Contact us logo top

Have questions about
claims or our network?


Our automated phone system is available:
24 hours a day 7 days a week

Live Phone Representatives are available:
Monday-Friday,
9:00 am to 5:00 pm
1-888-801-1660

New York Claims Submission Address:
P.O Box 958438
Lake Mary, FL 32795

New York Request for Review and Reconsideration:
P.O Box 958438
Lake Mary, FL 32795

Electronic Payor ID: 80141

Contact us footer image

Healthfirst 2013 Spring Symposium

Patient-Centered Medical Home: Building Healthy Communities

Healthfirst hosted its sixth Provider Symposium on Friday, May 17. Moderated by Dr. Susan Beane, the symposium focused on innovations, challenges and opportunities in the implementation of the Patient-Centered Medical Home in New York.

The next symposium will be held in Fall 2013.

> 2013 Spring Symposium Agenda


Maria Basso Lipani, LCSW

Program Director, PACT (Preventable Admissions Care Team), The Mount Sinai Medical Center

 

Maria Basso Lipani is a graduate of Columbia University School of Social Work and holds clinical social work licenses in New York and California. While at Columbia, Ms. Lipani was awarded a fellowship jointly sponsored by the New York Academy of Medicine and the Fan Fox and Leslie R. Samuels Foundation. She worked with chronically ill older adults and their families at Kaiser Permanente in San Francisco before becoming Coordinator of the CAPP Caregiver Resource Center at Mount Sinai Hospital in 2007.  Ms. Lipani has directed the PACT (Preventable Admissions Care Team) Program at Mount Sinai since 2010.

 

> Transitional Care at Mount Sinai - The PACT Program


Jitendra Barmecha, MD, MPH, FACP

Vice-President of Medical Informatics and Chief Medical Informatics Officer, St. Barnabas Hospital

 

As Vice – President of Medical Informatics & Chief Medical Informatics Officer, Dr. Jitendra Barmecha has been providing the clinical leadership in St. Barnabas Hospital’s participation in the Bronx Regional Health Information Exchange (RHIO), which led St. Barnabas to be the first hospital in the Bronx in transmitting various data feeds in this health information exchange. From the HIT perspective, he assisted in St. Barnabas Ambulatory Care’s application for Level 2: Patient Centered Medical Home designation. During his current role as CMIO, he is providing his clinical leadership in implementing Electronic Health Records (Allscripts) in the Acute Care, Emergency Department, Pharmacy and upgrading the existing electronic medical record in the Ambulatory Care to achieve meaningful use criteria as set forth by Centers of Medicare and Medicaid Services (CMS). He is also assisting in the integration of a variety of clinical software applications, which are being used in the different clinical settings for example: Operating Room, Cardiology, Ob/Gyn, Pharmacy Systems, Labor & Delivery, Hemodialysis and Outpatient Hematology & Oncology so that the information is easily accessible to the healthcare providers. He oversees the department of biomedical engineering.

 

He is also the first Vice-President of Medical Staff and an executive member of hospital’s Quality Assurance/Performance Improvement Committee. He is currently the Chairperson of Hospital’s Utilization/Denials Management Committee and Clinical Informatics Committee.


Gregory C. Burke, MPA

Director, Innovation Strategies, United Hospital Fund

 

Gregory C. Burke, MPA, is currently working with the United Hospital Fund of New York City (UHF) on the design of an Innovations Center at the Fund. Over the past year, he has worked with the UHF on two policy papers focusing on the multi-provider, multi-payer Adirondack Medical Home pilot; and with the state of Louisiana on the design and implementation of a $100 million federal/state initiative to support and sustain primary care services in Greater New Orleans.

 

Mr. Burke received a BA with honors from Colgate University and a MPA from New York University’s Wagner School in 1975, following which he spent 7 years in Hartford CT, where he worked at Mt. Sinai Hospital, in the Capital Area Health Consortium, and in the University Of Connecticut School Of Medicine. From 1982 to 2010, he worked at Montefiore Medical Center, serving as Montefiore’s VP, Planning. While at Montefiore, Mr. Burke helped develop and implement the medical center’s ambulatory care strategy, a range of community service, clinical program and facility initiatives, and worked closely with Montefiore’s managed care organizations on a range of initiatives, including efforts to improve the care of very high-cost patients, and a multi-stakeholder program focused on improving care transitions.

