Reports, Newsletters, and Presentations

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Providing Care to Medicaid Beneficiaries with Behavioral Health Conditions: Challenges for New York

Publication Date: 02.15.2011
Author: Elizabeth M. Patchias and Michael Birnbaum

This report examines policy considerations faced by New York on how to care for Medicaid beneficiaries with mental health and substance abuse conditions.

"Revisioning" Medicaid as Part of New York's Coverage Continuum

Publication Date: 01.07.2011
Author: Deborah Bachrach, Patricia Boozang, Melinda Dutton, and Danielle Holahan

Federal health care reform and new state Medicaid administration legislation can help New York achieve a radically streamlined, consumer-friendly eligibility and enrollment process for Medicaid and subsidized coverage options in the Exchange.  This report details the challenges of achieving that goal.

Building the Infrastructure for a New York Health Benefit Exchange: Key Decisions for State Policymakers

Publication Date: 01.04.2011
Author: Peter Newell and Robert L. Carey
This special report examines key structural decisions New York State must make as it sets up a health insurance exchange to meet federal Affordable Care Act deadlines. It is based on a thorough review of the federal reform law, New York laws and regulations, and activities in Massachusetts and other states. Providing an analytical framework for state policymakers, it lays out the type and scope of possible exchanges and presents a detailed assessment of governance issues.

Medicaid Long-Term Care in New York: Variation by Region and County

Publication Date: 12.28.2010
Author: Michael Birnbaum, Elizabeth M. Patchias, and Jennifer Heffernan

Medicaid Long-Term Care in New York: Variation by Region and County analyzes rates of service use and levels of spending per recipient across New York State, documenting variation by region and by county. It also examines four interrelated factors—demographics, reimbursement policies, availability of service, and local administration—to begin to explain regional variation.

Medicaid Personal Care in New York City: Service Use and Spending Patterns

Publication Date: 12.28.2010
Author: Sarah Samis and Michael Birnbaum

Medicaid Personal Care in New York City: Service Use and Spending Patterns examines elderly dual Medicare-Medicaid beneficiaries in New York City, and a particular type of Medicaid long-term care service they receive—personal care, which includes assistance with eating, bathing, and dressing, as well as activities associated with independent living such as shopping and meal preparation. The report takes two distinct looks at one group of personal care recipients, elderly dual Medicare-Medicaid beneficiaries in New York City.

Identifying Risks to Healthy Aging in New York City's Varied NORCs

Publication Date: 12.23.2010
Author: Fredda Vladeck and Rebecca Segel

The Health Indicators in NORC Programs Initiative is a data-driven risk-identification tool and quality-improvement process designed to help community-based programs with limited resources identify key health risks among older adults in their communities, develop targeted and systematic responses, and measure those responses’ effectiveness. This article, a version of which was published in the peer-reviewed Journal of Housing for the Elderly, presents findings from three NORC programs to illustrate the importance of understanding each community’s risks to healthy aging in developing effective targeted responses.

Medicaid in New York: Current Roles, Recent Experience, and Implications of Federal Reform

Publication Date: 12.20.2010
Author: Michael Birnbaum

This Medicaid Institute publication lays out the challenges and opportunities facing New York’s Medicaid program, against a backdrop of a historic federal health care reform law and an unprecedented state budget deficit.

Medicaid Transportation in New York: Background and Options

Publication Date: 11.16.2010
Author: Kathy Kuhmerker, Mary Beth Pohl, Chris Park, and Kavita Choudhry

This paper, written by staff from the Lewin Group for the Fund's Medicaid Institute, describes New York's program for providing transportation services to Medicaid beneficiaries, considers the strengths and weaknesses of the state's program, and assesses alternative approaches to improve the program and reduce costs.

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.

Enrolling Childless Adults in Medicaid

Publication Date: 10.11.2010
Author: Danielle Holahan

A Medicaid Institute report outlining health care reform's opportunities and incentives for states to extend Medicaid eligibility to more childless adults. New York's experience with this population is relevant to other states that will extend eligibility to it for the first time. The Affordable Care Act's significant financial incentives and new opportunities to streamline enrollment may also help New York meet its own enrollment challenges.

Health Indicators: A Proactive and Systematic Approach to Healthy Aging

Publication Date: 07.19.2010
Author: Fredda Vladeck, Rebecca Segel, Mia Oberlink, Michal D. Gursen, and Danylle Rudin

This article describes a data-driven, community-based, collaborative effort under way in 34 low- and moderate-income communities in New York City. The Health Indicators in NORC (naturally occurring retirement community) Programs Initiative, started in 2007 with major support from the New York City Department for the Aging, has enabled community-based programs with limited resources to become more systematic in addressing the management of clients with diabetes, heart disease, or an increased risk for falls. Published in Cityscape (Volume 12, Number 2), a journal of the U.S. Dept. of Housing and Urban Development.

Health Insurance Coverage in New York, 2008

Publication Date: 06.21.2010
Author: Allison Cook, Emily Lawton, and Danielle Holahan
Updated and expanded with 2007-2008 data from the Current Population Survey, the Fund’s annual chartbook provides an invaluable snapshot of the uninsured in New York, detailing income, employment status, age, and other demographic information. It also tracks coverage distribution among workers and low-income New Yorkers, estimates the number of uninsured New Yorkers who are eligible for public health insurance, and describes trends in coverage over time.

Childless Adults: Barriers to Enrollment in Public Health Coverage

Publication Date: 04.06.2010
Author: Aviva Goldstein
This Fund-supported report examines the barriers faced by New York’s 500,000 eligible but uninsured childless adults, and strategies to improve this population's participation in public health insurance.

The Big Picture Updated

Publication Date: 03.17.2010
Author: Peter Newell, Allan Baumgarten, and Jenny Heffernan

This report provides analysis of recent activity in both New York’s private markets and state and federal managed care programs.

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