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Bill Hammond Profile picture
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23 Jul, 5 tweets, 2 min read
FWIW, I'm told on good authority that the DOJ's decision does *not* affect the ongoing investigation of Cuomo administration by the Manhattan U.S. attorney's office.
The letter to @SteveScalise focuses on a preliminary inquiry opened under Civil Rights of Institutionalized Persons Act and focused on public nursing homes, of which there only about 30 in New York.

That approach never seemed very promising, IMO.
empirecenter.org/publications/t…
*Brooklyn U.S. attorney's office, aka the Eastern District of New York.
I understand the cynicism about political interference, but my understanding is that U.S. attorney's investigation (which is actually out of the Eastern District, not Manhattan) began under the Trump administration and is being led by career people in that office.
In October, DOJ expanded its New York inquiry under a different statute (the False Claims Act) to cover private nursing homes as well as government-owned facilities. The letter to Scalise does not mention that angle, so I'm curious about its status. nypost.com/2020/10/27/doj…

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More from @NYHammond

Bill Hammond Profile picture
15 Jul
This new study finds that higher nursing-home staffing levels were linked to *worse* outcomes during the pandemic.

Facilities in the top staffing quartile had 92% higher infection rates and 133% higher mortality rates than those in the bottom quartile. healthaffairs.org/doi/10.1377/hl…
These results are being published two months after the state Legislature passed a minimum staffing law that will force most NY nursing homes to hire more people.

More staff might be good in other ways, but it appears to increase the risk of spreading infectious diseases.
In March, @iskingsb and I found no clear correlation between staffing levels and COVID-19 mortality, and argued that boosting staff would not be an effective response to the pandemic.

These new results suggest that that staffing ratios might actually backfire.
Read 7 tweets
Bill Hammond Profile picture
6 Jul
The state's crime wave is not confined to New York City.

In 20 non-NYC urban areas tracked by DCJS, shooting incidents jumped 75% between 2019 and 2020, which compares to a 50% increase for NYC over the same period. criminaljustice.ny.gov/crimnet/ojsa/s…
From 2019 to 2020, the number of murders inside and outside NYC rose at roughly the same rate (47% and 44%, respectively).

From 2011 to 2020, murders outside NYC were up 42%, while murders within NYC were down 9%.
To be clear: The murder *rate* in NYC is still higher than it is for the state as a whole.

But the trend outside the city has been worse in recent years, and the gap is closing.
Read 4 tweets
Bill Hammond Profile picture
2 Jul
This op-ed is weird.

As far as I can tell, the Legislature passed only one bill on early intervention services this year & it works nothing like this.

In fact, it would *end* third-party coverage of EIS and fund the program with a tax on insurance.

timesunion.com/opinion/articl… Image
From the sponsor's memo: "Implementing this change would remove any obligation on insurers to pay
for EI services and replace it with a lump sum payment ..." assembly.state.ny.us/leg/?default_f…
The lump-sum payment would come from a 4% hike in the "covered lives assessment," a per-person tax on health coverage -- which, in reality, comes out of the pockets of premium payers, not insurers.

Background: empirecenter.org/publications/l…
Read 4 tweets
Bill Hammond Profile picture
10 Jun
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.
Read 6 tweets
Bill Hammond Profile picture
9 Jun
The NYS Legislature has voted to require doctors to prescribe naloxone, an anti-overdose drug, for certain high-risk patients using opioids.

Has the state ever mandated doctors to prescribe a certain medication before? crainsnewyork.com/health-care/tw…
This seems to intrude on the doctor-patient relationship in a pretty fundamental way.
@mssnytweet @sonodoc99
Read 4 tweets
Bill Hammond Profile picture
2 Jun
In more 3,200 pages of Fauci emails from January through June 2020, just released under FOIA, there is one reference to a communication between him and Gov. Cuomo ... buzzfeednews.com/article/natali…
On 3/4/20, Fauci wrote to a fellow NIH official:

"I received a text from Governor Cuomo of NY State and he wants me to come up to NYC for a Press Conference with his Health Commissioner, Howard Zuycker [sic]."

assets.documentcloud.org/documents/2079…
Fauci was copied on 4/6 and 4/8 emails about media strategy that listed Cuomo as one of several governors who might be helpful. assets.documentcloud.org/documents/2079…
Read 6 tweets

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