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.
Did you know?
About 5.3 million New Yorkers were enrolled in Medicaid as of February 2013, including:
- 2.0 million children who are not disabled (not including 0.3 million enrolled in CHIP)
- 2.0 million adults who are neither elderly nor disabled
- 1.3 million individuals who are elderly, disabled, or both
- Two United Hospital Fund Reports Document Large Three-Year Shift to Managed Long-Term Care for Elderly and Disabled Medicaid Beneficiaries in New York
- Jim Tallon: Making Change Work
- United Hospital Fund Report Examines the Changing Landscape for Nursing Homes in New York
- United Hospital Fund Report Examines the Shift to Managed Care for Children in Foster Care
- United Hospital Fund Report Outlines Strategy to Improve Care for New York State Beneficiaries of Both Medicare and Medicaid
- Mandatory Managed Long-Term Care in New York's Medicaid Program: Key Eligibility and Enrollment Issues
- Home- and Community-Based Long-Term Care in New York's Medicaid Program: New Data on Service Use and Spending
- Making Change Work
- New York's Nursing Homes: Shifting Roles and New Challenges
- Blueprint, Spring 2013
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.