 


Angelo R. Canedo, PhD, LNHA

Vice President, MediSys Health Network

 

Angelo R. Canedo, PhD, LNHA, is a Vice President with MediSys Health Network. He has duties at Jamaica Hospital Medical Center, Flushing Hospital Medical Center and is the Executive Director for Metropolitan Therapy Services. He has served with the organization for nearly 24 years in varying capacities.

 

Dr. Canedo is also a Licensed Clinical/Neuro-Psychologist and has developed many programs by combining his clinical interests with his administrative expertise. His areas of specialization include post-acute care, long-term care, rehabilitation, Neuroscience, Home Care and a number of others.

 

Angelo is currently overseeing the development of a network-wide compilation of services evolving from Care Transitions into Community-Based Care, Health Home Services, Long Term Care, Assisted Living, Elder Supported Housing, Enriched Senior Housing, Long Term Community Care and management of complex chronically ill individuals.


Debbian Fletcher-Blake, FNP

Assistant Executive Director, Care for the Homeless

 

Debbian Fletcher-Blake serves as Assistant Executive Director for Care for the Homeless and is responsible for ensuring the efficiency and effectiveness of its clinical operation, advising the Executive Director on compliance issues with regard to laws, regulations, grants and contracts and supervising the organization’s quality improvement system.  Ms. Fletcher-Blake has served in public and community health for seventeen years. She is a licensed Family Nurse Practitioner in New York State, and Clinical Administrative Technical Assistant for the National Health Care for the Homeless Council.  Ms. Fletcher-Blake holds a Master of Science, Family Nurse Practitioner degree from Pace University School of Nursing, and Post Graduate Certificate in Health Information Technology Management from University of Colorado School of Nursing.

 

> Homeless Patient-Centered Medical Home


Foster C. Gesten, MD, FACP

Medical Director, Office of Quality and Patient Safety, New York State Department of Health

 

Foster C. Gesten is the Medical Director for the Office of Quality & Patient Safety in the New York State Department of Health. Dr. Gesten provides clinical direction and leadership for a team of professionals engaged in quality oversight, performance measurement and clinical improvement within health plans and public insurance programs in New York. 

 

Major initiatives include the development of statewide public reporting systems for commercial, Medicaid, and Child Health managed care programs on quality, access, and satisfaction, medical home demonstrations, provider based quality measurement and improvement, and patient safety.  His interests include population health, health service research, and quality improvement projects directed at prevention services and chronic care. 

 

Dr. Gesten is a member of the Committee on Performance Measurement (CPM) at the National Committee for Quality Assurance (NCQA), and a member of the Measure Application Partnership Coordinating Committee of the National Quality Forum (NQF).  Dr. Gesten was trained in general internal medicine at Brown University.

 


Theodore Kastner, MD, MS

Founder and President, Developmental Disabilities Health Alliance, Inc.

 

Theodore Kastner, MD is board certified in four specialties: Pediatrics, Developmental and Behavioral Pediatrics, Neurodevelopmental Disabilities and Medical Management. He holds appointments at the New Jersey Medical School University of Medicine and Dentistry of New Jersey where he is an Associate Professor of Clinical Pediatrics and the Robert Wood Johnson Medical School University of Medicine and Dentistry of New Jersey where he is an Associate Professor of Clinical Medicine.

 

Dr. Kastner has served as a consultant to numerous national organizations and agencies including the United States Department of Justice, 18 states, Israel and Canada. Dr. Kastner has presented at over 200 conferences and training workshops around the country and authored more than 100 publications in the field of developmental disabilities. His research interests are in the areas of primary health care, mental health problems, managed care and public policy issues for people with developmental disabilities.

