The NYHA specified creating a plan within a plan that the NYS public service retirees would be automatically forced into. This plan, although not called Medicare Advantage and not a private insurance plan, was slated to be funded using the same earmarked funds that Medicare Advantage plans suck out of traditional Medicare. NYHA would be …
The NYHA specified creating a plan within a plan that the NYS public service retirees would be automatically forced into. This plan, although not called Medicare Advantage and not a private insurance plan, was slated to be funded using the same earmarked funds that Medicare Advantage plans suck out of traditional Medicare. NYHA would be creating a separate plan just for NYS public service retirees in order to get their hands on this federal money. NYHA would be undermining the funding of traditional Medicare in this way, while once again using the cohort that obtains their in retirement health benefits through a government entity. It may not be Medicare Advantage but it would be paid for by the same funding stream. Do you have confidence in NYS for anything, let alone taking care of your health care needs? The Capitol Building steps have been broken for a decade, look at the roads across the state and you’re willing to rely on NYS for the creation and administration of the NYHA?
We should and will draw down maximum federal funds from Medicare and Medicaid. Of course! But regardless, no New Yorker will face premiums, deductibles, copays, restricted provider networks, etc. etc. No Medicare enrollee or retiree will lose any right or benefit they now have. The governor and legislators will have a personal interest in making sure that the plan that covers them and their families will be as good as can be -- and 20 million of us will get to be in the same plan. Are you saying you have confidence in the for-profit insurance corporations that run our health coverage today?
Definitely do not have confidence in private for profit plans. I do not have confidence in NYS either. Name one thing that NYS does well other than tax its what is left of the
middle class residents. Please cite one example of a New York State initiative that is outstanding in its field.
Your plan undermines traditional Medicare by obtaining funding from that source. Just as Medicare Advantage plans are destroying traditional Medicare, your NYHA will do the same. It should be funded by tax on wealthy New Yorkers or other sources not Medicare. And what is your plan if that federal source dries up? Please read the CA proposal, as it is comprehensive, detailed and not based on faith in officials to do the right thing.
That's not true. Every New Yorker will be on the same plan, the New York Health Plan. There are no other options. Retired or active, union or not, there is only one plan.
The funding stream is what the government already contributes to Medicare and Medicaid recipients plus the payroll tax, from which public sector are exempt from bc the city will continue to contribute 100%. However, if we cannot get the waiver to obtain the federal funding, it is still financially viable. More here: https://www.rand.org/pubs/research_reports/RR2424.html
If you are public sector and you move out of state you remain on exactly what you have now.
And yes, I have confidence. NY already does this successfully for Medicare recipients. It is was shitty, the retirees wouldn't have fought to stay on it.
Hold it, what does NYS do for Medicare recipients? Medicare is a federal plan. The only thing that NYS does for Medicare recipients is make sure they’re not blocked from a medigap plan by a pre existing condition. Other than that, NYS ensures that traditional Medicare recipients with a supplementary medigap plan pay the highest rates in the country for it. NY metro region has the highest rate in the entire USA. We can thank NYS for approving that high cost. We can thank NYS for not taking care of the roads so that it’s horrible to drive most anywhere other than the Hamptons. How can we have confidence in NYS to get healthcare right when it can’t do most anything properly. Personally I prefer to go to providers in MA, as every single one of them I have experience with is more professional, welcoming and patient oriented than any facility I’ve gone to in NYS. So I do not want a plan that will lock me into seeing a doctor in NYS.
Every single doctor in NYS would be in network. Doctors fron NYU to small town doctors in rural NY. Some out-of-state doctors would be covered if a specific specialist or treatment was required.
@kate conners You completely ignore that I stated I prefer to continue with my providers in MA. I do not want to see doctors from NYU to small town practitioners in rural NY. The NYHA would create a two tiered system, NYS public service retirees would be forced into the plan that would draw down funding from traditional Medicare . As Richard Gottfried stated above, "We should and will draw down maximum federal funds from Medicare and Medicaid. " and he refused to respond to questions in this regard during a lengthy meeting with him several years ago, this is one of the major failings of the NYHA. It is a proposal that builds the plane while in the air, that specifically states it relies on good faith efforts as it’s foundation. Again, read the CalCare California Proposition 186, and compare it to the plan for NY. CalCare is a seriously thought out plan that does not rely on the good will of elected officials with spit and a prayer. Sad that once again, NY demonstrates that it is incapable of standing out from the crowd for anything other than mediocrity.
