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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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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 27, 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 20, 2024


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

Paul Francis
May 8, 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
May 1, 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 8, 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 26, 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 19, 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 14, 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


The Affordability of Healthcare in New York
Governor Kathy Hochul presented the FY 25 Executive Budget for State fiscal year 2024-25 on Tuesday in Albany.

Paul Francis
Jan 19, 2024
S2P 2024 State of the State Brief
...we were very pleased to see the number of proposals in the 2024 State of the State (SOS) that dovetail well with our areas of interest...

Paul Francis
Jan 12, 2024


Commentary #4: Week of January 8th, 2024
In the Health sector, the most significant announcement in the SOS was that the State has received approval from CMS of its 1115 waiver...

Paul Francis
Jan 12, 2024


The Challenge of Financially Distressed Hospitals in New York
Technology and medical progress are disrupting the hospital industry, enabling more procedures to be performed outside of the hospital...

Paul Francis with Sally Dreslin and Adrienne Anderson
Dec 29, 2023


Commentary #3: Week of December 25th, 2023
We think it’s important to understand the background of the increasing numbers of financially distressed hospitals in New York...

Paul Francis
Dec 29, 2023
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