The Trump Administration Just Cut Hundreds of Millions of Dollars from New York’s 1115 Waiver
The Trump Administration Just Cut Hundreds of Millions of Dollars a Year from New York’s 1115 waiver – and that could be just the beginning
The Trump Administration Just Cut Hundreds of Millions of Dollars a Year from New York’s 1115 waiver – and that could be just the beginning
New York State legislators have the opportunity to address private sector healthcare affordability by passing the Fair Pricing Act (S.705/A.2140). The act would address the root cause of rising healthcare costs by regulating hospital prices, which are the key driver of spiraling healthcare inflation.
The statewide transition to PPL on April 1 risks being a catastrophe for home care workers – lowering wages while eliminating health insurance coverage for tens or even hundreds of thousands of workers. Neither PPL nor the state has offered any explanation of why this is happening or what PPL intends to do about it; many workers are currently seeking information about whether they will still have health insurance on April 1.
Healthcare didn’t take center stage in Governor Hochul’s State of the State address this week, but that doesn’t mean it won’t be central to New York politics this session. After all, rising healthcare costs are a key component of the affordability crisis squeezing New Yorkers, with premiums for individual and small-group health insurance set to increase by 12.7 percent this year.
FPI today released a report by Dr. Emily Eisner on the staffing crisis in Upstate New York's hospitals. The report finds that 90 percent of Upstate hospital shifts are current understaffed, and that an additional 5,000 Registered Nurses and 20,000 ancillary staff are needed to achieve safe staffing levels. As the report shows, chronic understaffing leads to a 14 percent rise in mortality risk for patients on the worst 10 percent of hospital units—about 280 additional patients death for every 100,000 hospitalizations.
Much recent reporting has focused on the growth of CDPAP in isolation, but this perspective exaggerates home care growth by ignoring the role of agency-model home care, which accounts for 44 percent of all Medicaid-funded home care in New York.
New York spends more on Medicaid long-term care than most states, but this higher spending is driven primarily by higher enrollment, particularly among seniors, rather than by higher per-enrollee spending. This high enrollment reflects policymakers’ decision to make long-term care, particularly home care, relatively accessible for working- and middle-class seniors.
The one-house budgets reflect a sharp disagreement between the Governor and the legislature on Medicaid spending. The executive budget proposes sharp cuts to several areas of Medicaid spending — most notably home care worker wages — and provides only limited support for financially distressed hospitals.
The legislative one-house budgets come out firmly for higher Medicaid spending, restoring most of the governor’s cuts and offering significant rate increases. But how will they pay for it? The Senate and Assembly budget memos propose to raise $4 billion a year through an obscure mechanism: A tax on Medicaid managed care plans, the private insurance companies which administer most of the state’s Medicaid program.
New York State has been reported to be one of the states most at risk of incurring a shortage of healthcare workers over the next decade. With a quickly growing population of adults over the age of 65 (“older adults”) and a movement towards “aging in place,” the demand for home care workers will rise dramatically over the next decade.
Download the full report: "Domestic Workers Are Essential Workers: By the Numbers in New York" Throughout the coronavirus crisis domestic workers have been placed under a double pressure. Already underpaid, many have lost their jobs, or lost hours on the job, putting them under added financial stress. Even when on the job, however, domestic workers find themselves under added physical and psychological stress, acting as essential workers during a pandemic at some risk to their own health as they protect the health of others. Domestic [...]
October 14, 2020 Many of New York’s “essential workers,” people working in jobs deemed necessary throughout the COVID pandemic, rely on Medicaid for their own health care. They risk severe hardship if federal policymakers fail to provide appropriate increases in Medicaid funding or weaken protections for program enrollees, according to a new analysis from the Center on Budget and Policy Priorities. In New York State over half a million, 554,000, essential workers rely on Medicaid. The economic fallout from the COVID-19 pandemic led to a [...]
Strengthening Medicaid and protecting health coverage for New Yorkers is critical to ensuring that our state can respond effectively to the coronavirus public health crisis and the current economic recession. The Urban Institute has projected that Medicaid caseloads could increase by as much as 1,204,000, or 22.5 percent, through FY 2021—an unprecedented spike. New York needs help to cover those who are newly unemployed and expected to enroll in Medicaid and offset extra Medicaid costs related to coronavirus. Without proper funding, the state will be [...]
May 20, 2020 This time last year, New York celebrated its lowest rate of residents without health insurance to date at 5 percent. A historic low that is a continuation of nearly a decade of decline in people who lack health insurance, this record-breaking success set New York apart from the national trend of rising uninsured rates. The public health and economic crisis caused by the COVID-19 pandemic threatens past success in reducing the rate of the uninsured in New York State. We must strengthen [...]
May 14, 2020 In the midst of a pandemic, there has been a growing call for undocumented immigrants, who make up five percent of the New York State labor force, to be covered by some form of unemployment insurance. What is often overlooked in discussions of unemployment insurance is the extent to which undocumented immigrants are already part of paying into the existing system, even when they are excluded from collecting benefits. Undocumented immigrants face the same challenges as other workers. It does not serve [...]