Things have really changed in the near decade he’s been in office.
Let’s start with Medicaid. In March, with Medicaid spending running far over budget, the governor quietly delayed into April a $2 billion payment due to providers. April is the start of the new fiscal year, so the move technically kept Medicaid spending under the cap that he’d instituted. The maneuver was discovered only a few months later, when sharp-eyed journalist Bill Hammond found a line about the payment delay in a budget document.
Cuomo’s aides convinced Byford to stay, but nothing like this happened in the early years of the Cuomo era. Right after the 2010 election, he lured Jason Helgerson from Wisconsin, where he had reformed an out-of-control political system, told him to do the same in New York and came up with the political strategy to make it work.
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