Reports, Newsletters, and Presentations

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Setting the Stage for Payment Reform: Updating New York’s Regulations on Risk Transfers Between Health Plans and Providers

Publication Date: 11.17.2015
Author: Peter Newell, Chad Shearer, and Nikhita Thaper

A timely look at New York’s policies and regulations on risk-transfer agreements between insurance plans and health care providers, an increasingly common setup as the State continues to move toward value-based payment.

Redesigning Children’s Behavioral Health Services in New York’s Medicaid Program

Publication Date: 11.10.2015
Author: Elizabeth Patchias

This report gives an overview of the complex structure of New York Medicaid’s current services for children needing behavioral health services, reviews the State’s planned approach to reforming this system, and explores several important policy considerations for stakeholders as the reforms move forward.

Symposium Focuses on High-Performance Health Care Delivery

Publication Date: 10.23.2015

These presentations were featured components of the 2015 Symposium on Health Care Services in New York: Research and Practice, held October 20.

Recent Trends and Future Directions for the Medical Home Model in New York

Publication Date: 08.12.2015
Author: Greg Burke

Fourth in a series of reports monitoring the growth of the medical home model in New York, as measured by the number of practices recognized as Patient-Centered Medical Homes, this report examines factors associated with the model’s adoption and success and looks ahead toward Advanced Primary Care, a model that New York State is pursuing.

What’s Next for New York’s Child Health Plus Program?

Publication Date: 08.05.2015
Author: Peter Newell and Nikhita Thaper

This issue brief examines decisions New York faces as it considers the future of the Child Health Plus (CHP) program, the State's health insurance plan for children.

Blueprint, Summer 2015

Publication Date: 07.27.2015

Pursuing broad adoption of “advanced primary care” is an ambitious part of New York State’s health agenda, and UHF is helping develop a strategic plan for promoting this model approach in New York City. Also in this issue: a renewed focus on child health; preventing infections in home care patients; understanding family caregivers’ needs and preferences for learning tools; promoting the safer use of antibiotics; saluting hospital trustees’ service; and new staff and board appointments.

Presentations from “Medicaid in New York: Transforming the Delivery System”

Publication Date: 07.20.2015

See presentations from the 2015 United Hospital Fund conference “Medicaid in New York: Transforming the Delivery System.”

Quality Collaborative, Spring 2015

Publication Date: 05.26.2015

This issue highlights a new program focused on the next generation of antibiotic resistance—working with predominantly metropolitan-area hospitals to assess current practices, barriers to optimal antibiotic use, and the need for stewardship programs.

Meeting Consumers Where They Are: Patient Engagement in New York’s Evolving Commercial Insurance Market

Publication Date: 05.21.2015
Author: Peter Newell and Nikhita Thaper

With the number of uninsured rapidly dropping under the ACA, the focus is shifting to other goals—improving quality, the patient experience with care, and controlling costs among them. One of the most promising strategies for achieving those goals: patient engagement.This report examines patient engagement in New York’s commercial health insurance market.

Larger Small Groups: Challenges to Bolstering New York’s Small Group Market

Publication Date: 04.21.2015
Author: Peter Newell

Second in a series, this report examines the risk of adverse selection in New York’s small group health insurance market following a  “small group” definition change mandated by the Affordable Care Act.

Accountable Care in New York State: Emerging Themes and Issues

Publication Date: 04.08.2015
Author: Greg Burke and Suzanne Brundage

Based on interviews with leaders of many New York Medicare ACOs, this report gives outlines the early experience of those ACOs, with particular attention to the implications of sponsorship type and previous investment in necessary infrastructure.

New York’s Medicare ACOs: Participants and Performance

Publication Date: 04.08.2015
Author: Greg Burke and Suzanne Brundage

This report provides a quantitative overview of the 27 New York provider groups participating in Medicare’s accountable care programs as of January 2015. Includes data on size, sponsorsip, regional distribution, financial performance, and quality measure

Blueprint, Spring 2015

Publication Date: 04.02.2015

Together on Diabetes-NYC, the Fund's model community partnership that's helping seniors manage their chronic illness, marks a new phase. Plus: a Q&A on urgent care centers and retail clinics; a telehealth project that enlists home care aides; changes in the small group insurance market; the latest class of Clinical Quality Fellows; a new Fund board member; and much more.

Larger Small Groups: Implementing the New ACA Small Employer Definition in New York

Publication Date: 03.10.2015
Author: Peter Newell

The issue brief examines the impact of an Affordable Care Act provision redefining the small group insurance market as 1–100 employees instead of 1–50 employees. It looks at how the change might affect premiums for firms with 51–100 employees that will join the new small group market, and the complex options state policymakers face in implementing this new rule.

Convenient Care: Retail Clinics and Urgent Care Centers in New York State

Publication Date: 02.05.2015
Author: Ji Eun Chang, Suzanne C. Brundage, Gregory C. Burke, and Dave A. Chokshi

Urgent care centers and retail clinics—collectively known as “convenient care”—are a major market-driven development in ambulatory care, presenting both potential benefits and risks for the health care system. This report examines the issues and offers policy options for consideration.

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