Bill Hammond Profile picture
Sep 11, 2020 15 tweets 6 min read Read on X
Now that we know the Greater New York Hospital Association had a hand in New York's policy compelling nursing homes to accept COVID-positive patients, let's review GNYHA's recent history with the Cuomo administration ...
In March 2018, Cuomo pressured the state's Catholic bishops to give up $2B in proceeds from the sale of Fidelis Care health plan. The money went into a "Health Care Transformation Fund" to be spent at the governor's discretion during an election year. empirecenter.org/publications/a…
That summer, GNHYA poured more than $1 million to Cuomo's re-election campaign, exploiting a loophole that would keep the donation secret until after his inauguration. empirecenter.org/publications/f…
Just before Election Day, in spite of a ballooning but undisclosed deficit in the state's Medicaid program, Cuomo quietly ordered a Medicaid rate hike for hospitals and nursing homes, which had been a top lobbying priority for GNYHA. empirecenter.org/publications/c…
An internal DOH analysis made clear that the rate hike was targeted to help GNYHA members settle their newly negotiated contract with the health-care workers union 1199 SEIU, another Cuomo ally. empirecenter.org/publications/w…
By early 2019, unbeknownst to the public, New York Medicaid was running well over budget. Rather than closing the gap, which might have entailed lower payments to GNYHA, Cuomo secretly delayed $1.7B in payments to the next fiscal year. empirecenter.org/publications/c…
Although the delay immediately threw the new budget out of balance, the Cuomo administration didn't disclose what happened until months later, by which time it had spawned a $4B deficit. empirecenter.org/publications/c…
When he finally moved to contain costs in early 2020, he turned the job over to a Medicaid Redesign Team cochaired by Michael Dowling of Northwell, a top official of GNYHA and long-time Cuomo adviser, as well as former 1199 chief Dennis Rivera. governor.ny.gov/news/governor-…
The MRT was still deliberating when the pandemic hit. In mid-March, as newly reported by @WSJ, GNYHA lobbied the state for a policy requiring nursing homes to accept COVID-positive patients. DOH did just that on March 25. wsj.com/articles/cuomo… Image
GNYHA also successfully lobbied for a last-minute provision of the new state budget that would sharply limit the ability of coronavirus victims to file malpractice suits against hospitals, nursing homes and other providers. newsday.com/news/health/co…
In July, DOH issued a report dubiously arguing that the March 25 order was not a significant factor behind nursing home deaths.
empirecenter.org/publications/c…

Dowling, a GNYHA board member, vouched for the findings in a DOH press release. health.ny.gov/press/releases…
Most recently, GNYHA has provided the governor with millions of dollars worth of TV exposure by featuring him in an ad campaign that touts the state's success in controlling the pandemic and encourages NYers to seek hospital care. Image
GNYHA's influence extends well beyond Albany. It's also one of the top donors to Chuck Schumer's Senate Majority PAC and reportedly played a role in killing a congressional ban on "surprise billing." opensecrets.org/outsidespendin… commondreams.org/news/2019/12/2… Image
-30-
Correction: Closing the gap might have entailed lower payments to GYNHA's *members*, not to GNYHA itself.

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More from @NYHammond

May 10, 2022
Setting aside the merits of these actions, why is Hochul bypassing constitutional procedures for spending the public's money? You know, like in Schoolhouse Rock?

governor.ny.gov/news/governor-…
Article VII, Section 7: "No money shall ever be paid out of the state treasury or any of its funds, or any of the funds under its management, except in pursuance of an
appropriation by law." nysenate.gov/sites/default/…
Hochul said she's drawing from an "emergency fund" at the Health Department. Allowing the commissioner to flex emergency power based on a court ruling that may or may not be issued at some future date is quite a stretch.
Read 9 tweets
Apr 12, 2022
This story, which will surely spark a bunch of debate, leaves big questions unaddressed.

1. Is either of them infertile in the medical sense?

Presumably not, or IVF wouldn't help. So they're asking the health plan to cover a non-medical issue.

nytimes.com/2022/04/12/nyr…
2. Where is the egg coming from?

Presumably an unrelated donor. So they're asking for coverage of a procedure involving someone who is not on their policy.
3. If they have a donor, why not use artificial insemination, which is less risky and expensive?

My understanding is that gay couples avoid this, because the biological mother would retain parental rights that can't be signed away by contract.
Read 9 tweets
Apr 7, 2022
Two years into the pandemic, there is still no evident correlation between staffing levels and COVID mortality rates in NY nursing homes.

A link identified by the AG's office in January 2021 disappeared when more complete data became available. empirecenter.org/publications/p… Image
Homes with the worst CMS staff rating of one star also saw the lowest death rate, while three-star homes have the highest.

Richer staffing may improve care in other ways, but it has not seemed to affect COVID risk.
The relationship between COVID risk and nursing home ownership was also inconsistent.

Downstate mortality rates:
For-profit, 15.3%
Government-owned, 14.6%
Not-for-profit, 16.5%

Upstate mortality rates:
For-profit, 15.7%
Government-owned, 6.0%
Not-for-profit, 12.2%
Read 4 tweets
Mar 31, 2022
This @nytopinion essay repeats a lot of misinformation about the home health workforce in New York. Here are five examples. 🧵nytimes.com/2022/03/30/opi…
"Many of us want to age at home. But that option is fading fast."

Home care is more common than ever in New York and growing at an explosive rate. empirecenter.org/publications/t…
"But New York’s home care labor shortage, currently the worst in the nation, has made it hard for her to get help."

This claim comes from a 4-year-old study about a *projected* shortage, not a current one. ...
Read 8 tweets
Mar 19, 2022
Some quibbles with this timeline.

First, it seems to be based on what was known at the time rather than the historic record.

For example, nursing home mortality data obtained by the @empirecenter shows 11 COVID deaths before March 10 (one confirmed, 10 presumed).
The first known COVID death in a New York nursing home (and possible in the whole state) was a resident of the Island Nursing and Rehab Center in Holstville, L.I., on March 2, 2020.
The first confirmed nursing home death was a resident of the Harbor View Home for Adults in Brooklyn on March 4.
Read 8 tweets
Mar 16, 2022
From the DOH response:

"The scope of health data that was released to the public by the prior Administration was determined by that Executive Chamber, not Department personnel, and any Department-issued data was accurately described."

Not so fast. osc.state.ny.us/files/state-ag…
Among the officials who inaccurately described COVID data and spread other misinformation was former former Commissioner Howard Zucker.
empirecenter.org/publications/l…
Meanwhile, the infamous July 2020 report on the nursing home outbreak, which is replete with inaccurate data, is still posted on the DOH website. health.ny.gov/press/releases…
Read 4 tweets

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