Webinar: Children and Payment & Delivery System Reform in New York State
Health Care For All New York
Invites you to participate in a webinar on:
HCFANY Children, Youth and Families Task Force’s 2016 Policy Priorities
Friday, January 22, 2016
11:00 a.m. – 12:00 p.m.
On Friday, January 22nd at 11am, the Children’s Defense Fund – New York (CDF-NY), through its work in Health Care for All New York (HCFANY), will host a webinar to present HCFANY Children, Youth and Families Task Force’s 2016 Policy Priorities. Speakers from HCFANY partner organizations will join CDF-NY to provide a robust perspective on the most pressing issues of 2016. This one-hour webinar will outline health care access and quality issues facing New York’s children and families, such as network adequacy concerns, Essential Plan implementation, consumer assistance, and patients’ rights during payment and delivery system reforms. Speakers will provide the context for these issues and offer examples for how CYF members can engage in state-level advocacy. The webinar is intended for children’s health providers, advocates and stakeholders, and others who are interested in improving the health of children and families.
Contact Andrew at
or (212) 697-0642
On December 22, 2015 Governor Cuomo signed into law S4745/A7155, a bill that will allow babies born into low and middle-income New York families eligible for the Child Health Plus (CHP) from the day that they are born. This is great news for families across the state, and a first-of-its-kind bill nationwide!
Parents who apply before the baby is born, or within 60 days of the birth, will have coverage for their newborn from the date of birth, whereas those who submit an application more than 60 days after the birth will be covered from the date of the application.
The new law – one that HCFANY is proud to have strongly advocated – is a significant victory for thousands of families in New York State. Child Health Plus is a wonderful program that has been helping New York children access healthcare since 1991. Until today, however, there was a significant gap in the program. Under the old system, it took up to 45 days from the day that parents applied for CHP for enrollment to kick-in. That meant that babies could go over a month without health insurance coverage during the vulnerable newborn period when timely access to health care is essential.
The American Academy of Pediatrics recommends that all babies be examined by a pediatrician three times in the first two months of life. Babies born with health problems may need more frequent care. Some may need urgent care for emergency situations. In the past, many parents, fearful of large medical bills, were hesitant to seek health services for their babies during the waiting period between CHP application and enrollment. Now, they will be able to obtain the care that their infants need without concern about being burdened by potentially high medical bills.
Children in New York State may be eligible for Child Health Plus if they’re not eligible for Medicaid, a public employee state health benefit plan or another insurance plan (such as a plan through a parent’s employer). Families with incomes up to 400% of the federal poverty level receive free or low cost health insurance this way. In 2015, a family of four earning under $38,796 a year could obtain free insurance for their children. Families with higher incomes paid a reasonable monthly premium of $9, $15, $30, $45, or $60 per child per month, depending on family size and income. Plus, there is no deductible or co-payments with CHP, so parents do not have to pay anything when their child visits the doctor!
This new effective date provision won’t go into effect until January 1, 2017. In the meantime, parents who would like to enroll a child in CHP can do so through the New York State Marketplace or by connecting the Community Service Society Navigator Network at (888) 614-5400 or through their website for free enrollment assistance.
A happy and very healthy New Year to the littlest New Yorkers and their families!
As we celebrate the holidays and ring in the New Year, we now have more reason for merriment – Governor Cuomo has just signed legislation that gives pregnant women the right to enroll in Qualified Health Plans through the State’s Marketplace at any time during the year! Until now, pregnant women had to wait to apply for health insurance until the annual open enrollment period. HCFANY is proud to say that New York is the first state in the nation to adopt such an important law, demonstrating leadership in promoting access to health insurance for all!
The passage and signing of S5972/A6780 is significant and commendable because having health insurance during pregnancy can improve the health of mothers and their babies. Timely, quality pre-natal care can decrease the likelihood that a pregnant women will face health problems or that her baby will be born premature. According to the March of Dimes, nearly 9% of babies born in New York State are pre-term, which puts them at risk for many health problems. The new legislation should help decrease that percentage, assuring that more babies in New York get a healthy start in life.
The new special enrollment period may also significantly decrease healthcare costs for pregnant women who sign up for health insurance. Charges for pre-natal care and hospital care can be daunting for uninsured women. The costs quickly add up due to numerous pre-natal visits, ultrasounds, blood work and screening tests. Giving birth in a hospital is very expensive. On average, health insurance companies pay $9,800 for a normal delivery and $15,000 for a c-section, according to the International Federation of Health Plans. As of today, women in New York State will not have to worry about the full cost of pre-natal care and giving birth. Thanks to the new law, they will be able to access the full array of health services needed for a healthy pregnancy, birth and healthy baby.
HCFANY applauds New York State lawmakers and Governor Cuomo for working to protect the health of mothers and babies. You can read the governor’s press release here. Pregnant women will now be able to enroll on the Marketplace as soon as a doctor confirms they are expecting by going to the New York State of Health Marketplace. Women can also contact the Community Service Society Navigator Network for free enrollment assistance.
Children, Youth, and Families Task Force
Invites you to participate in a webinar on:
Children and Payment & Delivery System Reform in New York State
Friday, December 18th, 2015
11:00 a.m. – 12:00 p.m.
Andrew Leonard, M.P.A.
Sr. Health Policy Associate
Children’s Defense Fund – New York
On Friday, December 18th at 11am, the Children’s Defense Fund – New York, through its work with the Children, Youth and Families Task Force of Health Care For All New York, will host a webinar on payment and delivery system reforms in New York State. The 1-hour webinar will provide a brief overview of some of the state’s current payment and delivery reforms, such as the Delivery System Reform Incentive Payment Program (DSRIP), the State Health Innovation Plan (SHIP), Value-Based Payments (VBP) and others. Additionally, the webinar will discuss gaps in the current delivery system that foster negative health outcomes among children. The webinar will then focus on a number of key principles for guiding children successfully through payment and delivery system reforms and ensuring all children have opportunities for physical and mental wellness. The webinar is intended for children’s health providers, advocates and stakeholders, and all others interested in learning more about efforts under way in New York to transform how children and families receive care.
Call 212-697-2323 ext. 203 or email@example.com