Modern Healthcare

NYC Health & Hospitals curtails hiring in wake of DSH cuts

- — Jonathan LaMantia, Crain’s New York Business

NYC Health & Hospitals is taking drastic steps to offset a delay in Medicaid disproport­ionate-share funding.

To cope with the funding gap, totaling $380 million, the 11-hospital health system will fill just 25% of the 250 to 300 jobs that typically become available each month, interim CEO Stanley Brezenoff wrote in a letter to employees. The city had already been rehiring for only half of open positions under its cost-savings plan to avoid a $1.8 billion deficit by fiscal 2020.

DSH and upper payment level supplement­al Medicaid payments account for about a third of the system’s $8 billion operating budget, according to Brezenoff.

Gov. Andrew Cuomo has not distribute­d the funding from fiscal 2017, which ended Sept. 30, in response to federal cuts that took effect for the current year on Oct. 1. New York stands to lose $330 million this year and $1.1 billion in the next 18 months, according to the state.

Cuomo said last week that the state was holding onto the money while it determined a fair way to distribute it. Deciding how to do that could require a special session of the state Legislatur­e, he said.

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Brezenoff

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