Health and healthcare in New York State

Prognosis – Physician Supply in New York State: Physician shortages within the state are unlikely to ameliorate any time soon. Although the number of physicians practicing in New York continues to grow, so is the demand for physician services, especially in light of likely increases in insurance coverage from national health care reform and the aging of the population. A 2009 supply/demand analysis by CHWS found that the greatest gaps between physician supply and demand are projected in regions where demand was forecast to grow most rapidly, and that current shortages will only worsen. New York Physician Supply and Demand Through 2030, a comprehensive report on the New York State physician workforce provided by CHWS, forecasts a gap of between 2,500 and 17,000 physicians in New York State by 2030. 8

Y. Confidentiality Clauses 1. Any materials, articles, papers, etc., developed by the CONTRACTOR under or in the course of performing this AGREEMENT shall contain the following, or similar acknowledgment: "Funded by the New York State Department of Health". Any such materials must be reviewed and approved by the STATE for conformity with the policies and guidelines for the New York State Department of Health prior to dissemination and/or publication. It is agreed that such review will be conducted in an expeditious manner. Should the review result in any unresolved disagreements regarding content, the CONTRACTOR shall be free to publish in scholarly journals along with a disclaimer that the views within the Article or the policies reflected are not necessarily those of the New York State Department of Health. The Department reserves the right to disallow funding for any educational materials not approved through its review process.

She also sits on their curriculum board meetings. The fellow will be placed at the executive level where they will be involved in high priority initiatives that are deemed to have a positive public health in the New York State community. Both mentors are at the executive level just under the deputy commissioner and therefore will be able to help navigate the fellow’s experience. The fellow will work in multi‐disciplinary teams with subject matter experts across the center, be a part of building partnerships and help guide the direction of their project. The fellow will also have access to the outreach program to assist in any community engagement efforts and will be part of the executive level decision making.

8 Office of the New York State Comptroller guidance. Consequently, there were errors in the dates of services provided that could have resulted in excess payments of about $2.6 million more than the claim’s correct amount. In New York State, there are eight hemophilic treatment centers that have been designated as federally-funded 340B entities in accordance with the Public Health Services Act. The eight centers are eligible to participate in the 340B Drug Pricing Program (or PHS Pricing) that requires drug manufacturers to provide outpatient drugs to the covered entities at reduced prices. However, one hospital repeatedly submitted claims and received payments for hemophilic blood products at costs that exceeded the PHS price limits. We alerted Department officials of the overpayments, and they initiated a review of hemophilic-related payments to the hospital dating back to 2002. As a result of their review, the officials identified $1,010,357 in overpayments for 1,089 excessively priced claims.

back on line during repatriation of healthcare facilities. This was at the request of MARO, with the document posted on the HCS. BWSP also provided periodic updated lists of Public Water Systems and locations for filling emergency drinking water tankers to the Health Desk at the State EOC. Much of this information had been gathered pre-event. A suggestion was also made to pre- identify water tanker disinfection locations, some which were identified during response activities. This was invaluable to OEM and FEMA, as they dealt with providing potable water to affected communities. The ability of CEH to post BWOs directly on the

Applicants who answer ‘YES’ to any of the questions must submit a statement of explanation with documentation to support the explanation. APPLICANT (OR AUTHORIZED REPRESENTATIVE) SIGNATURE -- Enter your name and title; sign and date. 3. Make a copy of your application and all supporting information/documentation for your records. Send the application, along with the requisite fee (if applicable) in the form of a check or money order made payable to the New York State De- partment of Health, Bureau of Narcotic Enforcement, as well as any other information/documentation required, ad- dressed to:

Foreword The New York State Department of Health in consultation with the New York State Education Department, has developed the attached procedures and guidelines to assist school districts in the development and implementation of their local policy. This document is intended for guidance to be used by the Board of Education, Superintendents, and the building team, as well as the parent/guardian in providing a safe environment and reasonable care for students with life‐threatening allergies. It does not constitute a mandate nor imply liability should the school choose other options for care. While this resource contains recommendations that represent best practice, the school district and health professionals must determine the appropriateness of care developed to each individual student in the unique situation in which they practice within the parameters of existing laws and regulation (see Laws and Regulations p. 38).

