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Report
Health Care
Medicaid Supplemental Payments
The Alphabet Soup of Programs Sustaining Ailing Hospitals Faces Risks and Needs Reform
August 31, 2017
$5 billion in annual supplemental payments are important to the finances of many hospitals. Federal policy will shrink these payments; the impact will be most severe for NYC municipal hospitals.
Blog
Health Care
Maintaining Momentum on Medicaid Redesign
March 27, 2020
To ensure a sustainable Medicaid program that can help New Yorkers most in need in the future, the Executive and Legislature should continue the course correction started by the MRT, especially as they enact a budget during these troubled times.
Blog
Health Care
DSH Cuts Delayed
Opportunity for State Reform
April 11, 2018
NYS shouldn't miss an important opportunity to revise its distribution of funds to target hospitals with the greatest needs.
Statement
State Budget
Statement on Medicaid/Managed Care Tax Proposal in NYS Budget Talks
March 26, 2024
The proposal to levy a new tax on Medicaid and other managed care plans to leverage $4 billion of federal money relies on speculative, temporary revenue to seed permanent spending increases.
Report
State Budget
Overdue Bills
Time to Face the Reality of Rising Medicaid Costs
October 09, 2019
State leaders have two options to reconcile the disconnect between reality and the budget: reduce Medicaid spending and/or achieve savings in other areas of the budget.
Report
Health Care
Six Things to Know About New York State Health Care Reform Act (HCRA) Taxes
March 05, 2020
As lawmakers negotiate this year’s budget, they should review HCRA’s role in health care funding and its impact upon privately insured New Yorkers.
Blog
Health Care
Agency Focus: NYS DOH
Budget Analysis
November 03, 2014
The New York State Department of Health has overseen dramatic changes in the state's healthcare system in recent years, including the passage of the federal Affordable Care Act and development of the state's own health care exchange website.
Blog
Health Care
Medicaid Supplemental Payments
State Workgroup Makes Limited Progress on Part of the Problem
February 15, 2019
New York State’s $78 billion Medicaid program includes $5.3 billion of “supplemental payments”. These supplemental payments are crucial to hospitals across the state, especially those largely serving uninsured and Medicaid populations.
Testimony
Health Care
Testimony on the New York Health Act (A5248/S3577)
Submitted to The Joint Senate and Assembly Standing Committee on Health
May 27, 2019
Although NYHA’s goals are laudable, it is not feasible currently and would have significant unintended and possibly negative impacts on the State budget and some New Yorkers.
Blog
Health Care
Time to Rethink HCRA Taxes
April 18, 2017
Taxes initially earmarked for health care programs are now being transferred to the State's General Fund and used for other purposes. The Legislature should replace them in future budgets.
Blog
State Budget
Governor Cuomo’s Third Budget: Priorities for Fiscal Year 2013-14
December 17, 2012
Four important challenges face state leaders as they prepare the next budget for FY2014 in Medicaid, Education, Economic Development and Local Government Relief.
Blog
Pensions & Benefits
Simple But Significant
Savings from the Elimination of the Medicare Part B Reimbursement
December 19, 2010
As New York’s elected officials consider options for balancing budgets in the face of record deficits, they should eliminate a public employee fringe benefit rarely offered anywhere else: reimbursement for Medicare Part B premiums.
Blog
Pensions & Benefits
What is OPEB and Why Does it Cost $9.4 Billion?
December 05, 2010
The true cost of retiree health insurance and "other postemployment benefits," or OPEB, was $9.4 billion in fiscal year 2010. Why it cost so much and what should be done about it.
Report
Health Care
What Ails Medicaid in New York?
And Does the Medicaid Redesign Team Have a Cure?
May 20, 2016
This report assess the progress of the Medicaid Redesign Team (MRT), launched in 2011, in implementing strategies to curb costs and improve the quality of care in Medicaid.
Report
Health Care
Narrowing New York's Health Insurance Coverage Gap
January 11, 2022
More than 1 million New Yorkers remained uninsured and New York ranks seventh among states on coverage.
Blog
Pensions & Benefits
Giving Credit Where It’s Due? New York City’s $1.3 Billion in Health Insurance Savings
December 28, 2014
In its recent mid-year budget modification the de Blasio administration credited a coalition of municipal employee unions with achieving $1.3 billion in savings in the City’s employee and retiree health insurance costs. Yet the unions have not agreed to any changes in the plan, and the City and the unions have taken no actions to reduce costs. How can this be?
Press Release
Health Care
CSS and CBC Release Comprehensive Report Analyzing Several Options for Closing State’s Health Insurance Coverage Gap
January 12, 2022
More than one million New Yorkers are uninsured; increasing the number of people insured would reduce morbidity and mortality and improve economic security
Statement
Health Care
Statement on the New York Health Act
February 11, 2019
The revised version of the New York Health Act (NYHA) released today is a well-intentioned proposal to continue to increase access to insurance coverage and reduce barriers to quality health care for New Yorkers, but currently it is not a feasible measure.
Blog
State Budget
Pass Governor’s Proposal to Reform State Retiree Health Insurance Benefits
March 13, 2016
State of New York retirees with more than 10 years of service receive health insurance benefits substantially more generous than those offered by private sector and most public sector employers. Governor Andrew Cuomo’s Executive Budget for FY2017 includes a fair proposal to reduce these growing costs, and the Legislature should adopt it.
Testimony
Health Care
Testimony on Reforming Medicaid
Submitted to the NY State Medicaid Redesign Team
January 28, 2011
Savings can be achieved without denying needed care to low income New Yorkers through three strategies: (1) reducing non‐competitive rates paid to institutional providers; (2) rationalizing utilization of services; (3) tightening eligibility rules and practices to curb the misuse of Medicaid by middle and higher income families for long‐term care.