Medicaid Institute

Medicaid Institute

Focus Areas: Coverage and Access, Quality and Efficiency, Clinical-Community Partnerships

UHF established the Medicaid Institute in 2005 to provide information and analyses explaining New York’s Medicaid program, in order to help all stakeholders build a more effective health care system for low-income New Yorkers.

Medicaid provides a broad range of health care services to diverse groups of New Yorkers. The program’s responsibilities include three main roles:

Medicaid covers more than 6 million New Yorkers each year at a total cost of over $60 billion. Between 2009 and 2015 total enrollment increased more than 36 percent, while per member spending on the program decreased by more than 13 percent. More than 75 percent of Medicaid members are enrolled in some form of managed care. Children account for 37 percent of the population, but less than 20 percent of Medicaid expenditures. Members dually eligible for both Medicare and Medicaid make up 13 percent of the total population.

The program is currently going through a substantial shift in how services are provided and paid for. Reforms envisioned by Governor Cuomo’s Medicaid Redesign Team in 2011 have led to a large increase in the number of members and health care services provided by managed care organizations. The state is also implementing an $8 billion Medicaid waiver with the federal government, intended to transform how care is delivered through the Delivery System Reform Incentive Payment (DSRIP) program, and eventually how services are paid for through a roadmap to value-based payment.

Contact: Nathan Myers

 
Medicaid Institute
    Strategies for Meaningful Change for New York Medicaid
    New York State's DSRIP Program

    New York launched the Delivery System Reform Incentive Payment program in 2014 to invest in system transformation, clinical improvement, and population health projects that promote community-level collaborations. UHF’s Medicaid Institute reviewed the first four years of these efforts to identify key lessons and promising practices. DSRIP Promising Practices includes brief examples of more than 30 case studies of DSRIP projects statewide.

    Read the DSRIP Report
    The Medicaid Institute Team
    Nathan Myers, MPP
    Nathan Myers, MPP

    Emily Arsen, MPH
    Emily Arsen, MPH

    Sarah Scaffidi, MSc
    Sarah Scaffidi, MSc

    Misha Sharp, MPH
    Misha Sharp, MPH

    Publications
    Oct. 22, 2019
    Healthier Homes, Healthier Childhoods: How Medicaid Can Address the Housing Conditions Contributing to Pediatric Asthma

    Focusing on indoor air quality as a key aspect of substandard housing in New York City, this HealthWatch brief identifies neighborhoods that Medicaid providers and health plans might target to reduce asthma-related health care utilization through housing interventions—primarily looking at children enrolled in Medicaid and suggesting where interventions might be most needed.

    Aug. 22, 2019
    Reforming Payment for Children's Long-Term Health

    Lessons from New York State's value-based payment effort, focused on children's health care.

    July 16, 2019
    DSRIP Promising Practices: Strategies for Meaningful Change for New York Medicaid

    Identifying key lessons and promising practices from the first four years of New York State’s Delivery System Reform Incentive Payment program.