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HANYS Urges Key Priorities in State Medicaid Waiver

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HANYS is encouraging its members to weigh in at public forums on the Cuomo Administration’s proposed $10 billion Medicaid 1115 waiver from the federal government that would implement the Medicaid Redesign Team (MRT) action plan to transform the state’s health care system.  The $10 billion represents a share of the more than $17 billion in estimated federal savings generated by MRT reform.

HANYS encourages members to emphasize the following key points:

  • The transformation of the health care system is at a critical juncture.  New York State and health care providers have begun changing how care is delivered to improve quality, access, and efficiency. 
  • Hospitals and health systems statewide are committed to reducing the cost of care and improving quality.  However, doing so requires and up-front investment at a time when many providers face intense financial challenges.  This Medicaid waiver can provide those resources, is strongly supported by hospitals and health systems, and is essential to the success of health care reform.
  • Hospitals and health systems support the adoption of new care models that place the responsibility for the care of individuals with providers, where it belongs.  The best way to achieve care management for all is to make investments where the care is provided, instead of additional administrative structures. 
  • It is crucial that the Medicaid waiver provide for infrastructure investment, operational support, and the participation of the continuum of providers—from the most sophisticated, who have already developed and wish to expand integrated services, to those are just beginning to adopt changes in care delivery. 
  • HANYS supports the waiver initiatives proposed that expand support for uncompensated care, the statewide sustainability of all types of safety net and essential community providers, and preservation of access to essential care at public hospitals are vital to urban, suburban, and rural communities across the state.
  • The state’s waiver framework should be expanded to address regulatory reform.  Providers face many regulatory barriers when attempting to make the very changes the waiver supports.  The waiver can be an opportunity to address these outdated and burdensome regulations.

As part of the waiver request, the state will solicit comments and recommendations in a series of public forums and through other means.  A series of four public forums are scheduled to take place starting next week (see schedule below).  HANYS’ members are encouraged to make statements at these forums, use HANYS’ materials as part of their presentations, and to share their ideas on the Medicaid waiver.

Upcoming Forum Schedule


Tuesday, June 12
1 - 4 p.m.

The Oncenter
Nicholas J. Pirro Convention Center

800 South State St.

Wednesday, June 13
1:30 - 4:30 p.m.

Roswell Park Cancer Institute
David C. Hohn Lecture Hall
Research Studies Center
Elm and Carlton Streets

Monday, June 18
12:30 - 3:30 p.m.

Bronx Community College
2155 University Avenue

Albany (Rensselaer)
Wednesday, June 20
1 - 4 p.m.

University at Albany
School of Public Health Auditorium
1 University Place

HANYS’ compendium of waiver ideas collected from the members so far is available online in HANYS’ Draft Medicaid Waiver Priorities and Summary of HANYS' Member Input document.

The state also issued a document that outlines the rationale for seeking a waiver and outlining its proposed draft set of ideas for how the waiver funds would be utilized: Medicaid Waiver: Tool to Fully Implement the MRT Action Plan.  The state notes that stakeholder input will be used to consider modifications of the ideas.  Contact: Steven Kroll

Published June 8, 2012