After 18 months of negotiations with the federal government, New York state has received permission from regulators to implement a vast revamping of its healthcare delivery system in a bid to lower Medicaid costs.
Now the state is at the starting point of a complex overhaul effort that will involve hospitals, insurers, physicians and patients. Among its stated goals: cutting unnecessary hospital admissions for Medicaid patients by 25% after five years.
The New York hospital industry estimates that once the reform process is fully implemented, there will be a 5% overall drop in hospital admissions. With lower demand for inpatient care, the state's hospitals inevitably must downsize.