The Civil Service Employees Association, or CSEA, is currently involved in several law suits across New York state with counties, including Onondaga County, that are trying to get out of the business of running nursing homes. Now Ontario County may now face legal action from the union over its decision to put its county-run nursing home on the market.
No state spends more on Medicaid than New York, earning it the nickname of the Cadillac of Medicaid programs. But that may soon end. One of the reasons the state spends $54 billion a years on the federal health care program for the poor, are 31 optional services that the state can sign on for -- ranging from transportation, to prescription drugs, to private nurses.
Some of the larger hospitals in New York state are worried about one aspect of the Affordable Care Act: academic medical centers are slated to lose millions of dollars in a particular kind of Medicaid payment over the next few years.
New York state's attack on ballooning Medicaid costs has started with a program that offers coordinated care for certain Medicaid patients. State Medicaid Director Jason Helgerson says the program called Health Homes, is aimed at the people who have the most complex Medicaid charts.