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  • New York Legal Assistance Group, Inc. Statewide Replication of Medical-Legal Partnerships Priority Area: Special Projects Fund $275,000

    Health care reform has created a greater need for legal assistance to navigate new rules and regulations. As many as 2.7 million New York State residents who do not currently have health insurance will be able to obtain affordable coverage through the Health Benefit Exchange once health reform is fully implemented. Many newly insured patients could potentially have multiple unmet legal needs related to issues ranging from housing to family law and more. In anticipation of the passage of a bill that would establish a medical/health-legal partnership program to address these needs within the New York State Department of Health, LegalHealth—a division of the New York Legal Assistance Group—initiated the New York State Medical-Legal Partnership (MLP) Expansion Project. LegalHealth intended to increase delivery of free legal resources to low-income health care consumers through the expansion of three existing MLPs and the creation of a new one. In September 2010, NYSHealth awarded LegalHealth a grant to support the formation of the New York State Coalition of Medical-Legal Partnerships (the Coalition).

  • Taconic Health Information Network and Community, Inc. (THINC) Planning Grant: Supporting the Development of Accountable Care Organizations in the Hudson Valley Priority Area: Special Projects Fund $131,342

    Current health care reimbursement structures generally reward volume rather than value, and do not encourage coordination or collaboration across unaffiliated organizations. A promising, but new and largely untested, model called accountable care organizations (ACOs) has emerged as a way to slow rising health care costs and improve quality. An ACO formally brings together a set of non-affiliated providers, and holds them accountable for the cost and quality of care delivered to a defined population of patients. The Taconic Health Information Network and Community, Inc. (THINC) brought payers and providers to the table in a joint pursuit of models that would benefit both communities in the Hudson Valley region. The New York State Health Foundation funded THINC to facilitate a planning process among payers, providers, and other key stakeholders.

  • Community Service Society of New York Exploring the Role of the Basic Health Plan Option in New York State Priority Area: Expanding Health Care Coverage $290,750

    Many individuals and families find themselves with too few health care options, earning income that is too high to qualify for Medicaid coverage but too low to afford private health insurance. Federal health reform gives every state the option to establish a Basic Health Plan (BHP)—a public coverage program for individuals with incomes just above the Medicaid income cut-off and less than 200% of the Federal poverty level. If New York State chooses to implement a BHP, eligible individuals would receive their insurance coverage through a BHP instead of receiving subsidies to purchase private coverage through the new health insurance exchange. However, careful analysis was needed to help the State fully understand the implications of creating a BHP and to make informed decisions. In September 2010, the New York State Health Foundation (NYSHealth) awarded the Community Service Society of New York (CSS) a grant to conduct this analysis along with two partners, Gorman Actuarial and Manatt Health Solutions.

  • United Hospital Fund of New York Implementing Health Reform: Immediate Issues and Options in Designing New York’s Insurance Exchange Priority Area: Expanding Health Care Coverage $496,000

    Federal health care reform mandates that each state establish a health insurance exchange or participate in a federally facilitated exchange, which will serve as a central marketplace where individuals and employers can access all public and subsidized private insurance options. Exchanges are key linchpins to the successful implementation of health reform. If the exchanges function as planned, they will expand coverage, improve the quality of coverage, and potentially reduce health care costs. Currently, federal reform law provides few parameters to shape the structure of these exchanges, leaving substantial design decisions up to individual states’ jurisdiction. New York State has faced many critical and complex choices in establishing a successful Exchange. In 2011, the New York State Health Foundation awarded a grant to United Hospital Fund to inform the immediate design decisions confronting the State. These decisions affected the outcomes of the Exchange related to its ability to provide affordable, sustainable coverage.

  • Low Income Investment Fund Developing Supermarkets in Low-Income Communities Priority Area: Special Projects Fund $300,000

    Poor nutrition is linked to the twin epidemics of diabetes and obesity. Many of New York’s low-income communities are commonly referred to as “food deserts” because residents lack access to healthy, affordable foods. Without healthy food options, residents are left to shop at corner stores that primarily sell high-fat, high-sugar, and heavily processed foods. To combat the lack of fresh and healthy food options in low-income communities, the Low Income Investment Fund (LIIF), in partnership with The Food Trust and The Reinvestment Fund, launched the New York Healthy Food and Healthy Communities Fund.

