Medicaid is a cornerstone of New York's health insurance system, providing coverage for more than four million of the state's residents, including more than two million in New York City. Accounting for about $54 billion in annual health care spending, Medicaid provides a broad range of health care services to diverse groups of New Yorkers. The program's responsibilities include four main roles:
As of February 2013, about 5.3 million New Yorkers were enrolled in Medicaid, including:
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 (DSH), 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.
This presentation by Michael Birnbaum was delivered at the Medicaid Congress in Washington, DC, on June 14, 2011.
This presentation by Michael Birnbaum discusses current enrollment and spending associated with New York's Medicaid program and lays out the challenges ahead.
This Medicaid Institute publication lays out the challenges and opportunities facing New York’s Medicaid program, against a backdrop of a historic federal health care reform law and an unprecedented state budget deficit.
This expanded version of the first publication created through the Fund's Medicaid Institute™ offers the latest information on eligibility rules, beneficiaries, covered benefits, spending patterns, and major challenges, as well as new analysis to provide greater context.
Medicaid in New York:
Strengthening Care Management and Coverage
07.10.2013 8:30 AM - 3:00 PM