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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 goal is to make complicated subjects more understandable to general readers, while providing detailed insights for people who work in the health policy field.
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It Is Always Darkest Before the Dawn
At the outset of the Chinese Cultural Revolution, Chairman Mao reportedly said, “It is always darkest before it becomes totally black.”

Paul Francis
Nov 12, 2024


Year Two for the Step Two Policy Project
We have begun Year Two of the Step Two Policy Project. ...

Paul Francis
Nov 4, 2024


Rural Healthcare in New York
To be successful, New York’s health policies need to support the unique needs of rural communities.

Paul Francis
Oct 4, 2024


(Part 2 of 2) Healthcare in Rural New York: Current Challenges and Solutions for Improving Outcomes
Accompanied by the Disparities in Rural and Urban Mortality: New York State Chartbook by Adrienne Anderson Policy Brief: Chartbook:...

Sally Dreslin
Oct 1, 2024


(Part 1 of 2) Healthcare in Rural New York: Current Challenges and Solutions for Improving Outcomes
In this Policy Brief, we examine some of the wide-ranging health challenges that New York’s rural communities are facing...

Sally Dreslin
Oct 1, 2024


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
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