- The Study of New York Government
- The New York Constitution and the Federal System
- Political Parties in New York
- Campaign Finance Policy in the State and City of New York
- Public Opinion Polling and New York Politics and Governance
- Elections and Election Management
- Lobbying and the Interest Group System
- Politics and the News Media in the Empire State
- The New York State Legislature
- The Governor of New York
- The New York State Comptroller's Office
- The New York State Attorney General
- The Judiciary and Judicial Reform
- The Executive Branch
- New York State and the National Government
- New York in Fiscal Federalism
- The State and Its Localities
- New York State and New York City Relations
- New York State's “Foreign Policy”
- The Public Fisc in New York State
- New York State Education Policy and Politics
- Health Care Politics and Policy in New York State
- Public Safety Policy in New York State
- Higher Education in New York State
- Mental Health Policy in New York State
- Economic Development in New York State
- Welfare Policy in New York State
- The Environment in New York State
- Transportation Policy and Politics in New York State
- The Politics of Energy in New York State
- Selective Bibliography of New York Government and Politics: References
Abstract and Keywords
This article covers the provision of public and private health insurance. Health care has major implications for the state budget and the state economy. It describes New York's policies that regulate private health insurance and shape its Medicaid program. It then describes efforts to reform Medicaid through “executive federalism.” New York offers two major cautions for health reformers who support major federal initiatives to constrain the growth in health care costs. Health care is a key driver of state and local government costs. The dominance of Medicaid in New York's health insurance market, who it covers, and its sheer size in the state budget have tended to overshadow the private health insurance market. The tools of executive federalism represent potential mechanisms for shifting control of the Medicaid program to the executive branch. New York provides a cautionary note for health and long-term care reform at the national level.
Michael K. Gusmano is Associate Professor of health policy and management at New York Medical College and a Research Scholar at the Hastings Center.
Courtney Burke is the Commissioner of the New York State Office for People With Developmental Disabilities. At the time of chapter writing she was the Director, NYS Health Policy Research Center at The Nelson A. Rockefeller Institute of Government.
Frank J. Thompson is Professor at the School of Public Affairs and Administration at Rutgers-Newark and at the Rutgers Center for State Health Policy in New Brunswick.
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