New York Fact Sheet (498k PDF)

New York

Rankings

  • Overall : 41
  • Affordability & Access: 25
  • Choice of Setting & Provider: 17
  • Quality of Life & Quality of Care: 39
  • Support for Family Caregivers: 48

Number of indicators for which this state ranked in the:

  • Top 5: 2
  • Top Quartile: 5
  • 2nd Quartile: 5
  • 3rd Quartile: 6
  • Bottom Quartile: 8
  • Bottom 5: 4

Estimated Impact of Improvement

  • †if this state improved to the level of the best-performing state
  • 2,106 more low- or moderate-income adults age 21 and older with activity of daily living disabilities would be covered by Medicaid.
  • 18,079 more new users of Medicaid LTSS would first receive services in home and community based settings instead of nursing homes.
  • 11,113 nursing home residents with low care needs would instead be able to receive LTSS in the community.
  • 9,195 unnecessary hospitalizations of people in nursing homes would be avoided.
* Data not available
** Best state
Dimension and Indicator Year State Rate All States
Median
Top 5 States
Average
Best State Rate Rank
Affordability & Access 2011 Scorecard 25
Median annual cost for private-pay nursing home resident, as percentage of median household income, age 65 2010 393 224 171 166 50
Median annual cost for private-pay home care, as percentage of median household income, age 65 2010 96 89 69 55 37
Private long-term care insurance policies in effect per 1,000 population, age 40 2009 35 41 150 300 38
Percent of low-income adults at or below 250% of poverty level with ADL disability and enrolled in Medicaid or other public health insurance, age 21 2008-09 63.1 49.9 62.2 63.6 2
Medicaid LTSS participant years per 100 adults with ADL disability in nursing homes or living in the community at or below 250% of poverty level, age 21 2007 51.8 36.1 63.4 74.6 6
Ability to access LTSS system through ADRC or other single entry point (composite indicator, rated on 0–12 scale) 2010 8.4 7.7 10.5 11 19
Choice of Setting & Provider 2011 Scorecard 17
Percent of Medicaid and state-funded LTSS spending going to home- and community-based services for older people and adults with physical disabilities 2009 41.7 29.7 59.9 63.9 14
Percent of new Medicaid LTSS users first receiving services in the community 2007 48.8 49.9 77.1 83.3 27
Number of people with disabilities directing own services, per 1,000 adults age 18 2010 5.20 8 69.4 142.7 33
Tools and programs to facilitate consumer choice (composite indicator, rated on 0–4 scale) 2010 * 2.75 3.79 4.00 *
Home health and personal care aides per 1,000 population age 65 2009 87 34 88 108 2
Assisted living and residential care units per 1,000 population age 65 2010 16 29 64 80 43
Percent of nursing home residents with low care needs 2007 11.4 11.9 5.4 1.3 22
Quality of Life & Quality of Care 2011 Scorecard 39
Percent of adults age 18 with disabilities living in the community who usually or always get needed support 2009 62.2 68.5 75.5 78.2 50
Percent of adults age 18 with disabilities living in the community who are satisfied or very satisfied with life 2009 83.6 85.0 90.9 92.4 37
Rate of employment for adults with ADL disability relative to rate of employment for adults without ADL disability, ages 18–64 2008-2009 24.2 24.2 42.4 56.6 26
Percent of high-risk nursing home residents with pressure sores 2008 13.3 11.1 7.2 6.6 44
Percent of long-stay nursing home residents who were physically restrained 2008 3.3 3.3 1.3 0.9 25
Nursing home staffing turnover: ratio of employee terminations to average number of active employees 2008 32.2 46.9 27.2 18.7 6
Percent of long-stay nursing home residents with hospital admission 2008 20.2 18.9 10.4 8.3 28
Percent of home health episodes of care in which interventions to prevent pressure sores were included in care plan for at-risk patients 2010 93 90 95 97 8
Percent of home health patients with hospital admission 2008 37.6 29.0 23.2 21.8 50
Support for Family Caregivers 2011 Scorecard 48
Percent of caregivers who usually or always get needed support 2009 71.2 78.2 82.2 84 50
Legal and system supports for caregivers (composite indicator, rated on 0–12 scale) 2010 1.60 3.17 5.9 6.43 44
Number of health maintenance tasks able to be delegated to LTSS workers 2011 11 7.5 16 16 16

* Data not available.
Notes: Composite indicators combine information on multiple policies and programs; see Appendix B2 for detail.
See Appendix B2 for data year, source and definition of each indicator.
ADL = Activities of Daily Living; ADRC = Aging and Disability Resource Center

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