Scott Mancuso MD

I began my medical career post-residency joining a group of my attendings in a medicine practice within a tertiary hospital. Caring for countless patients in the ICU and medical floors, I witnessed the lack of shared decision making with patients about what their preferences toward procedures or aggressive measures. Too often, insufficient coordination of care post-discharge resulted in unnecessary readmissions or poor outcomes. This frustration powered my decision to join a novel health plan, CareMore, providing an interdisciplinary care model for seniors with chronic conditions. We made incredible advancements in care outcomes for patients across the inpatient and clinic settings but struggled to focus the necessary resources in the home for the most frail, homebound population. Although my father was not a CareMore member, he was declining amongst end stage kidney disease. I witnessed countless episodes of poor communication across his care team, delays in care, and reactionary interventions that created more problems than helped. My mother was not prepared to be a navigator of a complex system on silo’d specialists, hospitals, dialysis centers, and home care teams. Despite my daily involvement the system was built more to care for patients like my father via episodic interventions rather than seamless longitudinal care. Landmark Health offered me the opportunity to advance the way frail or homebound patients with conditions were managed. The missing link for me at Landmark was that the care model is delivered by a medical group who is not the PCP. The PCP and payor relationship at Honest Medical Group affords the greatest opportunity to impact care coordination across all parts of the healthcare system via default recognition as quarterback to a patient’s care. Honest will deliver enhanced versions of what CareMore and Landmark sought to achieve; coordinated interdisciplinary care across all verticals of an ever-complicated health care system. The honor to be a clinical leader of an amazing team of bright, mission-driven individuals combined with the confidence that this model will deliver much needed care improvements for patients like my father, is one I could only accept with open arms.