If you don't live in MA we should shut down NYHA and stop supporting it so you can see your preferred doctor. If any of the 50,000+ doctors in NY are not good enough for you, that they aren't good enough for us. Let's shut down this bill and all carpool to MA for healthcare.
I know you like your doctor, but what happens when they retire? What if they move out-of-state? What if you doctor realizes that even after becoming a board certified doctor they will never be good enough for their parents so they abandon their practice and pursue their lifelong passion of miming? Then we shut this bill down for nothing?
If you love that doctor so much that you will pack the car with drinks and snack, for the 4 hour drive, spend the gas money and maybe spend the night because an 8 hour roundtrip is too much in one day, then cough up the likely $200-300 out of pocket fee. Most of your use of healthcare will be in NY because we cant forsee sickness and plan a 4 hour drive. If there is a clinical reason for you to seek care out of state, that can be approved. Your argument is ridiculous. Completely ridiculous and privileged.
@kate connors Not all of MA is 8 hours away from NYS. As a matter of fact, NW MA borders on NYS. It is closer for someone north of Albany to go for treatment in Springfield, MA at Baystate Hospital than to have to travel to NYC. And the roads in MA, unlike those in NYS, are well maintained and have reflectors to enhance safety in the center of the road. Cross the border into NYS and the calibre of all roads main highways and rural changes radically. I am in favor of single payer. A functioning single payer program that regulates provider fees as part of the complete program, not something that is cobbled together.
I am not the only NYS resident who wants to choose their practitioner. Many of us do not want to be locked into where they go for treatment. For example, Dana Farber in Boston, MA is a far better and welcoming facility than the treatment centers in NYC. Why anyone would trust NYS to handle its residents healthcare needs with more ease and fluency than it does its roads indicates pie in the sky thinking disconnected from the reality of what NYS is. Portability must be an intrinsic part of any viable health coverage.
The NYHA specified creating a plan within a plan that the NYS public service retirees would be automatically forced into. This plan, although not called Medicare Advantage and not a private insurance plan, was slated to be funded using the same earmarked funds that Medicare Advantage plans suck out of traditional Medicare. NYHA would be creating a separate plan just for NYS public service retirees in order to get their hands on this federal money. NYHA would be undermining the funding of traditional Medicare in this way, while once again using the cohort that obtains their in retirement health benefits through a government entity. It may not be Medicare Advantage but it would be paid for by the same funding stream. Do you have confidence in NYS for anything, let alone taking care of your health care needs? The Capitol Building steps have been broken for a decade, look at the roads across the state and you’re willing to rely on NYS for the creation and administration of the NYHA?
We should and will draw down maximum federal funds from Medicare and Medicaid. Of course! But regardless, no New Yorker will face premiums, deductibles, copays, restricted provider networks, etc. etc. No Medicare enrollee or retiree will lose any right or benefit they now have. The governor and legislators will have a personal interest in making sure that the plan that covers them and their families will be as good as can be -- and 20 million of us will get to be in the same plan. Are you saying you have confidence in the for-profit insurance corporations that run our health coverage today?
Definitely do not have confidence in private for profit plans. I do not have confidence in NYS either. Name one thing that NYS does well other than tax its what is left of the
middle class residents. Please cite one example of a New York State initiative that is outstanding in its field.
Your plan undermines traditional Medicare by obtaining funding from that source. Just as Medicare Advantage plans are destroying traditional Medicare, your NYHA will do the same. It should be funded by tax on wealthy New Yorkers or other sources not Medicare. And what is your plan if that federal source dries up? Please read the CA proposal, as it is comprehensive, detailed and not based on faith in officials to do the right thing.
That's not true. Every New Yorker will be on the same plan, the New York Health Plan. There are no other options. Retired or active, union or not, there is only one plan.
The funding stream is what the government already contributes to Medicare and Medicaid recipients plus the payroll tax, from which public sector are exempt from bc the city will continue to contribute 100%. However, if we cannot get the waiver to obtain the federal funding, it is still financially viable. More here: https://www.rand.org/pubs/research_reports/RR2424.html
If you are public sector and you move out of state you remain on exactly what you have now.
