纽约州卫生部门约一年前开始将超过14.7万名医疗补助和Medicare储蓄计划参保人转移至升级后的个案管理系统。
New York’s Department of Health began transitioning more than 147,000 Medicaid and Medicare Savings Program enrollees to an upgraded case management system about a year ago.
州官员表示，此后只有其中三分之一的人能够在无需协助的情况下自动续保。
Since then, state officials say only a third of them have been able to automatically renew their coverage without assistance.
这是价值11亿美元合同的一部分，该合同旨在建立一套自动化系统，让医疗补助参保人实时获知自己是否符合这两项计划的资格。尽管新系统旨在实现无缝参保流程，但对许多消费者而言，其运行过程问题频出。
The shift is part of a $1.1 billion contract aimed at creating an automated system for Medicaid enrollees to receive real-time determinations on their eligibility for the two programs. While the new system is intended to create a seamless enrollment process, for many consumers it’s been riddled with challenges.
这项举措是更广泛改革的一部分，旨在推动医疗补助项目摆脱地方社会服务部门，因为这些部门仍依赖纸质申请和亟需彻底升级的过时系统。据州官员介绍，纽约州希望将该项目转移到由其公共医疗保险市场“纽约州健康”运营的一套集中化系统中。
The initiative is part of a broader effort to move the Medicaid program away from local social services departments that still rely on paper applications and an outdated system in desperate need of overhaul. The state wants to transition the program to one centralized system run through its public health insurance marketplace, New York State of Health, according to officials.
非营利机构老年人法律与正义中心负责政策事务的主管律师林赛·赫克勒表示，该机构发现不当拒绝资格认定的情况激增。
Lindsay Heckler, managing attorney for policy at the nonprofit Center for Elder Law & Justice, said her firm has seen a surge in inappropriate denials.
“我并不是说新系统不该投入使用，”赫克勒说，“但令人担忧的是，目前采用的培训和工作流程正在阻碍人们取得资格。我担心，在未来一年，他们会把更多人转入这个系统，而系统对当前用户暴露出的问题尚未得到解决。”纽约州于2025年9月开始推出新的医疗补助资格与客户管理系统。预计第二批更为复杂的个案将在2027年11月至2028年2月期间迁移至新系统。
“I’m not saying the new system shouldn’t be in place,” Heckler said. “But the concern is that the training and processes that are in place are preventing people from becoming eligible. My concern is that in the coming year they are moving more people into a system that doesn’t have the kinks worked out for the people that are in the system right now.”The state began rolling out the new Medicaid Eligibility and Client Management system in September 2025. A second wave of more complex cases is expected to migrate to the new system between November 2027 and February 2028.
州官员表示，这套系统由德勤咨询依据一份价值11亿美元的合同开发，并已由卫生部门和该公司进行全面测试；但他们也承认，系统仍存在一些问题，正在随着问题被发现而逐步解决。
And while state officials say the system — which was created by Deloitte Consulting through a $1.1 billion contract — was thoroughly tested by both the Health Department and the company, they concede that problems remain and are being addressed as they’re flagged.
权益倡导者以更尖锐的措辞描述了目前的处境。他们表示，系统错误已使65岁及以上人士、盲人及残障人士的医疗保障面临风险。他们还告诉POLITICO，他们发现了信息传输不准确、自动化资产核查工具存在缺陷，以及州政府工作人员无法手动推翻不当拒绝决定等问题。德勤公司未回应置评请求。
Advocates describe the situation in starker terms. They say errors have put health care coverage in jeopardy for people who are 65 years and older, blind or disabled. They also told POLITICO they’ve discovered inaccurate information being transferred, a flawed automated asset verification tool and state workers’ inability to manually override inappropriate denials. Deloitte did not respond to a request for comment.
