Download - New York Health - The Single Payer Option
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New York Health:
The Single Payer Plan for NewYork State
Robert A. Padgug, PhDBrooklyn College, CUNY
October, 2012
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New York HealthNew York Health (Assembly bill A7860/Senate S5425), a
single-payer plan
Provides:
Comprehensive Health coverageForAll New Yorkers
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New York Health:Agenda
Eligibility
Benefits
Provider Reimbursement Program Funding
Federal Waivers/Federal Funding
Private Insurance
Why New York Health Now?
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New York Health:Eligibility
Every resident of NYS eligible to enroll
Regardless of age, income, wealth, oremployment
No premiums, No deductibles, No copays
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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
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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
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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
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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
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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
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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
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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
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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
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New York Health:Private
Insurance
Private insurance duplicating
New York Health benefitscould not be offered in New York
State
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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
