Medicaid is a cornerstone of New York's health insurance system, providing coverage for five million of the state's residents, including more than three million in New York City.
Did you know?
About 5.2 million New Yorkers were enrolled in Medicaid as of December 2013, including:
- 2.0 million children who are not disabled (not including 0.3 million enrolled in CHIP)
- 1.9 million adults who are neither elderly nor disabled
- 1.3 million individuals who are elderly, disabled, or both
- Medicaid Conference Takes Stock on Value-Based Payment
- Report Presents Framework for a Value-Based Payment Strategy for Children's Health Care in New York
- United Hospital Fund Analyzes Medicaid Spending on and Service Utilization by Children in New York
- United Hospital Fund Awards $597,193 in Grants to Improve Health Care Services in New York
- United Hospital Fund Publishes a User-Friendly Guide to Distill Critical Information from the State's Value-Based Payment Roadmap
- Presentations from "Medicaid in New York: Progressing to Value-Based Payment"
- Navigating the New York State Value-Based Payment Roadmap
- Redesigning Children’s Behavioral Health Services in New York’s Medicaid Program
- Presentations from “Medicaid in New York: Transforming the Delivery System”
- Performing Provider System Projects: Tackling the Health Needs of Communities
The Fund established the Medicaid Institute™ in 2005 to provide information and analyses explaining New York's Medicaid program in order to help all stakeholders explore options for redesigning, restructuring, and rebuilding the Medicaid program.
Medicaid provides a broad range of health care services to diverse groups of New Yorkers. The program's responsibilities include four main roles:
• Providing health insurance to low-income families;
• Covering disabled individuals with no other access to services;
• Supplementing Medicare for low-income elderly and disabled persons;
• Providing subsidies directly to health care providers.
Medicaid spending on health care services in New York totaled $49.1 billion in calendar year 2013; mainstream managed care and fee-for-service acute care services accounted for 54 percent of this spending, and long-term care and services for special populations accounted for 46 percent. Direct payments to Disproportionate Share Hospitals, those serving high concentrations of Medicaid patients and the uninsured, made up another $1.3 billion, and an additional $1.6 billion was spent on administrative costs.
Although elderly and disabled beneficiaries make up less than one-fourth of Medicaid enrollment, services provided to them account for about 62 percent of spending, most of which fills coverage gaps for beneficiaries also enrolled in Medicare. Children and adults who are neither elderly nor disabled make up more than three-quarters of enrollment, yet account for about 38 percent of Medicaid spending.
Contact: Chad Shearer
Medicaid Institute Website
For more information about the Medicaid Institute at United Hospital Fund, please visit its website.