2017 Opportunities & Challenges for Shifting to Value-Based Care in New York

In a recent RCM Answers, Sarianne Gruber reported on the “Navigating Value-Based Care: Making it Work in New York” panel at the 2016 Digital Health Conference. 

The success of New York State’s healthcare rests on the best strategies and implementations for value-based care and value-based purchasing. At the annual New York eHealth Collaborative Digital Health Conference, Patrick Roohan, Director at the NY State Department of Health opened the presentation with this year’s figures for “insuring” the health of New Yorkers. In 2016, the average cost of family coverage for insurance in the State of New York rose to $19,630, an increase of over $12,000 from 2006. Mostly due to the significant portion of cost sharing that New Yorkers are putting towards healthcare. Premiums and deductibles account for 10% of a family’s median income, as of the current year the median household income is $56,000. The ramification of these costs has set the count to 7 million people in New York State now covered by Medicaid, Child Health Plus, or the Essential Plan of New York. “While the department and I obviously advocate for people to be insured, the fact that 7 million people now qualify for these programs is obviously related to the first number.  Basically, what is going on is that insurance is becoming too expensive for many in the middle class,” shared Roohan. Supported by very low rates of uninsured persons due to a lot of the expansions, statistics show how well Medicare Manage Care has done with high rates of accessibility to care, plus lower rates of smoking and obesity.  Work remains on lowering hospital use and improving vaccination rates.

Read the article here

(Source: RCM Answers)