Nearly a thousand protestors joined a group that were kicked out after they staged a protest to protest the President’preschool teaching jobs ny plan to get rid of Obamacare inside a Trump restaurant in Manhattan in January. New York’s public hospitals, which shoulder most of the burden of care for the city’s poorest patients, are facing a financial blow that could dramatically weaken New York’s already stretched health care system, according to a new report. Hospital system especially, it’s not a pretty picture. 8 billion in 2020 —and that’s before a potentially devastating funding cut, an unintended consequence of the Affordable Care Act.
That defect in the ACA was just worked around under President Obama. This week, that little-known flaw in the ACA will be allowed to take its toll, when a makeshift Medicaid fix — supplemental payouts to so-called Disproportionate Share Hospitals, or DSH payments — will suffer deep cuts. 7 billion a year in DSH funds. I do not know at this time how this state could adjust for it. H was the work of Barbara Caress, a health care consultant and professor at Baruch College, and James Parrott, director of economic and fiscal policy at the New School’s Center for New York City Affairs. One of their key findings was the degree to which public hospitals bear the cost of care for Medicaid patients — and take on the most under-reimbursed jobs in the city’s health care system, from Level One emergency trauma care to substance abuse and psychiatric disorders.
Caress and Parrott note that the city’s wealthier private hospitals can avoid the costs of such patients and services only because public hospitals pick up the load. H share of selected psychiatric and substance abuse discharges in 2010 and 2014. H plays in the city’s health system. 2 billion, about a sixth of the total currently paid out.
H share of NYC hospitals in 2014. 10,249 for someone diagnosed with a major depressive disorder. Cases with higher reimbursements, such as surgery cases, tended to be treated at the city’s private hospitals. Surgical procedures produce the largest margins — especially when accompanied by complications.
H hospitals effectively subsidize the profitability of the city’s private hospitals. 659 million in property taxes each year, a benefit awarded to hospitals because they are working for the public good. H share of inpatient discharges of selected DRG’s in 2014. But co-author James Parrott said the fix is not as simple as taking from private hospitals to help the public ones.