The Goals

coalitionny.org

The Goals

Health System Reform

in New York State

The Role of New York Medicaid

Deborah Bachrach, Esq.

NYS Medicaid Director and Deputy Commissioner

Office of Health Insurance Programs

NYS Department of Health

November 20, 2008

The Goals

• Improving Access

• Improving Quality

• Improving Health Outcomes

• Containing Costs

2


The Imperative

• Economic Crisis

i

• 2.5 Million Uninsured

• Unsustainable Levels of Health Care Spending

• Over Invested in Acute Care and High Tech

Interventions

• Under Invested in Primary Care

• System is Under Performing

3

The Levers

• Reimbursement

• Grants

• Capital Support

• Contracts

• Regulation

• Leadership

4


The Strategy

• Reorganization of the NYS DOH

• Realignment of Delivery System

• Effective Health Care Planning

• Statewide HIT Plan

• Transformational Reimbursement Reform

• Sound Purchasing

• Strong Public Health Agenda

• Accessible and Affordable Coverage

5

Our Partners

• Consumers

• Hospitals

• Community Clinics

• Doctors

• Insurers

• State Legislature

• Federal Government

6


The Timing

• Now

7

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