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New York has the nation's largest Medicaid program, serving over 5 million enrollees at a cost of $54 billion annually. But a small percentage of Medicaid patients, with chronic medical and behavioral health diseases account for a disproportionate share of the program's total spending. "Taking Ownership: The Patient's role in Medicaid" profiles some reforms largely overlooked in the state's redesign, healthcare experts from around the state participated in a panel discussion hosted by the Empire Center. Read More

New York State has embarked on an ambitious multi-year effort to overhaul its taxpayer-funded Medicaid program, which has long combined high costs with less than impressive health outcomes. Governor Andrew Cuomo’s “redesign” of Medicaid will be heavily focused on “complex, high-cost populations” – the roughly one million Medicaid recipients with long-term disabilities and chronic health problems such as diabetes, heart disease, substance abuse and mental illness. Read More

Don’t look now, but a quick deal to sidestep the federal government’s fiscal cliff could end up pushing New York state to the edge of its own precipice. Yet top New York officials seem oblivious to a wave of federal tax hikes due to hit the state’s tax base as soon as next month. Read More

Twenty-nine days past the legal deadline, the Cuomo Administration finally got around to posting the state’s required mid-year financial plan update on the Division of the Budget (DOB) website late yesterday afternoon. As expected, the report does not included an estimate of fiscal impacts from Superstorm Sandy. DOB says it is still working on those numbers. Read More

For a second straight year, Governor Andrew Cuomo has fallen behind the schedule for releasing the required quarterly update to the state financial plan. And for a second straight year, the governor can’t come up with a persuasive reason for the delay. Read More

One year ago, as Andrew Cuomo was about to wrap up his first year in the New York governor's office, the governor and state legislative leaders agreed on a series of personal income tax provisions they described in a joint news release as "fair tax reform that achieves the first major restructuring of the tax code in decades." Read More