My colleagues from HANYS and GNYHA have given you extensive and thorough testimony as to the problems of the New York State Medicaid system. They have also presented rational solutions that they agreed to as members of the Medicaid Redesign Team to reform Medicaid. The Iroquois Healthcare Alliance supports many of the recommendations made by HANYS and GNYHA, and will work with them, and with you, to see that these reforms become reality. I will not repeat their testimony, but would like to speak briefly on the concerns of Upstate hospitals, nursing homes, and physicians.

Most insured individuals receive their health insurance from employment. As healthcare costs increase with each incremental cost, some employers will choose not to offer coverage. This is especially true of small employers, as a majority of small employers who do not offer health insurance cite affordability as a major issue. A survey released in February 2001 by the New York chapter of the National Federation of Independent Business revealed that 63% of small business owners say the cost of health care is one of the three most serious problems they face. 6 This was reinforced in January 2002 when a Federal Reserve Bank of New York survey showed that 63% of small business owners in upstate New York cite health insurance premiums as a barrier to growth. 7

Overview SECTION 1 INTRODUCTION Managed care plans provide a wide range of health services to millions of New Yorkers. Choosing a managed care plan that meets your needs and the needs of your family is an important decision. There are many things to consider before choosing a managed care plan. Does your current doctor participate in the plan? Does the plan enroll members in the county in which you live? Does the plan offer special services that will enhance the health of your family? This report is designed to help you make an informed decision by providing you with clear, easy-to-read information on managed care plan performance with respect to primary and preventive health visits, health care for acute illness, behavioral health, and medical management of select chronic diseases. This report provides information on the managed care plans currently enrolling members in New York State, including the regions of the state they serve, the types of managed care products they provide, how to contact their member services

Introduction Managed care plans provide a wide range of health services to millions of New Yorkers. Choosing a managed care plan that meets your needs and the needs of your family is an important decision. There are many things to consider before choosing a managed care plan. Does your current doctor participate in the plan? Does the plan enroll members in the county in which you live? Does the plan offer special services that will enhance the health of your family? This report is designed to help you make an informed decision by providing you with clear, easy-to-read information on managed care plan performance with respect to primary and preventive health visits, health care for acute illness, behavioral health, and medical management of select chronic diseases. This report provides information on the managed care plans currently enrolling members in New York State, including the regions of the state they serve, the types of managed care products they provide, how to contact their member services departments, and other information about enrollment and national accreditation status.

(d) The Contractor acknowledges notice that the State may seek to obtain offset credits from foreign countries as a result of this contract and agrees to cooperate with the State in these efforts. 21. RECIPROCITY AND SANCTIONS PROVISIONS. Bidders are hereby notified that if their principal place of business is located in a country, nation, province, state or political subdivision that penalizes New York State vendors, and if the goods or services they offer will be substantially produced or performed outside New York State, the Omnibus Procurement Act 1994 and 2000 amendments (Chapter 684 and Chapter 383, respectively) require that they be denied contracts which they would otherwise obtain. NOTE: As of May 15, 2002, the list of discriminatory jurisdictions subject to this provision includes the states of South Carolina, Alaska, West Virginia, Wyoming, Louisiana and Hawaii. Contact NYS Department of Economic Development for a current list of jurisdictions subject to this provision.