2023年8月，纽约州与德勤公司签订了一份价值1.77亿美元的合同。然而，在该州悄无声息地对原合同作出四项修订后，预计支出已增至11.8亿美元；原合同已于2025年3月31日到期。根据“纽约公开账本”数据库所列合同详情，最新一次修订包括一项8.66亿美元的延期以及工作方案的调整。
New York entered into a $177 million contract with Deloitte in August 2023. But that projected outlay has grown to $1.18 billion after the state quietly filed four amendments to the initial deal, which ended on March 31, 2025. The latest amendment included an $866 million extension along with a work plan modification, according to details of the contract listed in the Open Book New York database.
卫生部门表示，合同延期将完成医疗补助参保人向新系统的迁移。下一批迁移将涵盖更复杂的个案，例如长期护理和养老院患者。合同还将追加资金，供德勤公司开展测试并确保符合新的联邦要求。
The Health Department said the contract extension will complete the migration of Medicaid enrollees to the new system, which includes more complex cases in the next wave, such as long-term care and nursing home patients. The contract also includes additional funding for Deloitte to conduct testing and ensure compliance with new federal requirements.
卫生部门发言人卡登丝·阿夸维瓦在一份声明中表示：“这场持续多年的过渡将转向集中管理模式，并以精简、易用的平台取代陈旧、昂贵、容易出错且效率低下的纸质系统，从而更好地满足纽约居民的医疗保障需求，同时降低浪费、欺诈和滥用行为的可能性。”“在整个过渡过程中，这项过渡工作和合同在每个环节都接受了联邦政府的广泛审查，并获得 Medicare 和 Medicaid 服务中心的批准。”
“This multi-year transition to a centrally administered model will replace the outdated, expensive, error-prone and inefficient paper-based system with a streamlined, user-friendly platform that better supports the health coverage needs of New Yorkers while reducing the potential for waste, fraud, and abuse,” Health Department spokesperson Cadence Acquaviva said in a statement. “At every step of the way, this transition and contract were subject to extensive federal review and approval by the Centers for Medicare and Medicaid Services.” ead more in POLITICO Pro from Katelyn Cordero. MARK YOUR CALENDAR:
在 POLITICO Pro 中阅读凯特琳·科尔德罗的更多内容。请留意日程：欢迎参加10月14日举办的POLITICO“纽约展望：消费能力、行业与经济”活动，聆听关于从市政厅到州议会大厦所做出的、将塑造该市经济未来的商业与政策决策的现场对话。嘉宾阵容包括纽约市议会议长朱莉·梅宁、纽约市经济发展公司首席执行官安东尼·肖里斯、纽约市伙伴关系组织首席执行官史蒂芬·富洛普、公民预算委员会主席安德鲁·莱恩、查尔斯·H·雷夫森基金会总裁玛丽亚·托雷斯-斯普林格等。
Join POLITICO’s New York Outlook: Affordability, Industry & The Economy on Oct. 14 for live conversations about the business and policy decisions being made today — from City Hall to the State Capitol — that will shape the city’s economic future. The lineup includes New York City Council Speaker Julie Menin, New York City Economic Development Corp. CEO Anthony Shorris, Partnership for NYC CEO Steven Fulop, Citizens Budget Commission President Andrew Rein, Charles H. Revson Foundation President Maria Torres-Springer, and more.
现在即可前往现场或通过州议会大厦直播观看雅各布斯获胜：州民主党委员会主席杰伊·雅各布斯今天在威斯特彻斯特举行的党内会议上，以获得82%加权投票的绝对优势赢得新一届两年的任期。
now to attend in person or watch the livestream From the Capitol JACOBS WINS: State Democratic Committee Chair Jay Jacobs handily won a new two-year term on the job, receiving 82 percent of the weighted vote at a party gathering in Westchester today.
雅各布斯去年因在的大选中拒绝背书当时的民主党市长候选人佐赫兰·马姆达尼而惹恼了左翼阵营，他此次面临来自奥齐戈县党部主席凯特琳·奥登的挑战。他在胜选致辞中呼吁团结，并邀请奥登加入他的领导团队并担任“实质性”职务。
Jacobs — who angered the left last year by declining to endorse then-Democratic mayoral nominee Zohran Mamdani in the general election — faced a challenge from Otsego County chair Caitlin Ogden. He preached unity as his victory message, inviting Ogden to join his leadership team in a “substantive” role.
