New York

New York State has been a national leader in medical home activity and currently has the largest number of regional, multi-payer PCMH initiatives. In 2009, the New York State Assembly authorized two medical home demonstration projects - a multi-payer Medical Home Demonstration in the Adirondack region and a statewide Medicaid PCMH demonstration. In July 2010, Article 5, Title 11 of the New York State Social Services Law, Section 364-m gave the Commissioner of Health the authority to establish a Statewide PCMH program whereby providers who are recognized by the NCQA are eligible to receive additional payments for services provided to Medicaid FFS and managed care enrollees. Preliminary analyses conducted by the NYSDOH indicate that MMC enrollees assigned to a provider within a PCMH have higher quality of care and outcomes as defined by standardized measures of quality. In addition, clinical areas where PCMH providers were initially underperforming such as appropriate antibiotic prescribing, have improved from 2010 to 2011. The Commissioner of Health has the authority to continue the Adirondack program until March 31, 2014. A recent budget request will extend the statewide program until March 31, 2016. 

CHIPRA: 
No
MAPCP: 
Yes
Dual Eligible: 
Yes
2703 Health Home: 
Yes
CPCi: 
Yes
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
19,518,100
Uninsured Population:
9%
Total Medicaid Spending FY 2013: 
$54.4 Billion 
Overweight/Obese Adults:
61.3%
Poor Mental Health among Adults: 
35.1%
Medicaid Expansion: 
Yes 
CPC+: 
CPC+
Investment Description: 
New Yorks's legislation was vetoed. 

S.B. 1127B/A.8592

The bill proposes amendments to the NY State Insurance and Social Services Law, requiring plans and payors to annually report the percentage of overall healthcare spending allocated to primary care.

S. 1197

Establishes the primary care reform commission to review, examine, and make findings on the level of primary care spending by all payers in the context of all health care spending in the state and publish an annual report on the findings, and also make recommendations to increase and strengthen spending on primary care in the state and improve primary care infrastructure, taking care to avoid increasing costs to patients or the total cost of health care.

A 7230b

Establishes the primary care reform commission to review, examine and make findings on the level of primary care spending by all payers in the context of all health care spending in the state and publish an annual report on the findings, and also make recommendations to increase and strengthen spending on primary care in the state and improve primary care infrastructure, taking care to avoid increasing costs to patients or the total cost of health care.

Legislative briefing on reorienting New York's health system toward primary care

"We know that health systems that are oriented toward primary care function better... having access to a primary care provider means you'll be focused on [wellness]... You are concerned with your health on an everyday basis, not just when something is hurting."

- New York State Senator Gustavo Rivera

Primary Care Development Corp. Urges N.Y. Governor to Make Primary Care a Central Focus of Her Health Care Commitment

Primary Care Development Corporation (PCDC), a New York-based, national nonprofit organization and PCC Executive Member that aims to increase access to primary care and achieve health equity through strategic community investment, capacity building, and policy initiatives, was very pleased to hear N.Y. Gov. Hochul begin her State of the State address on Jan. 5 by clearly recognizing that “[t]he health of every New Yorker depends on a strong, stable, and equitable health care system, and health care workers are its very foundation.”

Safest States During COVID-19

WalletHub study

As the U.S. continues its efforts to overcome the COVID-19 pandemic amid a surge in cases caused by variant strains, staying safe is one of Americans’ top concerns. Safety is also essential for getting the economy back on track, as the lower COVID-19 transmission and deaths are in a state, the fewer restrictions there will be and the more confidence people will have to shop in person. While almost all states have fully reopened, we’ll only be able to completely get back to life as normal once most of the population is fully vaccinated against coronavirus. The good news is that the U.S.

News Author: 
Adam McCann

New York state lawmakers aim to establish primary care reform commission

News release from the Primary Care Development Corporation, a PCC Executive Member:

PCDC Supports Legislation to Strengthen Primary Care in New York

Primary care is undervalued and underfunded, despite evidence that it improves health outcomes and reduces costs

Making New York City a primary care town

Between 2012 and 2016, visits to primary care doctors in the U.S. declined 18 percent, according to a 2016 study by the Health Care Cost Institute, while visits to specialists increased. Primary care provides benefits that visits to specialists and emergency care can’t, including long-term disease prevention.

News Author: 
ANNIE MCDONOUGH

Aspiring primary care doctors rejoice: NYU medical school's tuition gift is a debt relief

Eighty-six percent of us medical graduates are in debt. I envision that it will be years before many graduates, especially recent ones with increasingly higher levels of debt, will have sufficient funds or desire to contribute while still repaying medical school bills. As a result of this decision, I would expect an increase in voluntary donations from proud and appreciative graduates from medical schools not charging tuition.

News Author: 
Derek Daniel

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