About Yale New Haven Health System

• Vision & Structure & Values
• Leadership
• System Profile
• Managed Care
• Corporate Services
• Physician Integration
• Annual Reports
• Administrative Fellowship

Managed Care Services

Contracting network
Medical management
Medical & consumer information

Yale New Haven Health Managed Care Network

Our Managed Care Network, in conjunction with Yale New Haven Health System's Managed Care Division, allows us to develop, analyze, negotiate and manage payer contracts. Managed Care Network staff members facilitate contract negotiations for Yale New Haven Health System's PHOs, IPAs and hospitals by conducting legal, actuarial and financial analyses to determine the feasibility of each potential managed care contract. Managed Care Network staff also provide ancillary contracting support, direct employer contracting services, assistance with contract performance monitoring and reinsurance. Numerous systemwide contracts, including Medicare, Medicaid and commercial products have been negotiated through the Managed Care Network.
Contact:William Gedge, (203) 688-8097

Medical management

Our providers are highly committed to developing disease management programs and services to span the entire continuum of care.
Contact: Peter Herbert, MD, (203) 688-2604

• Clinical Pathway Development
  Yale-New Haven Hospital has developed 44 inpatient protocols currently and is also developing outpatient protocols. Bridgeport Hospital has developed 28 diagnosis-related groups (DRGs) that include the entire continuum of care from pre-hospitalization to post-discharge aftercare. These clinical pathways can be adapted for use among the other system delivery networks.
• Center for Outcomes Research and Evaluation (CORE)
  CORE is a premier center at Yale-New Haven Hospital dedicated to improving the quality, efficiency and outcomes of patient care. CORE provides information about patient care from the perspective of patients, health care professionals, the health care system and payers, and is beginning to publish clinical and financial outcomes report cards. In addition, a system-level Quality Outcomes Center has been developed to monitor key quality indicators across Yale New Haven Health System, facilitate shared learnings, as well as develop clinical pathways that span the continuum of care throughout the health system and track patient outcomes along these pathways.

Medical & consumer information

Yale New Haven Health System (YNHHS) offers a wide range of consumer-oriented programs and services.

These include:

• Yale New Haven Call Center, a teleservices call center for physician referral and information about YNHHS programs and services
• A free, confidential consumer Nurse Advice Line staffed by professional, experienced registered nurses
• extensive consumer health information provided on this web site
• web sites for each of the delivery networks providing health information (see the column to the left)
• a variety of health promotion and education programs for the community provided by
  Bridgeport Hospital
  Greenwich Hospital
  Yale-New Haven Hospital