New York's health care industry won't be getting a DSRIP 2.0.
Gov. Andrew Cuomo said Monday that the Trump administration had denied New York's request to extend the Delivery System Reform Incentive Payment Program in two phases. Instead, it is set to end at the end of March as scheduled.
Under New York's application, the state would have extended the waiver in two phases. The first phase would have extended the waiver through March 2021 and allowed the state to use $625 million in unspent funds from its original $7.4 billion program. The second phase, stretching into March 2024, sought a $8 billion more in federal funding.
The Centers for Medicare and Medicaid Services denied both requests.
Kenneth Raske, president of the Greater New York Hospital Association, called CMS' decision "extremely shortsighted" and said it "is a major step backward for New York's health care providers and the patients they serve."
The decision is a turning point for the state's health care industry. New York kicked off DSRIP in 2014 by devising a way to distribute $7.4 billion to transform the delivery system and reduce avoidable hospital use by 25% over five years.
The state Department of Health said in September that the 25 Performing Provider Systems were on track to reach that goal and had lowered preventable hospital admissions by 21% as of June 2018.
Critics of the program, however, have said the state's health care system looks largely the same as it did five years ago because most of the DSRIP money went to hospitals and not community-based organizations.
"The current DSRIP waiver has been an important tool in the state's efforts to transition away from the fee-for-service payment system, which emphasizes volume over value," Eric Linzer, president and CEO of the state Health Plan Association, said in a statement. "The proposed amendment would have helped to further those efforts."
Local health officials had expected it to be an uphill battle for New York state to persuade the Trump administration to give it billions in Medicaid waiver money.
Given the verdict, Performing Provider Systems must decide whether they will continue to operate without federal support.
Somos Community Care, the Suffolk Care Collaborative and other groups already have disclosed layoffs to the state Department of Labor.
Joseph Conte, executive director of the Staten Island PPS, said he was surprised that CMS isn't allowing New York to extend its DSRIP program by one year and use its $625 million in unspent funds.
"I think there was a general expectation that the extension would go forward and the [$8 billion] renewal would be a complicated piece of business," he said.
The Staten Island PPS plans to continue operating after April 1, generating revenue by offering consulting services to health plans and community-based organizations in the areas of data analytics, the social determinants of health and workforce development.
The organization has 14 employees right now, Conte said, down from 22.
"We have been working for the past two years for this day," he said.
— Jonathan LaMantia, Crain's Health Pulse
Scammers Using Fake Novel Coronavirus Phishing Emails to Target Consumers Online
The New York State Division of Consumer Protection (DCP) is alerting consumers about scammers taking advantage of fears surrounding the novel coronavirus. Scammers are using fake emails that contain harmful links designed to steal your personal information. While the New York State Department of Health, which is the medical authority on novel coronavirus in the State, has recently stated there are no confirmed cases of the novel coronavirus anywhere in New York, people should still be on the lookout for scammers looking to take advantage of public fears surrounding this issue.
“Unscrupulous scammers are taking advantage of the news of the novel coronavirus by trying to lure people into unknowingly providing their personal information,” said Secretary of State Rossana Rosado. “Taking the necessary precaution to avoid coronavirus scams can help protect your hard-earned money and your identity.”
“While the novel coronavirus is infecting people throughout the world, in New York State we have had no confirmed cases,” said Commissioner of the New York State Department of Health Dr. Howard Zucker. “Unfortunately, the Internet is loaded with misinformation, but simple, proven precautions like washing your hands and staying indoors when you feel sick will help prevent the spread of infection all year.”
Scammers are using fake emails that claim to have information on novel coronavirus updates and include an interactive link where you can look up the numbers of cases near you and more. The links, however, are harmful and redirect to web pages that steal your information instead of providing you with important updates.
DCP provides the following tips to protect yourself from novel coronavirus scams, and similar scams that typically arise with a major global event:
The New York State Division of Consumer Protection serves to educate, assist and empower the State’s consumers. For more consumer protection information, call the DCP Helpline at 800-697-1220, Monday through Friday, 8:30am-4:30pm or visit the DCP website at www.dos.ny.gov/consumerprotection. The Division can also be reached via Twitter at @NYSConsumer or Facebook at www.facebook.com/nysconsumer
The Association on AgingNY was excited to have a very productive advocacy day. Directors from across the state were able to meet with their elected officials, and provide information on our services and supports.
As highlighted by Executive Director Becky Preve's testimony, services provided via the Aging network are focused on enabling individuals and their loved ones to age in place. This philosophy is based on a person centered approach, and provides the added benefit of avoiding spending down to Medicaid, or entering a skilled nursing facility.
