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POLITICO New York Health Care, presented by NYS Society of Anesthesiologists: H+H to announce new care management program -- Johnson says more work to do on AIDS -- Finding religion in health insurance

By Dan Goldberg | 02/05/2018 10:00 AM EDT

OBAMACARE NUMBERS — More than 253,000 New Yorkers enrolled in private insurance under the Affordable Care Act during the last three month. Another 739,000 enrolled in the Essential Plan. ... Why it matters: There are more than 3 million New Yorkers on Medicare. There are more than 6 million New Yorkers on Medicaid. There are more than 1 million with the Essential Plan, or a private Obamacare plan. There are about 100,000 people who bought Obamacare insurance without financial assistance. That means 55 percent of New York State now receives government subsidized health insurance.

MEDICAID DEBATE — Candidates seeking the Republican nomination for governor are already focusing on Medicaid as they vie to challenge Gov. Andrew Cuomo, a Democrat, who is expected to run for a third term in November. Brian Kolb, the Assembly minority leader, told county leaders Tuesday that he would have the state pick up the share of Medicaid not covered by the federal government. State Senate Deputy Majority Leader John DeFrancisco countered on Wednesday, arguing New York's Medicaid program, the nation's second-largest, was too expansive. ... Why it matters: A lot of voters across the nation are going to go to the polls in November thinking about health care. Looks like New York pols are trying to put their early stamp on the issue.

BUDGET FIGHT — Senate Republicans have introduced a bill taking aim at Cuomo's health care budget proposal to recoup some of the money for-profit insurers receive as a result of the federal tax cut. ... Why it matters: Cuomo is hoping to raise $140 million through a tax on for-profit insurers. This feels like a rebuke of that idea. So, is there a middle ground?

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MAKE SURE YOU FOLLOW Dan on Twitter @DanCGoldberg and Nick @NickNiedz. And for all New Jersey health news, check out @katiedjennings.

WE'D LOVE TO HEAR FROM YOU: This roundup is for you, so please tell us how we can make it even better. Send tips, news, ideas, calendar items, releases, promotions, job postings, birthdays, congratulations, criticisms and corrections to or

** A message from NYS Society of Anesthesiologists: Physician-led anesthesia medical care has led to unprecedented patient safety and positive surgical outcomes in New York. The Governor's Budget proposal endangers patient safety by removing physician led-anesthesia care and replacing it with mid-level/allied health providers. This will compromise safety for unconscious patients and cause confusion in the operating room. Learn more at: **

CDC DIRECTOR RESIGNS — President Donald Trump's top public health official, Dr. Brenda Fitzgerald, resigned Wednesday amid mounting questions about financial conflicts of interest. ... Why it matters: The resignation came the day after POLITICO reported that one month into her tenure as CDC director, she bought shares in a tobacco company. Fitzgerald had long championed efforts to cut tobacco use, which is the leading cause of preventable death.

CARE MANAGEMENT — Following a string of successful interventions focused on high-risk populations, NYC Health + Hospitals is beginning a new care management plan this week targeting 32,000 patients, about 4 percent of the adults who use the city public hospital system. More here.

NOW WE KNOW — Enjoy the Super Bowl? Did you crack open a beer during the game or some champagne to celebrate? Ponder the mysteries of those tiny bubbles that rise to the surface when the bottle was opened? Well, then you're reading the right newsletter. The Journal of Physical Chemistry B. explains how carbon dioxide enhances the flavor of our favorite beverages.

COMMUNITY HEALTH CENTER CLOCK — It's been 129 days since Congress failed to reauthorize funding for community health centers.

... The federal government will shut down on Friday unless Congress reaches another funding agreement.

... A Democratic leadership aide told me this weekend that the most likely scenario is a continuing resolution that lasts until March 22. This would include health extenders and Community Health Center funding. That could still leave hospitals, hoping for a delay or rollback of Medicaid Disproportionate Share Hospital cuts, in a bind. Recently, you may have noticed that several members of the New York delegation, including Republican Elise Stefanik, tweeted support for funding community health centers and delaying DSH cuts. If the delay in cuts doesn't ride with this package, the aide said, it is unclear when it would pass.

... What's at stake? NYC Health + Hospitals loses $300 million this year if DSH cuts aren't delayed and $400 million next year.

AIDS FIGHT NOT OVER — Council Speaker Corey Johnson pressed the importance of remaining vigilant and eliminating the stigma around AIDS and HIV treatment and prevention — specifically in communities of color — during an address Friday organized by the African American Clergy and Elected Officials Coalition. More here.


RIGHT TO TRY — Sarah Karlin-Smith at POLITICO examines the politics and policy of the Right to Try movements which received a boost last week when President Donald Trump advocated for a national law during the State of the Union.


WORK REQUIREMENTS IN INDIANA — Secretary Alex Azar on Friday granted Indiana permission to add work requirements to its Medicaid program, making it the second state to tie health coverage to employment for certain low-income enrollees. More from our D.C. colleagues here.

FINDING RELIGION — POLITICO's Paul Demko takes a look at the growing popularity of health care sharing ministries. Read it here.

FALLING DOWN ON THE JOB — There are huge gaps in the regulation of assisted living facilities, according to The New York Times.

FASCINATING — The New York Times has a story about the Dutch famine that took place during World War II and the effect it had on those who were in the womb during that year. "They found that the people who had been in utero during the famine — known as the Dutch Winter Hunger cohort — died at a higher rate than people born before or afterward. ... 'How on earth can your body remember the environment it was exposed to in the womb — and remember that decades later?' wondered Bas Heijmans, a geneticist at Leiden University Medical Center in the Netherlands."

INDIVIDUAL MANDATE — The Wall Street Journal reports: "At least nine states are considering their own versions of a requirement that residents must have health insurance, a move that could accelerate a divide between Democratic states trying to shore up the Affordable Care Act and Republican states intent on tearing it down."

PAY ATTENTION TO THIS — The Centers for Disease Control and Prevention is facing a funding cliff. Read about it in the Atlantic.

FLU IS REALLY BAD — From The New York Times: "By mid-January, the flu season at Lehigh Valley Hospital-Cedar Crest here in Allentown was bad enough to justify dragging out the 'surge tent.'

TODAY'S TIP — Comes from the Cleveland Clinic: "Follow these tips to make your meals more Mediterranean."


ABOUT THE CHILDREN — Disabled children in West Africa are tormented by their non-disabled peers almost from the day they are born, according to a study in BMC Public Health by Janet Njelesani, assistant professor of occupational therapy at NYU Steinhardt School of Culture, Education, and Human Development. "It's unfair that children with disabilities are four times more likely to experience violence than their non-disabled peers when they have the same right to grow up safe," Nielesani said in a press release accompanying the article . "These findings will help explain why children with disabilities are at greater risk of violence and may shed light on children with disabilities living in other low and middle-income countries."

OFF LABEL — Zyrtec, the allergy medicine, may reduce relapses of demyelinating inflammatory disease neuromyelitis optica, according to Dr. lana Katz Sand, assistant professor of Neurology at the Icahn School of Medicine.

MISSED A ROUNDUP? Get caught up here.

** A message from NYS Society of Anesthesiologists: Physician-led anesthesia medical care has led to unprecedented patient safety and positive surgical outcomes in New York. The Governor's Budget proposal endangers patient safety by removing physician led-anesthesia care and replacing it with mid-level/allied health providers. This will compromise safety for unconscious patients and cause confusion in the operating room. Learn more at: **

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