new york health - the single payer option
Post on 03-Apr-2018
223 Views
Preview:
TRANSCRIPT
-
7/29/2019 New York Health - The Single Payer Option
1/14
New York Health:
The Single Payer Plan for NewYork State
Robert A. Padgug, PhDBrooklyn College, CUNY
October, 2012
-
7/29/2019 New York Health - The Single Payer Option
2/14
New York HealthNew York Health (Assembly bill A7860/Senate S5425), a
single-payer plan
Provides:
Comprehensive Health coverageForAll New Yorkers
-
7/29/2019 New York Health - The Single Payer Option
3/14
New York Health:Agenda
Eligibility
Benefits
Provider Reimbursement Program Funding
Federal Waivers/Federal Funding
Private Insurance
Why New York Health Now?
-
7/29/2019 New York Health - The Single Payer Option
4/14
New York Health:Eligibility
Every resident of NYS eligible to enroll
Regardless of age, income, wealth, oremployment
No premiums, No deductibles, No copays
-
7/29/2019 New York Health - The Single Payer Option
5/14
New York Health: Benefits (1)
Comprehensive Benefits
Choice of Providers
Inpatient Hospital Care Physician Care
Outpatient Care
Primary & Preventive Care
Prescription Drugs
Dental, Vision, & Hearing Care
-
7/29/2019 New York Health - The Single Payer Option
6/14
New York Health: Benefits (2)
You choose a primary care provider(PCP) and you choose all your care-
givers PCPs assist you to get all necessary care
and medical follow-up
PCPs assist you to negotiate the healthcare system
No insurance company stands between
you and your providers
-
7/29/2019 New York Health - The Single Payer Option
7/14
New York Health:
Reimbursement New York Health pays all providers infull with no copays or other charges to
patients New reimbursement methods will be
developed to replace current wasteful
fee-for-service payments Rates negotiated by New York Healthwith health care provider organizations
-
7/29/2019 New York Health - The Single Payer Option
8/14
New York Health:Funding(1)
No premiums, no deductibles, nocopays
No insurance company regressivetaxes (premiums) imposed regardlessof ability to pay
Paid for by a progressive NYS payrolltax
-
7/29/2019 New York Health - The Single Payer Option
9/14
New York Health:Funding(2)
Payroll Tax: Progressive, graduated
80% employer-paid
20% employee-paid
100% self-employed
Small income-tax surcharge
Existing premiums eliminated
-
7/29/2019 New York Health - The Single Payer Option
10/14
New York Health:Funding(3)
Existing Federal funds to be used forNew York Health, including:
- Medicare- Medicaid
- Family & Child Health Plus
Federal waivers where necessary Local share of Medicaid funding
(property-tax based mainly) ended
-
7/29/2019 New York Health - The Single Payer Option
11/14
New York Health:Funding(4)
All state and federal revenues to create
The New York Health TrustFund
to be used only for New York Health
-
7/29/2019 New York Health - The Single Payer Option
12/14
New York Health: Further
Work Long-Term Care (Including NursingHome) a plan to include needs to be
researched & developed
Hospital & Physician/Nurse
Practitioner/Physician AssistantReimbursement specific methodsneed to be developed & finanlized
-
7/29/2019 New York Health - The Single Payer Option
13/14
New York Health:Private
Insurance
Private insurance duplicating
New York Health benefitscould not be offered in New York
State
-
7/29/2019 New York Health - The Single Payer Option
14/14
Why New York Health Now?
Enables us to discuss whats crucial instate single payer legislation
Provides an organizing focus
Educates Legislators, some of whomwill run for Congress in the future
top related