HCFANY Annual Winter Meeting

joinusGuest Blog by Mark Hannay, Director, Metro New York Health Care for All Campaign

Health Care is Under Attack in Congress! It’s “all hands on deck” BIG time!

Join HCFANY at our upcoming annual meeting next Monday, January 23 from 11 a.m. to 3:30 p.m. at 1199 SEIU, 155 Washington Street, in Albany. Please register here.

Highlights will include:

  • Special keynote speaker: Dr. David Sandman, President and CEO, NYS Health Foundation
  • Presentation of HCFANY’s Annual “Consumer Health Care Champion” Award to Assmblymember Crystal Peoples-Stokes. AM Peoples-Stokes has been a key leader for health care justice, serving on both the Health and Insurance Committees, and within the leadership of the legislature’s Black, Puerto Rican, Hispanic, and Asian Caucus.

Important topics to be discussed:

  • The immediate fights over the future of the ACA and reproductive health care
  • The coming fights over Medicare, Medicaid, and Child Health Plus
  • Governor Cuomo’s proposed 2017-18 budget
  • HCFANY’s 2017 policy agenda for New York
  • New York’s continued push toward health system transformation:  DSRIP, SHIP, PHIP, and value-based payment


Register NOW! 


Any questions?  Contact Taylor Frazier at tfrazier@cssny.org ot 212.614.5541

More info at www.hcfany.org




CelebrateNew York State’s official health plan Marketplace, the NY State of Health (NYSOH), announced this morning that more than 3.4 million New Yorkers have signed up for health coverage as of December 24, 2016. This represents more than a 22 percent increase in Marketplace participation since the end of the 2016 open enrollment period, and there is still almost a month left to enroll.

According to the press release, enrollment has increased in all 62 of New York’s counties and nearly 18 percent of the state population is now enrolled through NYSOH.

The release also notes the incredible success of New York’s Basic Health Plan, branded the Essential Plan, which now has more than 635,000 individuals enrolled.

Open enrollment continues through January 31, 2017. You can enroll in health coverage through the NYSOH website. If you need help enrolling, Navigators are available to provide in-person assistance. Please visit https://info.nystateofhealth.ny.gov/IPANavigatorSiteLocations or call (888) 614-5400 to find a Navigator in your area.

fingerpaintEarlier this month, the Georgetown University Health Policy Institute’s Center for Children and Families released a new report on Latino children’s health coverage. According to recently released data from the U.S. Census Bureau, approximately 676,000 Latino children nationally gained health insurance coverage from 2013 to 2015. The uninsurance rate for Latino children declined from 11.5 percent to 7.5 percent during this period – the largest two-year decline on record. The health insurance coverage rate for Latino children now stands at a historic high of 92.5 percent.

In New York State, approximately 21,000 Latino children gained health insurance coverage from 2013 to 2015. The uninsurance rate for New York’s Latino children declined from 4.7 percent to 2.6 percent during this period. New York’s coverage rate for Latino children is now 97.4 percent, significantly higher than the national rate.

Despite these strong coverage gains, work remains. Thanks to a robust Child Health Plus program (New York’s CHIP), all children under the age of 19 who are New York State residents are eligible for health insurance regardless of immigration status, but 27,000 Latino children in New York are still not covered.

The Georgetown report calls for increased outreach and enrollment efforts targeting Latino children and families.

You can enroll your child in Medicaid or Child Health Plus through the NY State of Health Marketplace. If you need enrollment assistance, please visit https://nystateofhealth.ny.gov/agent/hx_brokerSearch or call (888) 614-5400.

BillsLate last week, a Health Affairs article described a new study on “surprise” medical bills. In New York State, “surprise bills” are bills from an out-of-network provider or out-of-network lab that a patient did not choose. These surprise out-of-network bills can lead to catastrophic medical debt and anxiety for consumers. The study found that 20 percent of hospital admissions that originated in the emergency department in 2014 were likely to lead to a surprise bill. In New York State, 30 to 40 percent of hospital inpatient admissions from the emergency department had the potential to result in a surprise medical bill.

In 2015, New York became the first state to enact legal protections to consumers facing surprise out-of-network bills. The Emergency Medical Services and Surprise Bills Law holds consumers harmless when they are treated by an out-of-network provider at an in-network hospital, or they are referred by an in-network provider to an out-of-network provider without their written consent.

New York’s surprise bills law also ensures that consumers who have New York State-regulated insurance no longer have to negotiate bills on their own. Insurance plans and providers can negotiate through an independent third party in a process called Independent Dispute Resolution (IDR).

For New Yorkers who get insurance through a job, through the Marketplace, or for New Yorkers who are uninsured, the Surprise Bill law provides they can dispute the bills through IDR.

If you think you have received a surprise bill, you can contact Community Health Advocates (CHA) for assistance.

Also, check out these great resources from CHA on surprise bills and emergency services:

Surprise Bill Flow Chart

Emergency Services Law Flow Chart