The newly posted July cash report from the comptroller's office shows that state-funded Medicaid expenditures ran over budget projections by $665 million, or almost 8 percent, through the first four months of the fiscal year. If that pattern continues, the full-year overage would approach $2 billion.
In 2015, the state capped the local Medicaid share, saving local governments more than $3 billion per year. "Even with the freeze, Medicaid remains one of the largest expenses faced by local governments in New York—and one they have little or no means to control," wrote Bill Hammond, director of health policy at the Empire Center for Public Policy, which is fiscally conservative.
New York's employer-sponsored health insurance premiums – which were already among the steepest in the mainland United States – rose faster than the national average in 2018, pushing the state's affordability gap to new heights.
This year's state budget came with a hidden asterisk: In the final throes of his negotiations with legislative leaders, Governor Cuomo quietly postponed a month's worth of Medicaid payments from the last week of March to the first week of April – shifting $1.7 billion in spending from one fiscal year to the next.
Governor Cuomo's efforts to reduce maternal mortality have put New York's doulas on the path to state regulation – and some of them want to get off.
The new state budget features a larger-than-usual increase in Medicaid spending and two new coverage mandates for private insurers – adding to the already steep costs of health care for New York's taxpayers and policyholders.
Bill Hammond, director of health policy at the Empire Center for Public Policy, said that the state has legitimate reasons for improving the way the home-care program is run and reeling in its fiscal intermediaries.
New York’s hospitals are in the throes of two seemingly contradictory trends. Their collective revenues are showing strong growth, yet more and more of them are chronically operating in the red.