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QUESTION

How will the anticipated decline in Medicaid membership affect NYC Health and Hospitals' revenue?

2:03:06

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49 sec

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John Ulberg explains that NYC Health and Hospitals anticipate a decrease in revenue due to a projected decline in Medicaid membership.

The adjustment specifically relates to the NYC Health and Hospitals budget for fiscal year 25.
NYC Health and Hospitals have performed well with risk pool payments from Metro Plus And Health First.
An anticipated decline in Medicaid membership due to the Medicaid research process is expected to result in lower revenue.
This decline directly impacts the revenue streams for health and hospitals.

Mercedes Narcisse

2:03:06

They outlined at H And H Projects, a decrease of nearly $90,000,000 in Medicaid Rev Can you elaborate more on this decrease?

2:03:16

What impact will an increase in Medicare reimbursement have on this revenue?

John Ulberg

2:03:22

Yeah.

2:03:22

I'll say this is an adjustment that pertains to the H and H budget.

2:03:27

We know that as we're looking forward to FY 25.

2:03:31

We've done very well with our risk pools.

2:03:34

Those are capitated payments that we receive from Metro Plus And Health First.

2:03:39

And what we're anticipating in the budget that there will be a decline in the number of members, people participating because of the Medicaid research process.

2:03:49

It's just we're anticipating there'll be less revenue coming to health and hospitals and that's the adjustment.

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What is the role of the Human Resources Administration (HRA) in Medicaid matching, and how does this funding support services?

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How does New York City Health and Hospitals (H+H) ensure quality assurance to minimize medical malpractice or negligence?