Bill Hammond Profile picture
Jun 10, 2021 6 tweets 3 min read Read on X
This sentence includes one grossly misleading claim and one flatly inaccurate one.
news.littlesis.org/2020/02/14/ins…
$80B was RAND's estimated savings over *10 years.* That's about 2% of total health spending. It's based on multiple dubious assumptions, including the idea that health providers, Albany's most formidable lobbying force, will accept slower growth in payments.
RAND's first-year savings estimate was $2B or less than 1%, which is negligible given the enormous uncertainty involved in forecasting health care spending.
As for what share of New Yorkers would hypothetically save money under single-payer, RAND gave several numbers, none of which was close to 98%.

Its baseline estimate was 65%, and came with this crucial caveat:
In other words, the theoretically savings for two-thirds of New Yorkers would depend almost entirely on the other third being forced to pay more -- almost one-fifth of their income at the high end.
Here's the RAND report: rand.org/content/dam/ra…

Here is my summary of the case against single-payer:
empirecenter.org/publications/t…

And here is my more in-depth analysis:
empirecenter.org/publications/d…

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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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