 

Dr. Kastner is an international authority on the health care concerns of people with developmental disabilities. For the past 15 years, he has served as the Founder and President of Developmental Disabilities Health Alliance, Inc. (DDHA). DDHA is nationally recognized as being a medical home model of health care delivery for persons with developmental disabilities. DDHA recently received funding from CMS through the Health Care Innovation Challenge to expand and replicate its services in New Jersey, New York and Arkansas.

 


Alan L. Silver, MD, MPH

Medical Director, IPRO

 

Alan L. Silver, MD, MPH is a medical director at IPRO. Dr. Silver received his undergraduate, master's degree and general preventive medicine residency training at the University of Michigan, and his medical degree and internal medicine residency training at Wayne State University. He subsequently was a fellow in community medicine at Mount Sinai School of Medicine. He is board certified in internal medicine and general preventive medicine/public health.

In 1980, Dr. Silver helped to found a general internal medicine group practice at Mount Sinai Medical Center in New York City, and worked there for 17 years. Dr. Silver spent over ten years at the North Shore-Long Island Jewish Health System where he was a medical director in Quality Management and an assistant attending in medicine at Long Island Jewish Medical Center. In 1984, he received a three-year WK Kellogg National Leadership Fellowship. He has also been awarded mini-fellowships in medical ethics at the Kennedy Institute of Ethics, Georgetown University and in medical informatics at the National Library of Medicine. He is currently a fellow of the American College of Physicians and the New York Academy of Medicine.

Dr. Silver has been at IPRO since 1994 and has been involved with the Health Care Quality Improvement Program since its inception. He has studied quality-of-care practice patterns and their relationship to organizational structure and physician behavior for a variety of clinical conditions. Dr. Silver has authored or co-authored papers and reports in medical care organization, clinical practice evaluation, medical education, preventive services and medical ethics.

 

> Patient-Centered Medical Home Transformation: Notes from the Field


Brent Stackhouse

Executive Director, New York City Regional Extension Center at the Primary Care Information Project of the New York City Health Department

 

Brent Stackhouse leads the communications, outreach, billing, and field teams and to date, these teams have helped nearly one-third of all providers in New York City implement an EHR toward the goal of improving the health of NYC through health information technology. Mr. Stackhouse also manages strategic planning, maintains key stakeholder relationships, and forges new partnerships. Prior to joining the NYC Department of Health and Mental Hygiene, Mr. Stackhouse worked in investment banking after several years in a real estate finance and development company.  He completed his undergraduate degree at the Walsh School of Foreign Service at Georgetown University.

 

> Health IT and Medical Homes


Paul L Wilder

Vice President, Product Management, New York eHealth Collaborative

 

Paul Wilder is the Vice President of Product Management at the New York eHealth Collaborative (NYeC). In his role at NYeC, Paul directs the roadmap for NYeC’s technology capabilities in support of the Statewide Health Information Network for New York (SHIN-NY). He also architects and operationalizes programs to drive the adoption of health information technology for New York’s healthcare providers in all patient care settings.  This includes serving as Director for NYeC’s Regional Extension Center (NYeC REC) which helps 5,500 New York State primary care providers in their journey to Meaningful Use.

 

Prior to joining the NYeC, Mr. Wilder spent over a decade and a half in healthcare with a focus on information technologies. He has held technical, marketing and management roles at leading global HIT vendors and is proud to be helping New York realize a vision of better-coordinated care for patients. Mr. Wilder speaks regularly on state and national topics related to EHR adoption, health information policy, health information exchange, Meaningful Use, and technology transformation.

 

Mr. Wilder received his Masters of Business Administration from New York University with a concentration in Finance and Operations. He also holds two Bachelor Degrees from the University of Pennsylvania – one from the College of Arts and Sciences in Economics, the other from the School of Engineering and Applied Science in Biomedical Science.

 

> New York State Vision for Better-Coordinated Care through Health Information Exchange

 


If you have questions or would like more information about Healthfirst’s Provider Symposium Series, please contact Dr. Susan Beane at sbeane@healthfirst.org or (212) 823-2437.

> Click here to view our past symposiums