About Yale New Haven Health System

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

Managed Care Services

Managed care division
Medical management
Medical & consumer information

Yale New Haven Health Managed Care Division

Yale New Haven Health Managed Care Division develops, analyzes, negotiates and manages payer contracts. Managed Care Division staff members facilitate contract negotiations for Yale New Haven Health hospitals by conducting legal, actuarial and financial analyses to determine the feasibility of each potential managed care contract. Managed Care Division 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 Division.

Medical management

Our providers are highly committed to developing disease management programs and services to span the entire continuum of care.

• 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 Health Call Center, for physician referral and information about YNHHS programs and services
• Extensive consumer health information provided by each delivery network on their Web site:
  Bridgeport Hospital
  Greenwich Hospital
  Yale-New Haven Hospital
• A variety of health promotion and education programs for the community provided by each delivery network on their Web site:
  Bridgeport Hospital
  Greenwich Hospital
  Yale-New Haven Hospital