We are very pleased from the support of the members of the aging committee, and the Senate Aging Chair Rachel May and Assembly aging chair Harry Bronson.
GOVERNOR CUOMO PROVIDES UPDATE ON NOVEL CORONAVIRUS WHILE REMINDING NEW YORKERS FLU IS STILL PREVALENT
Still No Confirmed Cases of Novel Coronavirus in New York State
Since Start of Flu Season the Number of Laboratory-Confirmed Flu Cases and Hospitalizations Continues to Climb
Find Locations Where You Can get the Flu Shot Near You Here, and Track Flu Cases in Your Area Here
Governor Andrew M. Cuomo today advised New Yorkers that State and local health departments and healthcare partners are remaining vigilant and have a high state of readiness to protect New Yorkers from novel coronavirus. He also advised New Yorkers of the ongoing risk for seasonal flu and urges them to take recommended precautions to prevent both. As of today, the New York State Department of Health has sent samples from 11 individuals to the CDC for testing for the novel coronavirus, with seven found to be negative and four more still pending. There are no confirmed cases in New York State.
Regarding flu however, the number of laboratory-confirmed flu cases and hospitalizations has increased every week since flu season began in October. Flu season occurs primarily from October through May, and the 2019-20 season has yet to peak.
"New York does not have one single confirmed case of the novel coronavirus, but we are taking every necessary precaution to protect against its spread into our state. We have been here before, and I want to remind New Yorkers that it is much more likely that they will be exposed to the influenza virus than to the coronavirus," Governor Cuomo said. "I am urging New Yorkers to take basic precautions against the flu, such as regular hand washing and avoiding close contact with people who are sick. These measures will also help people avoid coming in contact with the novel coronavirus."
The latest influenza surveillance report shows seasonal flu activity continues to increase in across New York State. Last week 2,015 New Yorkers were hospitalized with lab-confirmed influenza, up eight percent from the previous week. This season, there have been 11,539 flu-related hospitalizations. In addition, last week, 15,012 laboratory-confirmed flu cases were reported to the State Department of Health, an 11 percent increase in cases from the week prior. There has been a total of 72,385 lab-confirmed cases reported this season, with three flu-associated pediatric deaths. Influenza activity data is available on the New York State Flu Tracker. The Flu Tracker is a dashboard on the New York State Health Connector that provides timely information about local, regional and statewide influenza activity.
On January 3, the State Department of Health issued a statewide health advisory alerting healthcare providers to the dramatic increase in flu activity across New York State. The advisory also encourages providers to promote the effectiveness of patients getting vaccinated to help prevent the spread of influenza. While the effectiveness of the flu vaccine can vary, this year's flu vaccine is likely to be more effective against the types of flu viruses that are circulating this season.
Department of Health Commissioner Dr. Howard Zucker said, "As flu is considered widespread in New York State, taking everyday preventive steps such as washing hands often, covering a cough or sneeze and staying home when experiencing flu-like symptoms will help prevent the spread of the flu. These same actions will help protect New Yorkers against the novel coronavirus."
The latest increase in lab-confirmed flu hospitalizations comes after Dr. Zucker declared flu prevalent in December throughout New York State. The announcement put into effect a regulation requiring that healthcare workers who are not vaccinated against influenza wear surgical or procedure masks in areas where patients are typically present.
The State Health Department recommends and urges that everyone six months of age or older receive an influenza vaccination. The vaccine is especially important for people at high risk for complications from influenza, including children under age 2, pregnant women and adults over age 65. People with pre-existing conditions, such as asthma and heart disease, are also at greater risk, as are individuals with weakened immune systems due to disease or medications such as chemotherapy or chronic steroid use. Since influenza virus can spread easily by coughing or sneezing, it is also important that family members and people in regular contact with high risk individuals get an influenza vaccine.
While there is currently no vaccine for novel coronavirus, the same simple preventative measures for influenza can help stop the spread. Last week the Department of Health issued guidance to healthcare providers, healthcare facilities, clinical laboratories, colleges and local health departments to provide updated information about the outbreak, and ensure the proper protocols are in place if a patient is experiencing symptoms consistent with the novel coronavirus, had a travel history to Wuhan, China, or had come in contact with an individual who was under investigation for this novel coronavirus. Additionally, the Department has hosted a series of informational webinars for hospitals, colleges and local healthcare providers. The Department of Health is also working closely with the Centers for Disease Control to receive daily updates.
More information about the novel coronavirus is available here.
For Governor Cuomo's previous statements on novel coronavirus: