Medicaid

Constituent Consistency

September 5, 2012 County Government

One of the things that’s interesting about this story in the Observer, out in Dunkirk, NY is how the comments (vitriol included) are so like what you’ll read and hear all over New York where a county is considering doing anything other than building a new nursing home. Here are a couple of examples: FredoniaFred:The […]

Read the full article →

NPR Notices the Fading County Nursing Homes in NYS

August 17, 2012 County

National Public Radio does a story on New York’s counties getting out of the nursing home business. Click here for text and sound.

Read the full article →

Managed Long Term Care and the Implications for Public Nursing Homes

June 12, 2012 County Government

As we discussed earlier, New York (and many other states) is moving its Medicaid policy toward managed long-term care. Here’s an excerpt of what we wrote earlier: First, the State finally decided to bring the rest of the Medicaid population into some form of capitated, case-managed care. When the State originally imposed mandatory managed care […]

Read the full article →

The “Unfunded Mandate” Gig. What Would Real Government Reform in NY Look Like?

June 7, 2012 Administration

As they do from time-to-time, all over New York, county officials are screaming about “unfunded mandates.” Candidates for the State Legislature are touting reforming “unfunded mandates” as an essential part of their platform. Even aside from the funded unmandates (read that carefully) of county nursing homes that so many still wish to maintain and some […]

Read the full article →

More on, and a Possible Correction on IGT

June 7, 2012 Budget

Last week, we noted that the Federal government wants some of its IGT money back. I’m not, not, not going to try to explain how this program works or why and how counties put up $.50 on one day and the next day their nursing homes get back $1.00. But during the recession, counties only […]

Read the full article →

Albany County. Once Again Between a Nursing Home Rock & a Nursing Home Hard Place

May 22, 2012 County Government

Albany County Legislators are frustrated. They want to build a new nursing home, but they’ve bungled it repeatedly so they’re in a “no-man’s land” in the approval process. At the same time, Federal regulations require all Federally qualified nursing homes to have sprinklers by August of 2013. The only exception to the rule is when […]

Read the full article →

Reality Intrudes

April 13, 2012 County Government

A colleague asked me this morning whether I’d planted this story in the Albany Times-Union describing the movements of Saratoga and Ulster Counties to unload their nursing homes. My response? “Didn’t need to. Reality intrudes.” At least in Saratoga and Ulster and many other counties in New York. Albany County? Not so much.

Read the full article →

“Everything Has Changed.” Albany County Gets to Try Again, but the Bar Will be Even Higher

April 6, 2012 County Government

“Everything has changed.” Well, New York’s Public Health & Health Planning Council did not reject the Albany County Nursing Home application. As predicted here yesterday, they deferred it. But the Committee still heard testimony both for and against the application and they discussed it at some length. However in the vote of the Establishment and […]

Read the full article →

Today in the Supreme Court

March 26, 2012 Medicaid

From today’s Supreme Court deliberations on the Patient Protection and Affordable Care Act (PPACA), here’s a sampler of some news and analysis. Here’s Adam Liptak from the New York Times, Justices Hear Argument That Health Case is Premature. For a different perspective, read Henry J. Aaron, a distinguished healthcare economist from the Brookings Institution. Here […]

1 comment Read the full article →

Universal Coverage, “Obamacare,” and the Supreme Court

March 25, 2012 Federal Government

Be careful what you wish for. Coming up this week will be extensive, multi-day arguments before the US Supreme Court on the Patient Protection and Affordable Care Act (PPACA), labeled derisively by the right as “Obamacare” and perhaps increasing embraced by the Left as “Obamacare.” As Vice President Biden said at the signing ceremony, “this […]

1 comment Read the full article →

← Previous Entries

Next Entries →