Health Care Finances: Publications

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Building a More Effective Health Care System for Every New Yorker

Publication Date: 12.07.2016

This year’s annual report focuses on how UHF’s initiatives are addressing the challenges of a changing health care landscape and having a real impact on the quality, accessibility, affordability, and patient experience of health care.

Moving Toward Accountable Care in New York

Publication Date: 04.11.2013
Author: Gregory Burke

In moving away from fee-for-service payment arrangements, New York’s health system is experimenting with accountable care. This report explains how accountable care organizations (ACOs) work, the kinds of groups that can enter into accountable care contracts, the challenges they face, and the ways in which they will be able to succeed. It also includes detailed profiles of 12 different Medicare ACOs in New York, showing the wide range of approaches around the state.

Time and Again: Frequent Users of Emergency Department Services in New York City

Publication Date: 09.10.2012
Author: Maria Raven and David Gould

This issue brief examines patterns of New York City emergency department use at an individual level. It focuses on frequent users — those who made three or more emergency department visits in a year — and a subpopulation of “super-users,” who made five or more visits in each of three consecutive years. The brief examines the characteristics of these two groups, exploring how their patterns of emergency department use could inform the reshaping of health care services.

Hospital Watch Vital Signs, November 2011

Publication Date: 11.30.2011
In the first half of 2011, the New York City hospital inpatient census fell by 1.9 percent, while emergency department visits increased by 2.2 percent. This new issue of Hospital Watch Vital Signs reports on measures of city hospital utilization, finances, and staffing through June 2011.

The Patient-Centered Medical Home: Taking a Model to Scale in New York State

Publication Date: 11.10.2011
Author: Gregory Burke

This report describes the Patient-Centered Medical Home model, reports on how the model is being adopted in pilots and demonstrations across New York State, and highlights the policy and pragmatic issues related to the model’s current implementation and the possibility of instituting it on a broader scale.

Emergency Department Use in Brooklyn by Neighborhood

Publication Date: 09.22.2011
Author: Michael Birnbaum

This United Hospital Fund presentation to members of New York State's Medicaid Redesign Team on September 21, 2011, examines emergency department use in 11 distinct Brooklyn communities.

Hospital Watch Vital Signs, May 2011

Publication Date: 06.08.2011
In 2010, inpatient volume in New York City hospitals fell by 2.2 percent citywide, with declines in admissions concentrated among hospitals in financial distress. This issue of Hospital Watch Vital Signs also reports on other measures of financial stability in the city’s hospitals.

The Adirondack Medical Home Demonstration: A Case Study

Publication Date: 03.10.2011
Author: Gregory Burke and Sean Cavanaugh

This report describes the development and early successes of the Adirondack Medical Home Demonstration, and draws lessons that may be useful to other regions of the state and the entire nation.

Hospital Watch, February 2011

Publication Date: 02.23.2011
Author: Steven Fass and Sean Cavanaugh
This report finds a small improvement in the financial condition of the city’s nonprofit hospitals between 2006 and 2009, but this improvement was not experienced uniformly or by all, with safety net hospitals in particular experiencing severe financial distress.

Hospital Watch Vital Signs, December 2010

Publication Date: 12.22.2010
According to this issue of Hospital Watch Vital Signs, which tracks trends through June 2010, the number of discharges from New York City hospitals dropped by 4 percent in the first half of the year—almost entirely the result of three recent hospital closures. Despite those closures, full-time-equivalent staff declined by less than 1 percent citywide; excluding the three hospitals that closed, hospital staffing levels rose slightly.

A Multipayer Approach to Health Care Reform

Publication Date: 11.11.2010
Author: Sean Cavanaugh and Gregory Burke

This Fund report assesses the opportunities and challenges for multipayer collaborations to be critical agents of reform in health care delivery.

Rethink/Renew/Reshape/Reform

Publication Date: 10.26.2010
The Fund's 2010 annual report focuses on the clear links between our unique approach to improving health care, our accomplishments of the past year, and the challenging road immediately ahead, through a time of unprecedented urgency and opportunity.

Blueprint, Spring 2010

Publication Date: 06.16.2010
This issue of Blueprint presents the Fund's new family caregiving quality improvement collaborative, commentary by Jim Tallon on post-reform imperatives, and a host of articles on Fund initiatives, grants, and events.

Hospital Watch Vital Signs, May 2010

Publication Date: 06.10.2010
According to this issue, which tracks trends through December 2009, the number of emergency department visits grew by 3.8 percent citywide in 2009.

The Financial Condition of the Leading Academic Medical Centers in New York City and the Nation

Publication Date: 03.10.2010
Author: Steven Fass and Sean Cavanaugh

While academic medical centers have the best financial performance of any group of New York City hospitals, they have significantly lower margins than their peers in other states. This report examines the reasons driving this disparity, and compares data from four New York City academic medical centers to seventeen top academic medical centers elsewhere in the country.

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