Task 9. Natural Resources A natural resources assessment is conducted when a natural resource is present on or near a development site and the Proposed Project may involve the direct or indirect disturbance of that resource. The CEQR Technical Manual defines natural resources as water resources, including surface water bodies and groundwater; wetlands, including freshwater and tidal wetlands; terrestrial resources, such as grasslands and thickets; shoreline resources, such as beaches, dunes, and bluffs; gardens and other ornamental landscaping; and natural resources that may be associated with built resources, such as old piers and other waterfront structures. The Project Site is developed with a paved parking lot with landscaping around the periphery of the paved area and along the street. As such, natural resources within the Project Site are limited to the few urban-adapted species of wildlife that would utilize building exteriors as habitat and are ubiquitous throughout the city. Specifically, these include house sparrows (Passer domesticus), rock pigeons (Columba livia), European starlings (Sturnus vulgaris), and Norway rats (Rattus norvegicus). The Proposed Project would not have the potential to result in significant adverse impacts to the urban tolerant wildlife species using the Project Site. While individual wildlife may be affected should suitable habitat not be available nearby, the loss of some individuals would not adversely affect populations of these widespread urban-tolerant species within the metropolitan region. Tree replacement, protection, and transplanting would comply with the City’s applicable rules and regulations. Trees under the jurisdiction of NYCDPR, such as those along the street, may not be removed without a permit pursuant to Title 18 of the Administrative Code of the City of New York. Chapter 5 of Title 56 of the Rules of the City of New York establishes rules for valuing trees that are approved for removal in order to determine the appropriate number of replacement trees.

THE COMPLAINT INVESTIGATION PROCESS Complaints can be initiated in person, by mail or phone, or submitted using the online Nursing Home Complaint Form. Most complaints are received by phone through the Centralized Complaint Hotline (1-888-201-4563); however, many are now initiated using the online Nursing Home Complaint Form, which is available on the DOH Nursing Home Profile site. A large number of the complaints received – about 41 percent in 2010 -- are incidents self-reported by the nursing homes. Public Health Law section 2803-d requires designated persons in nursing homes to report any instance in which the facility has determined there is reasonable cause to suspect that a resident has suffered abuse, neglect or mistreatment. All provider complaints received within DOH’s jurisdiction and authority are investigated.

Described below are the major initiatives initiated in calendar year 2012 to assist with complaint activities: • The program further enhanced its online process for nursing homes to electronically report incidents. This process has greatly improved the complaint program’s ability to manage facility-reported incidents. The new system was implemented effective October 17, 2011, and further enhanced in calendar year 2012. Forty-three percent of the 4,410 incidents closed last year were made no action necessary by central office staff, since these cases didn’t need further resolution. This is in large part due to clear reporting requirements, and more thorough information submitted on behalf of nursing home providers, which allows most incidents to be reviewed initially by central office staff. This allows both central office and regional office staff to focus on more egregious allegations.

Fact Sheet: Facts on Unintended Pregnancy in the United States. Guttmacher, October 2013 Frost JJ, Darroch JE and Remez L, Improving contraceptive use in the United States, In Brief, New York: Guttmacher Institute, 2008, No. 1 Gold R. Wise Investment: Reducing the Steep Cost to Medicaid of Unintended Pregnancy in the United States. Guttmacher Policy Review 2011;14:1-5

The first consideration to make is budgetary. What was the budget number you determined in the last section? What exchange plan tiers fall within that constraint? The next is your health situation. If you’re very sickly and going to the doctor on a regular basis then consider a Gold or Platinum plan with no or a very low deductible and minimal office copays. It will cost more money per month than a lower tiered plan, but in the long run it proves to be more economical. Below you can find the numbers for each metal tier’s ratio of monthly premium to out of pocket costs.

Requirements for all Birthing hospitals Requirements for all Birthing hospitals y Ability to identity high risk mothers and infants  y Affiliations and transfer agreements with higher an[r]

Health effects: All children should be tested for lead poisoning at ages one and two. Other children up to six years old should also be tested if their doctors think they are at risk. If lead gets into a child’s body, it could cause a lower IQ, kidney damage, hearing loss, headaches, slowed growth, anemia, or behavior problems. Children are at higher risk from lead exposure because they put hands and other objects in their mouths, their growing bodies absorb more lead, and their brains and nervous systems are more sensitive to the damaging effects of lead. Lead also can be harmful to adults, and pregnant women should be espe- cially careful.

Alternative to inpatient hospitalization which provides active short hort- - term treatment designed to stabilize an individual experiencing term treatment designed to stabilize an ind[r]