Advancing Health Reform Implementation in New York State
Passage of the Federal health reform law in 2010 was clearly a game-changer, but the success or failure of reform will depend largely on how well the law is implemented at the State level. NYSHealth supported a number of efforts in 2010 to ensure that as many New Yorkers as possible will benefit from health reform.
The Foundation commissioned a report, prepared by Manatt Health Solutions and NYSHealth Visiting Fellow Deborah Bachrach, to review and analyze the key provisions of the law. The report, Implementing Health Care Reform: A Roadmap for New York State, also projects the unique implications that each provision of the law holds for New York, and identifies the tasks and hurdles that State government and other stakeholders must confront when implementing reform: creating the insurance exchange(s); reforming the payment and delivery system; and expanding access to care.
The Foundation also awarded grants to:
• Community Health Care Association of New York (CHCANYS), to provide technical assistance to health centers across the State to develop strong, competitive applications in response to Federal requests for funding proposals (the reform law makes available $11 billion to improve access to health care through community health centers);
• Community Service Society of New York, to examine the role of a Basic Health Program in a reformed health care system;
• United Hospital Fund, to explore design issues related to setting up the exchange;
• Manhattan Institute, to highlight market-oriented design issues related to the exchange;
• Medicare Rights Center, to ensure seamless coverage for "dual eligible" New Yorkers who qualify for both Medicare and Medicaid;
• Social Interest Solutions, to conduct an eligibility and enrollment systems inventory, examining the State’s existing information technology assets and deficiencies and identifying improvements needed to launch and operate a functional exchange; and
• Empire Justice Center, to lead a coalition of eight consumer organizations that will develop a framework for implementing the Navigators and Consumer Assistance Programs mandated under the health reform law.