And yes, I have confidence. NY already does this successfully for Medicare recipients. It is was shitty, the retirees wouldn't have fought to stay on it.
Hold it, what does NYS do for Medicare recipients? Medicare is a federal plan. The only thing that NYS does for Medicare recipients is make sure they’re not blocked from a medigap plan by a pre existing condition. Other than that, NYS ensures that traditional Medicare recipients with a supplementary medigap plan pay the highest rates in the country for it. NY metro region has the highest rate in the entire USA. We can thank NYS for approving that high cost. We can thank NYS for not taking care of the roads so that it’s horrible to drive most anywhere other than the Hamptons. How can we have confidence in NYS to get healthcare right when it can’t do most anything properly. Personally I prefer to go to providers in MA, as every single one of them I have experience with is more professional, welcoming and patient oriented than any facility I’ve gone to in NYS. So I do not want a plan that will lock me into seeing a doctor in NYS.
Most of your questions are answered here, check it out: https://www.nyhcampaign.org/howwepayforit-1
Every single doctor in NYS would be in network. Doctors fron NYU to small town doctors in rural NY. Some out-of-state doctors would be covered if a specific specialist or treatment was required.
@kate conners You completely ignore that I stated I prefer to continue with my providers in MA. I do not want to see doctors from NYU to small town practitioners in rural NY. The NYHA would create a two tiered system, NYS public service retirees would be forced into the plan that would draw down funding from traditional Medicare . As Richard Gottfried stated above, "We should and will draw down maximum federal funds from Medicare and Medicaid. " and he refused to respond to questions in this regard during a lengthy meeting with him several years ago, this is one of the major failings of the NYHA. It is a proposal that builds the plane while in the air, that specifically states it relies on good faith efforts as it’s foundation. Again, read the CalCare California Proposition 186, and compare it to the plan for NY. CalCare is a seriously thought out plan that does not rely on the good will of elected officials with spit and a prayer. Sad that once again, NY demonstrates that it is incapable of standing out from the crowd for anything other than mediocrity.
If you live in MA, you can continue with the benefits you currently have and see your MA doctors.
If MA is not the primary residence, what happens then?
Does NYS resident status limit any individual to choosing providers only within NYS?
@kate connors
Let's be forthright and open about the parameters and limitations of this proposed bill. No whitewashing.
If you don't live in MA we should shut down NYHA and stop supporting it so you can see your preferred doctor. If any of the 50,000+ doctors in NY are not good enough for you, that they aren't good enough for us. Let's shut down this bill and all carpool to MA for healthcare.
I know you like your doctor, but what happens when they retire? What if they move out-of-state? What if you doctor realizes that even after becoming a board certified doctor they will never be good enough for their parents so they abandon their practice and pursue their lifelong passion of miming? Then we shut this bill down for nothing?
If you love that doctor so much that you will pack the car with drinks and snack, for the 4 hour drive, spend the gas money and maybe spend the night because an 8 hour roundtrip is too much in one day, then cough up the likely $200-300 out of pocket fee. Most of your use of healthcare will be in NY because we cant forsee sickness and plan a 4 hour drive. If there is a clinical reason for you to seek care out of state, that can be approved. Your argument is ridiculous. Completely ridiculous and privileged.
@kate connors Not all of MA is 8 hours away from NYS. As a matter of fact, NW MA borders on NYS. It is closer for someone north of Albany to go for treatment in Springfield, MA at Baystate Hospital than to have to travel to NYC. And the roads in MA, unlike those in NYS, are well maintained and have reflectors to enhance safety in the center of the road. Cross the border into NYS and the calibre of all roads main highways and rural changes radically. I am in favor of single payer. A functioning single payer program that regulates provider fees as part of the complete program, not something that is cobbled together.
I am not the only NYS resident who wants to choose their practitioner. Many of us do not want to be locked into where they go for treatment. For example, Dana Farber in Boston, MA is a far better and welcoming facility than the treatment centers in NYC. Why anyone would trust NYS to handle its residents healthcare needs with more ease and fluency than it does its roads indicates pie in the sky thinking disconnected from the reality of what NYS is. Portability must be an intrinsic part of any viable health coverage.