Breakdown of the Downstate Sustainability PlanPrepared by the Cobble Hill Association
22.SUNY exitshospital operations at Downstate and a 501c3public-private entityis
formed for the narrow purposes of being a hospital operator in the UHB facilities.3. UHB is restructured with Part Q Flex Legislation, and a Brooklyn-based public benefitcorporationis established to support, in part, the development of an integrated academicand clinical provider consortium for managed care contracting, improving quality and reducing the cost of care. UHB will become asmaller , more efficient hospital.4. Another hospital or hospital system acquires UHB in whole or in part or absorbsclinical services.The key words in these four options are:
public benefit corporation
managed care contracting
. Option four reiteratesthe theme of page three: that
are the weight on Downstate’s neck dragging itdown.Additional points on this page include bullet points calling for ‘stakeholder input’, animplementation period of ‘24-36 months’, and support from New York State. There is also anopaque reference, without elaboration to ‘good progress reported to-date’.Page 8 outlines ‘The SUNY Plan’, a pair of requests now being made by SUNY:1. A transition period for a restructured UHB to continue to operate under SUNYauspices, with benefits offered by the new Flex legislation, and continued State support;and 2. The creation by the State of a new Brooklyn Health Improvement public benefitcorporation that will 1) support, in part, the formation of a Brooklyn-based provider network to position member organizations for the changing healthcare environment; 2)serve as a strong academic network for Downstate Medical Center; and 3) allow UHB to become a smaller, more efficient hospital.Page 9 is dense with bullet points outlining the ‘Suggested Role for a Brooklyn HealthImprovement Public Benefit Corporation (PBC)’. Here is a selection of the points that seem tosay the most about the nature of the proposed PBC entity and its potential malleability:
The corporation will not operate hospitals.
[…]The PBC would not be the operator of the network.[…]A vehicle for capital formation (not contemplated at this time but may be a goal in thefuture).