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University Hospital of Brooklyn
The Department of Managed Care and Clinical Business
Vice President – Grace Wong, MBA/MPH
Using the Milliman Care Guidelines
SUNY Downstate UHB uses guidelines drawn from Evidence-Based Medicine. These same guidelines are used by IPRO, and Managed Care Organizations to make determinations about medical necessity of acute care stay.
Care Management Department staff access these guidelines during concurrent review on line to help assure that UHB patients receive efficient and effective reimbursed care, using CareWebQI the interactive tool that captures and reports on real-time clinical data.
Welcome to SUNY Downstate Medical Center, University Hospital of Brooklyn, Department of Managed Care and Clinical Business Website.
This Website was designed to assist you in navigating the managed care maze, to streamline our operations and expedite information dissemination in these challenging times. Managed Care involves the active coordination of health care services to individuals at a reasonable cost. SUNY Downstate participates in many insurance plans and is here to offer you the highest quality in healthcare services to meet your needs. You can access the different Managed Care pages using the Drop-Down Menu to the left.
Brooklyn Healthcare Improvement Project
Brooklyn Healthcare Improvement Project (B-HIP) is a community health planning body, comprised of hospitals, insurance companies, community practices, universities, government offices, and pharmaceutical companies, that strives to ensure affordable, quality, and timely care for all residents in Northern and Central Brooklyn. Our coalition is researching current issues surrounding primary care access, avoidable hospital admissions, and emergency department use. Our mission is to improve the wellness of our population by addressing access, quality, and cost-effectiveness of health care in Northern and Central Brooklyn.
For more information, please visit us at: www.downstate.edu/bhip