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Recent Trends and Future Directions for the Medical Home Model in New York

Publication Date: 08.12.2015
Author: Greg Burke

Fourth in a series of reports monitoring the growth of the medical home model in New York, as measured by the number of practices recognized as Patient-Centered Medical Homes, this report examines factors associated with the model’s adoption and success and looks ahead toward Advanced Primary Care, a model that New York State is pursuing.

What's Next for New York's Child Health Plus Program?

Publication Date: 08.05.2015
Author: Peter Newell and Nikhita Thaper

This issue brief examines decisions New York faces as it considers the future of the Child Health Plus (CHP) program, the State's health insurance plan for children.

Meeting Consumers Where They Are: Patient Engagement in New York’s Evolving Commercial Insurance Market

Publication Date: 05.21.2015
Author: Peter Newell and Nikhita Thaper

With the number of uninsured rapidly dropping under the ACA, the focus is shifting to other goals—improving quality, the patient experience with care, and controlling costs among them. One of the most promising strategies for achieving those goals: patient engagement.This report examines patient engagement in New York’s commercial health insurance market.

Larger Small Groups: Challenges to Bolstering New York's Small Group Market

Publication Date: 04.21.2015
Author: Peter Newell

Second in a series, this report examines the risk of adverse selection in New York’s small group health insurance market following a  "small group" definition change mandated by the Affordable Care Act.

New York's Medicare ACOs: Participants and Performance

Publication Date: 04.08.2015
Author: Greg Burke and Suzanne Brundage

This report provides a quantitative overview of the 27 New York provider groups participating in Medicare’s accountable care programs as of January 2015. Includes data on size, sponsorsip, regional distribution, financial performance, and quality measure

Accountable Care in New York State: Emerging Themes and Issues

Publication Date: 04.08.2015
Author: Greg Burke and Suzanne Brundage

Based on interviews with leaders of many New York Medicare ACOs, this report gives outlines the early experience of those ACOs, with particular attention to the implications of sponsorship type and previous investment in necessary infrastructure.

Larger Small Groups: Implementing the New ACA Small Employer Definition in New York

Publication Date: 03.10.2015
Author: Peter Newell

The issue brief examines the impact of an Affordable Care Act provision redefining the small group insurance market as 1–100 employees instead of 1–50 employees. It looks at how the change might affect premiums for firms with 51–100 employees that will join the new small group market, and the complex options state policymakers face in implementing this new rule.

Convenient Care: Retail Clinics and Urgent Care Centers in New York State

Publication Date: 02.05.2015
Author: Ji Eun Chang, Suzanne C. Brundage, Gregory C. Burke, and Dave A. Chokshi

Urgent care centers and retail clinics—collectively known as "convenient care"—are a major market-driven development in ambulatory care, presenting both potential benefits and risks for the health care system. This report examines the issues and offers policy options for consideration.

Performing Provider System Projects: Tackling the Health Needs of Communities

Publication Date: 01.16.2015
Author: Chad Shearer, Lee Kennedy-Shaffer, and Nathan Myers

A snapshot of the projects selected by emerging Performing Provider Systems as part of their application for New York Medicaid’s Delivery System Reform Incentive Payment (DSRIP) program.

Medicaid Regional Data Compendium, 2014

Publication Date: 11.06.2014
Author: Lee Kennedy-Shaffer and Chad Shearer

This compendium gathers key data elements from various New York State Department of Health data releases and other related sources into short, easily digestible regional chartbooks providing a high-level overview of service utilization of New York’s Medicaid beneficiaries.

Work in Progress

Publication Date: 11.03.2014

New York’s health care system is on the move, with dramatic changes being made in its basic elements. The Fund is playing an important role in that transformation, as this 2014 annual report highlights.

Reducing Hospital Readmissions

Publication Date: 10.14.2014
Author: Hillary Jalon and Elaina Heagerty

The Preventable Hospital Readmission Initiative, a structured initiative involving several New York City hospitals, launched in 2011. This report gives an overview of the initiative: how it was run, results from its two stages, and lessons learned from its various findings and interventions.

Family Caregivers Providing Complex Chronic Care to People with Cognitive and Behavioral Health Conditions

Publication Date: 08.19.2014
Author: Susan C. Reinhard (AARP Public Policy Institute), Carol Levine (United Hospital Fund), and Sarah Samis (United Hospital Fund)

This United Hospital Fund and AARP Public Policy Institute report provides compelling new evidence that family caregivers who provide complex chronic care to people who also have cognitive and behavioral health conditions face particularly demanding challenges.

New York's Medicare Advantage Market, 2010-2012

Publication Date: 07.17.2014
Author: Peter Newell and Allan Baumgarten

This health insurance brief, a supplement to The Big Picture V, examines Medicare Advantage enrollment and financial results from 2010 to 2012, the initial phase of Affordable Care Act implementation.

New York’s Medicare Marketplace

Publication Date: 07.17.2014
Author: Casey Schwarz

A report from the Medicare Rights Center examining changes in plan enrollment, benefit offerings, and premiums and cost sharing before and after the implementation of Affordable Care Act cost-saving measures.

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