Some Key Data Relevant to the Collins/Faso Amendment to the AHCA

March 24, 2017 County

A key consideration in the current fracas, but which is not part of the discussion is that the effect of Medicaid on county finances in New York is quite variable. Here are some graphics for background          

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The House of Representatives Meddling in NYS Internal Fiscals

March 22, 2017 Budget

I’m analyzing NYS options if the AHCA becomes law including the amendment pushed by Congressmen Collins and Faso. I’ll post that later today. For some context and history, it will be useful to read this post from five years ago. Note that the number in the earlier post is $8 billion while the estimated effect […]

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Some History: What We Have Learned Regarding Coverage

January 17, 2017 Government

I’ve been working on health coverage issues since the late 70’s. Here are some of the key things that WE have learned during the time since. Prior to Medicare, private insurers did not offer coverage to the elderly. Most elderly simply got dropped when they turned 65. That’s why we have Medicare. Prior to the […]

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Latest Medicaid Enrollment Data

January 12, 2017 Data

We’ve updated our visualized Medicaid enrollment data. These data run through May of 2016.

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Updated New York Medicaid Enrollment Data

October 25, 2016 Uncategorized

Visualized Medicaid enrollment trends, by health plan (and fee-for-service) along with mix by demographic characteristics

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Effect of the ACA on Personal Debt – It Goes Down

April 21, 2016 Debt

This is as we – or at least most of us – would expect. Compared to people in states that did not expand Medicaid under the ACA, newly available Medicaid in States that expanded the program enabled newly covered people to reduce their unpaid bills and debts.  Luojia Hu, Robert Kaestner, Bhashkar Mazumder, Sarah Miller, […]

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New Tool to Aid New York’s Medicaid Managed Long Term Care Plans

April 28, 2014 Dashboard

Faced with the challenge of a very expensive Medicaid program, New York chose to dramatically reform it. A key element of the reform is moving Medicaid long-term care patients, including nursing home patients, into managed care plans, especially managed long-term care plans (MLTC). A key element of the new policy is that MLTCs need not have […]

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Jon Stewart Gets it Right

October 11, 2013 Health Insurance

I hardly wish ill to my fellow citizens, even those who live in states that receive more in Federal revenue and other benefits than they pay for in Federal taxes. But I’m rapidly approaching the point when I will revel in the reversing of the financial flows from the self-punishing, mostly Southern states to the […]

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Limited Posts

July 15, 2012 Uncategorized

Obviously I haven’t posted much the past couple weeks. I won’t the next week either as I’ll be offshore and (mostly) offline. In the meantime, yes take the Supreme Court’s Medicaid decision seriously. It’ll keep people busy for a while. But ultimately states will come around because they’d be foolish not to and because their […]

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Managed Long Term Care and the Implications for Public Nursing Homes

June 12, 2012 County Government

As we discussed earlier, New York (and many other states) is moving its Medicaid policy toward managed long-term care. Here’s an excerpt of what we wrote earlier: First, the State finally decided to bring the rest of the Medicaid population into some form of capitated, case-managed care. When the State originally imposed mandatory managed care […]

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