A Patient Advocate's View

Mandatory Long Term Managed Care

Reinforced in this years budget is the move to mandatory managed care with adding dual eligibles to be added into fully managed care plans in 2015. The Public Health and Health Planning Council (PHHPC) has a broad array of advisory and decision-making responsibilities with respect to New York State’s public health and health care delivery system. It is charged with adopting and amending the Sanitary Code and health care facility, home care agency, and hospice operating regulations. The PHHPC also makes decisions concerning the establishment and transfer of ownership of health care facilities, home care agencies and hospice programs. It makes recommendations to the Commissioner of Health concerning major construction projects, service changes, and equipment acquisitions in health care facilities and home care agencies. It also advises the Commissioner on issues related to the preservation and improvement of public health. The Council’s powers and duties are set forth in section 225 of the Public Health Law. Watch the entire day’s discussions

April 12, 2012 Posted by | Uncategorized | , , , | Leave a comment

NYS Public Health & Health Planning Council

DOH Commissioner Shah addressed the council on February 2, 2012. He explained that the direction the Department is going is to provide more policy and less services. He said that the Governor’s budget highlights a transition to care management systems, a health insurance exchange which will provide a million people with health insurance, and the state takeover of local government administration, cutting 5500 County and City jobs, while adding 125 State jobs.

The Committee came out with an outline for the recommendations to the Governor for repurposing, streamlining, reforming and reconceptualizing the CON process with an eye on redesigning the public health system and the private health business.

There were about 5 dozen recommendations from statewide organizations, to the Health Planning Committee. To this, the committee has come up with 7 suggestions for review:

1- eliminate CON process for construction project

2- revise the process to facilitate the integration of physical and behavioral health services

3- consider co-location of D&TC’s with Nursing Facilities

4- streamline the process for amendments to CON’s

5- shift to self certification for architects/engineers

6- create a process to account for equipment which has become standard

7- create a timeline for reviews

Additional ideas proposed that require more discussion:

1- broaden the scope of CON to include physician practices that are built solely to avoid the regs

2- established providers should not have to file new 2A’s

3- the process needs to be more proactive, solicit applications, batch

4- strengthen local input/planning

5- It was brought up that there was a suggestion made from the oral health community that dental health should receive more attention and that was considered “not convincing.”

February 6, 2012 Posted by | Uncategorized | , , | Leave a comment