  • National Urban Fellows, Inc. Internship of the National Urban Fellows, Class of 2011 Priority Area: Other $140,000

    NYSHealth is committed to promoting diversity and leadership within the fields of health care and philanthropy by serving as a mentorship site for the National Urban Fellows (NUF) program. The NUF program matches multi-ethnic, multicultural mid-career women and men with nonprofit and government organizations across the country, with the goal of fostering leadership skills. Fellows receive a Master of Public Administration degree upon completion of their mentorships and academic requirements. NYSHealth’s participation in the NUF program helps prepare potential leaders who are interested in pursuing careers in philanthropy and the health care industry. Each year since 2006, a NUF fellow has worked with staff at NYSHealth on several projects designed specifically for their mentorship year.

  • Community Health Care Association of New York State, Inc. (CHCANYS) Securing Federal Dollars to Support the Growth of New York’s Community Health Centers Priority Area: Expanding Health Care Coverage $398,562

    Successful implementation of Federal health reform will require a substantial increase in primary care capacity, both for the influx of newly insured people and to ensure a strong safety net for those who remain uninsured. The Patient Protection and Affordable Care Act made community health centers (CHCs) a cornerstone for increasing primary care access. In New York, the expected number of individuals served by CHCs is expected to double to nearly 3 million by 2015. In August 2010, the Health Resources and Services Administration released a request for proposals to solicit applications for funding to create new CHC New Access Points (NAPs) throughout the country. With support from the New York State Health Foundation (NYSHealth), the Community Health Care Association of New York State (CHCANYS) provided immediate technical assistance to select CHCs applying for the NAP funding opportunity.

    Read an article by NYSHealth Senior Vice President David Sandman and Communications Director Maureen Cozine on NYSHealth’s successful effort to help community health centers secure Federal funds through the NAP program.

  • The Haitian American Cultural and Social Organization Inc. (HACSO Community Center Inc.) Haitian Support Project Priority Area: Special Projects Fund $25,000

    Rockland County has approximately 10,000 Haitian residents, most of whom reside in Spring Valley, a village in the town of Ramapo. In the aftermath of the devastating earthquake that struck the Haitian capital of Port au Prince in January 2010, the Haitian American Cultural and Social Organization Inc. (HACSO) experienced an influx of Haitian immigrants and local Haitian residents who need assistance with social and health care services. In response to this catastrophe and the needs of New York Haitian communities, NYSHealth developed a three-part response strategy. The Foundation participated in two separate funding collaboratives led by Brooklyn Community Foundation (BCF) and Long Island Community Foundation (LICF). NYSHealth also provided a grant to Haitian American Cultural and Social Organization (HACSO). NYSHealth provided grants totaling $150,000 to support these organizations’ efforts to address the needs of Haitian communities in three areas of the State.

  • Greenwich House Strategic Alliance between Greenwich House and The Caring Community Priority Area: Special Projects Fund $99,935

    Founded as a settlement house in the neighborhood of Greenwich Village, Greenwich House has been responding to the vital needs of New Yorkers of all ages and backgrounds by providing critical social and health services, and cultural and educational programs since 1902. The Caring Community (TCC) is an almost 40-year-old organization that was founded to meet the needs of older New Yorkers residing in Greenwich Village and later extended its services to lower Manhattan. Together, Greenwich House and TCC share common missions, operate similar programs, and serve overlapping populations. In 2010, the nationwide economic crisis and projected municipal budget cuts placed the services delivered at TCC in serious jeopardy. To address these concerns, NYSHealth awarded Greenwich House a grant later that year to evaluate and create a strategic alliance between Greenwich House and TCC. The intent of the alliance was to preserve vital services that might otherwise be lost as a result of the economic downturn and consolidate administrative overhead between both organizations.

  • Community Health Care Association of New York State, Inc. (CHCANYS) Improving Diabetes Clinical Care at New York’s Community Health Centers - Phase 2 Priority Area: Diabetes Prevention and Management $188,686

    Diabetes prevalence in New York State has doubled since 1994 and is expected to grow; 1.8 million New Yorkers suffer from diabetes and 4.2 million have prediabetes. To address this crisis, the New York State Health Foundation (NYSHealth) invested in a $35 million diabetes campaign with the goal of reversing the epidemic. The New York State Diabetes Campaign focuses on improving clinical care and patient outcomes; mobilizing communities to prevent diabetes and support diabetes self-management; and promoting policies that sustain comprehensive and effective care for people with diabetes. To advance the Campaign’s clinical goals among community health centers, NYSHealth funded the Community Health Care Association of New York State (CHCANYS) to provide its members with the technical assistance needed to improve the care and outcomes of their patients with diabetes. This grant was awarded in four phases.

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