Founded in 2014, Summit Health Management (SHM) was developed by multispecialty group physician leaders who achieved significant success transitioning to value-based care and wanted to share best practices with other medical groups hoping to do the same. The model is based on the experience with Summit Medical Group (SMG), the largest and oldest physician-owned multispecialty medical practice in the New York/New Jersey metropolitan area and among the largest in the nation. The SHM model helped SMG grow into a thriving multispecialty group with four comprehensive care hubs, 70+ satellite locations, and more than 700 providers in 70 specialties.

Using physician-led strategies proven over time, the organization developed support services and made substantial investments in quality and population health management, physician leadership and governance, revenue cycle management (including coding and compliance), and operations management. Through a combination of research, strategic thinking, and the early adoption of national best practices, the group has developed a highly effective model that can be scaled and customized for other independent groups looking to adapt to the changing healthcare landscape.

Summit Health Management now offers these expert services to select medical groups nationwide. We now have over 500 employees and over $650 million in revenue under management.

We prioritize the clinical model, and everything else follows.
Jeffrey Le Benger, MD,
CEO/President, Summit Health Management and
Chairman/CEO, Summit Medical Group

Our Purpose and Guiding Principles

Mission:
Empowering physicians to deliver exceptional care

Vision:
To be the leader in physician management and care integration

Values:
Trust, Open Communications, Transparency, Honesty, Compassion, Adaptability, Integrity, and Loyalty

How to keep a medical group healthy while focusing on population health

Our experience with SMG, as we transitioned to a value-based model of operations, helped us find best practices to address population health goals. As a physician-led organization, our goal is, and has always been, exceptional patient care. So striving for improved population health is at the heart of our mission and philosophy. We carefully assessed the needs and developed multiple programs that work together to simultaneously promote quality outcomes, improve patient experience, lower costs, and maximize profits. A focus on population health management helps:

  • Reduce the number and frequency of ED visits and hospital admissions within a given patient population
  • Lower cost per service
  • Improve timely access to care
  • Empower patients to take charge of their health, improving self-management and medication compliance
  • Promote the delivery of patient-centric care

The vast majority of healthcare costs occur in an inpatient environment, including hospitals, acute rehabilitation facilities, and skilled nursing facilities. SHM offers protocols to manage care in key patient populations, providing preventive and disease management services that help keep patients out of the hospital. That means delivering appropriate care at the right time and place, based on evidence-based protocols and handoffs. As an example, when SMG patients required hospitalization, we ensured continuity of care by adding onsite hospitalists, who helped reduce re-hospitalizations by fostering a clean hand off with specific aftercare instructions.

The workflows, care pathways and evidence-based algorithms we have developed and tested have created a model where care management is integral to how we provide care, and it helps our physicians lower the cost and improve the patient experience.
Jamie Reedy, MD, MPH
Chief of Population Health
Summit Health Management

Prevention and Intervention Improve Care and Reduce Costs

Consumers often believe cutting costs will result in inadequate care, but that is not the case with Summit Health Management. If you look at every quality metric – imaging, prevention, chronic disease, utilization, our experience with SMG shows we don’t ration or withhold care. Instead, we promote preemptive care and early intervention. Our emphasis on prevention reduces avoidable utilization and helps keep patients out of the hospital. When we compare SMG patient populations with insurance company benchmarks, we see consistently lower inpatient costs. In fact, SMG spends less on inpatient care than other medical groups and the market in general, across most commercial populations.

Tell us YOUR story:

Cecilia Montalvo
Chief Strategy and Business Development Officer
9089882299
strategy@shm.net

Renee Verrastro
Executive Assistant