The remarkable thing about state's multi-billion-dollar Medicaid crisis is that it is almost entirely the result of the Cuomo administration's own actions. There is no economic downturn or change in federal policy that explains the program's current $4 billion deficit, or its $3 billion projected gap in the next fiscal year, as confirmed in Friday's mid-year update to the state financial plan. Read More
Latest Work
Elizabeth Warren is an unabashed believer in wealth redistribution, so it was predictable that her Medicare for All plan would hit high-income individuals and large corporations with trillions in tax hikes. More surprising are the two other targets she chooses to soak: states that spend most heavily on Medicaid, and employers that offer the costliest health benefits. Read More
The 1199 SEIU contract that the Cuomo administration subsidized with Medicaid money last year included a potentially nine-figure payment to the union's lobbying arm, which has spent millions on TV ads praising Governor Cuomo's health policies. Read More
In a sign of a deepening state budget crisis, the Cuomo administration says it is planning to delay another $2 billion in Medicaid payments this coming spring, according to a recent report from the Budget Division. Read More
A Cuomo administration analysis of its own Medicaid rate hike last fall appeared to show a disproportionate benefit for hospitals associated with the politically influential labor union 1199SEIU. Read More
At the midway point of the fiscal year, New York's Medicaid health plan has already spent 61 percent of its state-funded budget, according to the latest cash report from the comptroller's office – putting the program on track to end the year with a $2.9 billion shortfall. Read More
When it comes to New York’s latest Medicaid mess, the buck stops with Gov. Andrew Cuomo. Read More
The budget crisis in New York’s Medicaid program stems from the failure of a key cost-control measure adopted during Governor Cuomo’s first term. In 2011, Cuomo and the Legislature imposed a “global cap” on state Medicaid spending that was tied to the medical inflation rate. The measure showed signs of working at first, but lost its effectiveness as circumstances changed, loopholes multiplied and compliance faltered. Read More