicare beneficiaries eligible for care coordination services from the Montefiore ACO.

Learn more about the Montefiore ACO Code of Conduct, the Pioneer ACO Corporate Compliance Planand the Required Public Disclosure for the ACO Participation Waiver.

Contact the Care Management Company
Phone: 888-MONTE-CMO or 914-377-4400