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  • The Nelson A. Rockefeller Institute of Government Increasing Health Care Policy Research and Analysis Capability in New York State Priority Area: Expanding Health Care Coverage $129,157

    Medicaid is the single largest funding source for long-term care, paying for half of all nursing home and community based long-term care in the nation. Given the disproportionate use of Medicaid as a funding source for long-term care, the New York State Department of Health’s Office of Health Insurance Programs was looking for potential policy improvements to better target Medicaid spending and services. In addition, many states are looking for ways to reduce asset transfers as a means for reducing long-term care costs. Under this grant, New York State Health Policy Research Center at the Rockefeller Institute of Government (Rockefeller) undertook two studies. The first study compared New York State to other states on a range of long-term care issues. The second study reviewed the prevalence of denials for Medicaid-funded nursing home care and found wide variation in reported denial rates across the State’s counties. Both reports resulted in widespread press coverage across the State.

    This project was part of a larger NYSHealth authorization that funded a series of quick-strike analyses to help the New York State Department of Health’s (NYSDOH’s) Office of Health Insurance Programs find ways to streamline and expand its public health insurance programs.

    Read an NYSHealth special report that contains a summary of findings from this authorization.

    Read Medicaid and Long-Term Care: New York Compared to 18 Other States, a Rockefeller-produced report about how New York compares with other states on a range of long-term care issues, such as demographics, spending, and quality.

    Read Assessing Asset Transfer for Medicaid Eligibility in New York State, a Rockefeller-produced report about the incidence of asset transfers for Medicaid-funded long-term care.

    Read additional analyses NYSHealth funded Rockefeller to conduct based on its findings on rates of asset transfers.

    One important lesson emerged from this project regarding data extractions. Although the data necessary for this project were collected for administrative purposes, they were difficult to use for research. One way to address this shortcoming is to fund upfront work to see if the desired analysis is possible and whether the limitations present too much of a barrier to make a larger study worthwhile. Read about how this issue has come up on another NYSHealth grant to date.

  • Health Association of Niagara County Changing Children’s Lives by Transforming School System Policies Priority Area: Special Projects Fund $150,000

    Recognizing that obesity in youth has lifelong negative effects, including increasing the likelihood of developing serious chronic diseases, such as diabetes and hypertension, this project sought to reduce obesity rates for Niagara-area children by identifying and recommending new school system policies and other environmental changes to promote healthy eating and increase physical activity.

  • Center for Governmental Research NYSHF Strategic Priority Background Work - Addressing the High Cost of Health Care in New York State Priority Area: Advancing Primary Care $63,137

    Health care costs are rising to what is arguably an unmanageable level, and Centers for Medicare and Medicaid Services’ project that health care spending will account for 20 percent of GDP by 2015. Total health care spending in NY is about $45 billion, the highest in the nation. It is also clear that this spending is not buying high quality health care; the current system is geared towards acute, rather than preventive or chronic care, which could save costs. The efforts to stall and to reduce costs include consumer-directed health care, but it is unclear that consumer-directed health plans will actually control costs. With support from NYSHealth, the Center for Governmental Research (the Center) will investigate the issue of cost and transparency in the New York State health care system and develop a report on its findings.

  • Center for Health Care Strategies Strategic Priority Background Work – Organizing Services for Elders Priority Area: Advancing Primary Care $49,902

    The Center for Health Care Strategies (CHCS) conducted a strategic assessment of potential ways the New York State Health Foundation could positively impact how health care and community services are delivered to elders. This report summarized the views of experts across New York State on opportunities for making these services more efficient and effective. 

  • National Urban Fellows, Inc. Internship of the National Urban Fellows, Class of 2007 Priority Area: Other $60,000

    To maximize each fellow’s talents while also providing a rich learning experience, NYSHealth assigns concrete projects and goals to allow fellows to focus their time and energy. Connecting the fellow’s interests and existing skill set with opportunities to grow, expand, and attain new competencies makes for a fulfilling experience for the fellow as well as for the mentoring organization.

  • Social Ventures, Inc. Ithaca Health Alliance A Free Clinic for the Uninsured Priority Area: Expanding Health Care Coverage $48,769

    Some 10,000 residents of Tompkins County, N.Y., lack health insurance; many of the uninsured live below the poverty line. The Ithaca Free Clinic, the first to provide free medical care to uninsured residents, opened with limited hours in January 2006. With additional funding, Ithaca Free Clinic hoped to recruit additional volunteer health professionals, enabling significant expansion of the clinic’s operating hours and services offered, including a new pediatric clinic and public health education program.

  • Action for a Better Community, Inc. MOW (Monroe, Ontario, Wayne) Health Project Priority Area: Special Projects Fund $135,976

    Poor rural areas surrounding Monroe, Ontario, and Wayne counties struggle with unmet health care needs such as low rates of child immunizations, high rates of breast cancer, alcoholism, and inadequate medical services. The MOW Health Project was intended to build on the area’s existing human service outreach network to provide health service outreach and education and to facilitate insurance enrollment in public programs.

  • Bassett Healthcare Telemedicine: Expanding Specialty Care to Rural Hospitals Priority Area: Special Projects Fund $977,586

    Patients who live in rural areas may be unable to get timely, high-quality medical care when they experience an acute medical crisis. To address this issue, Bassett Healthcare (Bassett) explored and developed the use of telemedicine across its system of care in central upstate New York. Bassett developed a Telestroke initiative to enable suspected stroke patients in rural areas distant from the Stroke Center at Bassett’s central facility in Cooperstown to receive specialty consultation without having to be brought there.

  • Fund for Public Health in New York NYCRx: Improving Medication Access and Adherence for New Yorkers Priority Area: Special Projects Fund $299,958

    Each year 1 million New York City residents—many of whom are either uninsured or under-insured—fail to fill a prescription due to cost. Failures to adhere to medication regimens causes more than 3,000 deaths and costs billions of dollars annually. NYCRx targeted this problem by expanding access to programs that offer free pharmaceuticals to clinics throughout New York City.

  • Catholic Charities of Onondaga County KIDS WIN! Child Health Project for Obesity Prevention Priority Area: Special Projects Fund $150,000

    Obesity in young people is an epidemic in the United States. Catholic Charities of Onondaga County has a long-term commitment to improving the health and well-being of school-age children and youth (ages five through 18) by engaging them in an after-school and summer program called Kids WIN! The multi-year program provides activities that are fun and information to help shape children’s understanding, choices, and behavior related to nutrition and fitness.

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