Research and Markets: New York City, NY Healthcare Market Overview

<0> Research and Markets: New York City, NY Healthcare Market Overview </0>

<0> Research and MarketsLaura Wood, Senior ManagerU.S. Fax: 646-607-1907Fax (outside U.S.): +353-1-481-1716Sector: </0>

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Adoption of accountable care organizations and patient-centered medical homes is strong in the New York City market. More than 80 percent of local Medicaid beneficiaries are enrolled in managed care plans, which now control Medicaid pharmacy services, and the state is moving toward managed care for all beneficiaries.

At the heart of these initiatives is coordination of care, which helps increase prescription drug adherence while improving quality and lowering costs. While large health systems are thriving, some small hospitals are struggling. One hospital in Queens closed, and hospitals mergers are likely in Brooklyn where the state is pushing for a major restructuring of healthcare services. New mandates for autism coverage and oral cancer drug parity, and a new law prohibiting mandatory mail-order policies are increasing costs for health insurers.

A new Medicaid prescriber prevails provision for atypical antipsychotic drugs will take effect in 2013. Gov. Andrew Cuomo established a health insurance exchange by executive order. New state union contracts increased employees' contributions to health insurance benefits, which paves the way for more cost shifting among private employers.

NEW YORK CITY Healthcare Market Overview

Updates: Key Market Events

Executive Summary

New York City Market

Health Systems & Hospitals


Health Plans





Demographics & Statistics


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Source: Decision Resources, Inc

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