Important Covid-19 Notice

Individuals who have recovered from COVID-19 may have lingering health issues or concerns. Whether you had a severe illness, mild illness, or tested positive with no symptoms, Maimonides has a team of specialists ready to help.


Who We Are

Community Care of Brooklyn (CCB) is a network of over 1,000 health and social service organizations working together to improve the health and well-being of over 600,000 Medicaid beneficiaries in Brooklyn through New York State’s Delivery System Reform Incentive Payment program since 2015. Managed through the Maimonides Department of Population Health, the CCB network continues beyond DSRIP to connect partners and better serve the health care needs of Brooklyn communities.

Accomplishments under DSRIP

CCB utilized DSRIP funding to further leverage clinical and technological infrastructure to establish an integrated system of care across a broad range of medical, behavioral and social sectors and to improve care coordination and communication among providers throughout the borough and enhance population health management for the most complex patients.

  • Serving as the largest PPS in Brooklyn for the duration of DSRIP, with a scalable governance model and 4,600 physicians, including 1,600 primary care doctors, and 650,000 attributed patients
  • Expanding the reach of the Department of Population Health and clinical and transitional care programs at Maimonides
  • Providing technical assistance for 138 primary care sites and 400 PCPs to achieve PCMH recognition
  • Reducing avoidable hospitalizations by 30%+ over 5-year period
  • Implementing programming to improve patients’ quality of care in palliative care, asthma, and cardiovascular disease
  • Reducing ED and inpatient utilization through the implementation of transitional care teams
  • Engaging the healthcare workforce by training over 1,500 staff from 156 organizations in over 50,000 hours of training.
  • Studying and addressing social determinants of health in Brooklyn with over 170 students conducting participatory action research, with findings that resulted in the creation of fitness and education programs and a hydroponic farm, in addition to other community programs
  • Helping partners access tens of millions in Capital Restructuring Financing Program funds for critical projects
  • Generating revenues of more than $336 million for reinvestment in Brooklyn
  • Supporting provider network’s transition to value-based contracting

CCB’s work continues through a number of organizations managed through the Maimonides Department of Population Health.
Brooklyn Communities Collaborative
Community Care of Brooklyn IPA
The Brooklyn Health Home

Current Initiatives

Stay up-to-date with CCB’s ongoing DSRIP work through our newsletter, press releases, and relevant news articles.