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Policy Project
The Step Two Policy Project is a policy think tank that focuses on issues involving health, behavioral health, and human services in New York. Our work reflects our goal of making complicated subjects more understandable to general readers, while providing detailed insights for people who work in the health policy field.
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The Dog That Didn’t Bark: the House Select Subcommittee on the Coronavirus Pandemic
This Commentary builds on two others regarding the controversy about the Cuomo administration’s nursing home policies during Covid-19.

Paul Francis
Sep 16, 2024


Debunking the Empire Center Analysis Attributing Nursing Home Covid-19 Deaths to DOH Policy
There are two important facts that help account for why these transfers did not measurably increase deaths of nursing home residents ...

Paul Francis
Sep 7, 2024


Re-Examining the Cuomo Administration’s Nursing Home Policies During Covid-19
Four-and-a-half years after the Covid-19 pandemic began, people are still reckoning with nursing home policy decisions made by NYS officials

Paul Francis
Sep 4, 2024


Spotlight on Providers
Mount Sinai Health System identified the need to more efficiently and accurately collect patient consent for health information exchange...

Adrienne Anderson and Sally Dreslin
Aug 27, 2024


The Medical Indemnity Fund and the Price of Good Intentions
The principal focus of this paper is the Medical Indemnity Fund , which was created in 2011 as part of the Medicaid Redesign Team...

Paul Francis
Aug 7, 2024


State Healthcare Cost Growth Benchmarks
This paper discusses a strategy that a growing number of states are pursuing to constrain growth in healthcare costs...

Adrienne Anderson
Jun 26, 2024


Spotlight on Providers
Our first Spotlight, posted today, focuses on Advanced Health Network and Recovery Health Solutions (AHN/RHS), operating in affiliation.

Sally Dreslin
May 19, 2024


Fiscal Frameworks for New York State Government
By “fiscal frameworks,” I’m referring to two different types of frameworks...

Paul Francis
May 7, 2024


An Inflection Point for Health Information Exchange in New York
Health Data and Information Series #3 Introduction Health information exchange (HIE) is already an indispensable part of the healthcare...

Sally Dreslin
Apr 30, 2024


Transparency and Openness in Government and Public Policy
...this Commentary is more of a rumination about the challenges of creating not only transparency but “openness”...

Paul Francis
Apr 7, 2024


California Dreaming and the MCO Tax - Addendum
The purposes of this Addendum to my March 19 Commentary titled California Dreaming and the MCO Tax are to ...

Paul Francis
Mar 25, 2024


California Dreaming and the MCO Tax
The Health section of the one-house budgets the Senate and Assembly released last week upended the usual pattern.

Paul Francis
Mar 18, 2024


An Analysis of the FY 25 Executive Budget and Legislative Proposals for Financially Distressed Hospitals
Funding for financially distressed hospitals is one of the two “burning houses” in the FY 25 Health budget...

Paul Francis
Mar 13, 2024


A Review of the Managed Long-Term Care Issues in the FY 25 Executive Budget
Governor Kathy Hochul introduced her Executive Budget for State fiscal year 2024-25 (FY 25) on January 16, 2024...

Paul Francis with Sally Dreslin and Adrienne Anderson
Feb 21, 2024


Analyzing Complex Public Policy Issues
I want to use the analysis of this proposal as an example to describe the process of analyzing complex public policy issues.

Paul Francis
Feb 21, 2024


The Dynamics of the New York State Budget Process
What I want to talk about today is the dynamics of the Budget process...

Paul Francis
Feb 6, 2024


Over-Engineering Against Risk
Governor Kathy Hochul presented the FY 25 Executive Budget for State fiscal year 2024-25 on Tuesday in Albany.

Paul Francis
Jan 31, 2024


Using Health Data and Information to Better Measure the Affordability of Healthcare
The lack of comprehensive health data, information, and policy analysis infrastructure in New York hampers the ability of policymakers to...

Sally Dreslin & Adrienne Anderson
Jan 25, 2024
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