Medicaid Institute™



Medicaid is a cornerstone of New York's health insurance system, providing coverage for five million of the state's residents, including three million in New York City.

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 $53.9 billion in federal fiscal year 2011. Acute care services accounted for 48 percent of costs, and long-term care accounted for 46 percent; direct payments to Disproportionate Share Hospitals, those serving high concentrations of Medicaid patients and the uninsured, made up the balance. (An additional $1.3 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 two-thirds 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 one-quarter of Medicaid spending.

Contact: David Gould

Medicaid Institute™ Website


For more information about the Medicaid Institute™ at United Hospital Fund, please visit its website.