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Variations in MedicaidCost-Containment Strategies Among New York Counties
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Institutional Care
The largest component of long-term care service costs, by far, is services provided by
skilled nursing facilities. Cost of services: In New York State in fiscal year 2000, Medicaid spending on institutional long-term care was over $5 million, compared to over $2.5 million on non-institutional long-term care. Median expenditures on institutional long-term care per recipient in Upstate counties were over $26,000. Per recipient expenditures ranged from over $19,000 in Allegany county to over $40,000 in Nassau county as illustrated in figure 17. Percent receiving services: The percentage of the Medicaid population using institutional long-term care services varies across New York State. The median for Upstate counties is 7%, but ranges from a low of 4.4% in Clinton county to a high of 13.6% in Putnam county. New York City has a much lower percentage of the Medicaid population using institutional long-term care, with only 3% of Medicaid eligibles using this benefit.
Figure 17: Highest and Lowest Counties: Dollars per User for Institutional Long-Term Care, Fiscal Year 2000
$0
$10
$20
$30
$40
$50
New York City
New York State
Rest of State
mean
median
Allegany
St Lawrence
Cattaraugus
Niagara
Genesee
Dutchess
Westchester
Rockland
Suffolk
Nassau
Thousands
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17
Institutional Care
The largest component of long-term care service costs, by far, is services provided by
skilled nursing facilities.
Cost of services: In New York State in fiscal year 2000, Medicaid spending on institutional long-
term care was over $5 million, compared to over $2.5 million on non-institutional long-term care.
Median expenditures on institutional long-term care per recipient in Upstate counties were over
$26,000. Per recipient expenditures ranged from over $19,000 in Allegany county to over
$40,000 in Nassau county as illustrated in figure 17.
Percent receiving services: The percentage of the Medicaid population using institutional long-
term care services varies across New York State. The median for Upstate counties is 7%, but
ranges from a low of 4.4% in Clinton county to a high of 13.6% in Putnam county. New York
City has a much lower percentage of the Medicaid population using institutional long-term care,
with only 3% of Medicaid eligibles using this benefit.
Figure 17: Highest and Lowest Counties: Dollars per User for Institutional Long-Term Care, Fiscal
Year 2000
$0
$10
$20
$30
$40
$50
New York City
New York State
Rest of State
mean
median
Allegany
St Lawrence
Cattaraugus
Niagara
Genesee
Dutchess
Westchester
Rockland
Suffolk
Nassau
Thousands
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