The new state budget finally takes credible steps to address the Medicaid crisis of recent history. What's missing is a clear plan for weathering the far larger crisis of the present and future.
#NYCoronaVirus: As New York State lawmakers debate the Medicaid budget during a public health crisis, here are seven things they should keep in mind.
The world has changed since Governor Cuomo tasked his Medicaid Redesign Team with finding $2.5 billion in savings to help balance the state budget. Yet even in light of the coronavirus pandemic, many of the panel's recommendations still make sense – and are arguably more necessary than ever.
Although New York is taking the brunt of the coronavirus pandemic – with 43 percent of the nation's known cases and 40 percent of the deaths – the state is due to receive only 5 percent of the $150 billion Coronavirus Relief Fund just established by Congress.
#NYCovidCrisis: If recent history is any guide, the strings attached to federal coronavirus funding should be less of a problem for New York than Cuomo seems to think. Almost identical restrictions were placed on extra Medicaid money sent to states during the Great Recession, and they did not prevent then-Governor Paterson from enacting cuts to Medicaid.
For the third time in three years, health-care interests are airing TV ads favorable to Governor Cuomo in the thick of high-stakes negotiations over Medicaid funding.
New enrollment numbers from the state-run health insurance exchange confirm a trend relevant to budget talks in Albany: The role of local governments in signing people up for Medicaid is smaller than ever.
In the face of New York's rapidly rising Medicaid spending, both the Cuomo administration and some of its critics have pointed to demographics as a driving factor. The state's population is aging, they have said, so long-term care costs should be expected to increase.
There are two main reasons to doubt this narrative.