The feasibility of a full state takeover of the remaining local share of Medicaid costs in New York is explored in a new report released today by the Empire Center for Public Policy.
This issue brief explores the financial considerations and policy challenges associated with eliminating the local Medicaid share and reviews the options for implementing a state takeover.
New York pushes more of its Medicaid expenses onto local government than any other state — an almost $8 billion cost-shift that contributes to high property taxes from Montauk to Niagara Falls.
Health coverage gains under the Affordable Care Act were concentrated where they were needed most—among lower-income groups and in the five boroughs of New York City—recently released Census Bureau data show.
Any plan to reduce or eliminate what local governments pay into New York’s Medicaid budget would inevitably create winners and losers. The Assembly Republicans’ version, unveiled last month, is no exception.
From 2014 to 2016, New York’s Medicaid program saw a surge in drug spending that Governor Andrew Cuomo blamed on “abusive” behavior by drug manufacturers. A new Empire Center issue brief shows that, after accounting for rebates, the surge was smaller than Cuomo described, and that it was mostly driven by enrollment growth. Overall, the report finds that price increases accounted for about one-fifth of the spending surge, while enrollment accounted for four-fifths.
Now that the state budget is put to bed for another year, here is a non-comprehensive rundown of health care-related highlights and lowlights.
The largest revenue-raiser in the just-completed state budget, worth $2 billion over four years, is not a tax or a fee or even a legal settlement. It takes the form of semi-voluntary “grants,” mostly to be squeezed out of a Catholic Church-affiliated health plan.