Question

What is the fiscal state of NYS nursing home as of Sept 1, 2020?

3 paragraphs and show the article.

Answer 1

Across the New York State, nursing homes are looking to get rid of unprofitable patients — primarily those who are poor and require extra care — and pouncing on minor outbursts to justify evicting them to emergency rooms or psychiatric hospitals. After the hospitals discharge the patients, often in a matter of hours, the nursing homes refuse them re-entry, according to court filings, government-funded watchdogs in 16 states, and more than 60 lawyers, nursing home employees and doctors.

The practice at times violates federal laws that restrict nursing homes from abruptly evicting patients.

After a tense year of standoffs between New York nursing home providers and the state government, Gov. Andrew Cuomo outlined his budget for the new fiscal 2021 with an eye toward curbing rapidly-expanding Medicaid spending.

The budget doesn’t propose specific cuts to the Medicaid program, but Cuomo’s goal is to achieve $2.5 billion in savings to the program this year, part of the executive budget’s attempt to close a $6.1 billion budget gap.

And though the state has taken aim at Medicaid spending on nursing home care in recent months, ballooning home health costs played a major role in Cuomo’s desire for cuts — which comes as the state also moves to pull long-term care residents out of its managed Medicaid plan.

In addition, New York recently finalized the removal of long-term SNF residents from managed Medicaid, New York State Health Facilities Association (NYSHFA) president and CEO Stephen Hanse told Skilled Nursing News.

According to a letter to New York nursing home administrators obtained by SNN, the Centers for Medicare and Medicaid Services (CMS) approved a Section 1115 Demonstration waiver that limits the managed long-term care partial capitation plan (MLTCP) benefit to three months of care. After that, such individuals will be covered by Medicaid fee-for-service.

The main point to take from that, according to Hanse, is that nursing homes are not to blame for the state’s budget woes.