The New York Medicaid 1115 Waiver amendment introduces the Medicaid Hospital Global Budget Initiative (GBI), closely aligned with the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model.
The New York waiver aims to provide financial stability to certain downstate hospitals serving a high percentage of Medicaid beneficiaries, while driving delivery reform for accountability and health equity. The GBI functions by providing hospitals with a global revenue budget for specific services, ensuring a certain amount of revenue and, in theory, providing a degree of financial stability. In addition, participating hospitals will receive financial support over the next three years, aggregating to approximately $2.2 billion, if requirements are met.
This article summarizes these requirements for the state and the participating hospitals.
For more information, please contact Katie Waldo or Dale C. Van Demark (McDermott Will & Emery – Partner).
