Medicaid Long-Term Care in New York: Variation by Region and County

This United Hospital Fund report analyzes rates of service use and levels of spending per recipient across New York State, documenting variation by region and by county.

To explain regional variation, it examines four interrelated factors—demographics, reimbursement policies, availability of service, and local administration.

Among the findings, spending in New York City accounts for 66% of long-term care spending statewide, a level that is higher than the city’s share of all elderly and disabled Medicaid beneficiaries in the state (58%). The component parts of this spending are far from uniform across the state: compared to its overall share of costs, New York City accounts for a significantly lower share of nursing home spending (52%), and a significantly higher share of spending on home health services (80%) and personal care (84%).