Governor Andrew M. Cuomo today announced the members of the Medicaid Redesign Team II. The Governor announced in his FY 2021 Executive Budget address that the Team will find savings in the Medicaid program in the same way the first Medicaid Redesign Team, or MRT I, which he established in 2011, set the course for recurring savings that kept the program's spending growth to less than half the national average. The reconstituted team, known as MRT II, will develop a comprehensive set of recommendations to build on the successful strategy of the original MRT while identifying changes to the State's Medicaid program that will generate $2.5 billion in recurring savings within the upcoming FY 2021 State budget.
As a result of MRT I reforms and the Medicaid Global Cap, New York State held Medicaid state-share funds spending growth to an average of 2.2 percent compared to a national average of state funds spending of 5.3 percent, and saved tax payers more than $19 billion.
The Team will commence its work immediately and, consistent with MRT I, hold its first public meeting on Tuesday, February 11th. The Team will submit its report with findings and recommendations to the Governor and Legislature in March for consideration in the Fiscal Year 2021 Enacted Budget.
The MRT II will be charged with accelerating the strategies of MRT I that have proved successful for the last nine years while creating course corrections in order to ensure financial sustainability to the Medicaid program. The Team is charged with advancing a comprehensive set of recommendations that will generate $2.5 billion in 2021 with recurring savings in subsequent years. The Governor has directed the Team to identify those savings with the following directives: ensure zero impact on local governments and zero impact on beneficiaries; find industry efficiencies and/or additional industry revenue; and root out waste, fraud and abuse.
The MRT II recommendations should address:
- The drivers of greater-than-projected costs and growth in the Medicaid program;
- Models of healthcare delivery to improve care management for beneficiaries with complex health conditions;
- Existing regulations, laws and programs that hinder the modernization or achieving efficiencies in the Medicaid program and for the healthcare industry;
- Ways to ensure the availability of a stable and appropriately skilled workforce, especially with respect to meeting the needs of an aging population;
- Strengthening the sustainability of safety net providers serving vulnerable populations, including through regulatory reform;
- Changes in the Medicaid program to achieve short-term solutions and long-term systemic changes that advance the State's successful healthcare reform strategy while restoring financial sustainability to ensure that benefits will always be available to those who need it;
- Whether any changes to the metric for calculating the Medicaid global cap are necessary;
- The introduction of new data sets, data analytics and technologies to identify current and future trends and improve program oversight; and
- Policies to ensure the efficient and effective use of Medicaid dollars and reduce waste, fraud and abuse.
In addition, The MRT II will create an advisory Work Group to focus on issues associated with long-term care. Enrollment and spending in managed long-term care has accelerated dramatically over the last three years. Understanding the causes of this growth and identifying efficiencies within the program is an important priority of MRT II.
The MRT II will be co-chaired by Michael Dowling, President and Chief Executive Officer of Northwell Health, and Dennis Rivera, the former President of SEIU 1199, who were also co-chairs of the successful MRT I in 2011.
New York State Medicaid Director Donna Frescatore will serve as the Team's Executive Director and the Division of Budget Director Robert Mujica will serve as a non-voting member.
The Medicaid Redesign Team includes up to 21 voting members appointed by the Governor. The members of the Team are as follows:
- Co-chair: Michael Dowling, President and CEO of Northwell Health
- Co-chair: Dennis Rivera, Former Chair of SEIU Healthcare
- Dr. Steven Corwin, President and CEO, New York Presbyterian
- Thomas Quatroche, PhD, President and CEO, Erie County Medical Center
- LaRay Brown, CEO of One Brooklyn Health
- Mario Cilento, President of New York State AFL-CIO
- Christopher Del Vecchio, President and CEO of MVP Health Care
- Pat Wang, President and CEO of Healthfirst
- Emma DeVito, President and CEO of VillageCare
- Wade Norwood, CEO of Common Ground Health
- Steven Bellone, County Executive, Suffolk County
- T.K. Small, Director of Policy at Concepts of Independence
- Donna Colonna, CEO, Services for the UnderServed (S:US)
- Todd Scheuermann, Secretary of Finance, NYS Senate
- Blake Washington, Secretary of Ways and Means, NYS Assembly
- Paul Francis, Deputy Secretary for Health and Human Services, Governor's Office
- Dr. Howard Zucker, Commissioner of Health
- Dr. Ann Sullivan, Commissioner for the Office of Mental Health
- Arlene González-Sánchez, Commissioner of the Office of Addiction Services and Supports
- Dr. Theodore Kastner, Commissioner of the Office for People With Developmental Disabilities
- Robert Megna, Senior Vice Chancellor and COO, SUNY
In addition, the MRT II will hold public hearings and solicit ideas and recommendations from the public and health care stakeholders through public hearings and online. Recommendations and proposals may be submitted online beginning February 11th.