雅各布斯说：“我们这个党必须达成共识，即我们的首要任务是在无论什么选区都选出民主党人，并使用这些选区民众听得懂的语言。我们党的所有派别都需要学会倾听、理解和尊重彼此。在民主党这个大家庭内部不应该有恶毒的指责。”党内成员传统上一直支持州长对主席人选的选择。州长凯西·霍楚尔从未在公开场合动摇过对雅各布斯的坚定支持，并在最近几周明确表示他依然是她的首选。
“This party has got to come to an understanding that our first priority is electing Democrats in whatever districts they’re in, and speak the language of the people in those districts,” Jacobs said. “All sides of our party need to learn to listen, to understand, to respect each other. There should be no vitriol inside the Democratic Party tent.”Party members have traditionally supported the governor’s choice for chair. Gov. Kathy Hochul never publicly wavered in her support for Jacobs, making clear in recent weeks he was still her pick.
“我想感谢他接受了这份重担和责任，”她今天对党内官员表示。“这并非州内最轻松的职位。但他以凝聚人心的方式完成了工作。”雅各布斯同时担任拿骚县民主党委员会主席，在过去三位州长任期内曾主持州党工作，任期分别为2009年至2012年以及2019年至今。如果他完成新的两年任期，他将仅差一届任期即可超越富兰克林·罗斯福的操盘手詹姆斯·法利，成为纽约民主党历史上任期最长的主席。
“I want to thank him for accepting the weight, the responsibilities,” she told party officials today. “Not the easiest job in the state. But he has done it in a way that has brought us together.”Jacobs, who also heads the Nassau County Democratic Committee, has chaired the state party under the past three governors, serving from 2009-2012 and since 2019. If he completes his new two-year stint, he’d be just one term away from surpassing FDR kingmaker James Farley as the longest-tenured chair in the history of the New York Democrats. — Bill Mahoney FROM THE CAMPAIGN TRAIL
——比尔·马洪尼 来自竞选前线民调动态：据埃默里大学/PIX11电视台最新民调显示，共和党众议员迈克·劳勒与民主党挑战者凯特·康利之间的竞争陷入胶着。康利获得48%的支持率，劳勒为46%，7%的受访者尚未决定。
POLL POSITION: Republican Rep. Mike Lawler and Democratic challenger Cait Conley are locked in a tight race, per a new Emerson College/PIX11 poll Conley earned 48% of support to Lawler’s 46%, with 7% of respondents undecided.
劳勒获得的跨党派支持高于康利，独立选民倾向于支持他。但民调机构指出，与2024年10月埃默里大学的一项调查相比，支持劳勒的民主党人比例有所下降；而康利获得的共和党支持率则高于劳勒在2024年的对手、前众议员蒙代尔·琼斯。
Lawler has more crossover support than Conley does, and independents break for him. But the pollsters note the percentage of Democratic backing for him fell from an Emerson survey in October 2024, while Conley’s GOP support increased compared to Lawler’s 2024 opponent, former Rep. Mondaire Jones.
霍楚尔在该选区的受欢迎程度处于低位——40%的受访者表示认可，49%表示不认可——尽管民调机构承认，她的处境比2024年有所改善。唐纳德·特朗普总统同样不受欢迎，43%的受访者认可其表现，53%表示不认可。该民调未询问关于曼达尼的问题，曼达尼是劳勒在竞选途中经常针对的对象。
Hochul’s favorability is underwater in the district — 40% of respondents approve and 49% disapprove — though the pollsters acknowledge she’s on better footing than she was in 2024. President Donald Trump is also unpopular, with 43% approving his performance and 53% disapproving. The poll did not ask about Mamdani, a favorite foil of Lawler’s on the trail. The survey was conducted among 400 likely voters from Sept. 27-29.
该调查于9月27日至29日对400名可能投票的选民进行，误差范围为正负4.9个百分点。——麦迪逊·费尔南德斯特朗普将赴纽约上州：据三位知情人士透露，特朗普正考虑于10月9日前往纽约上州，与共和党州长候选人布鲁斯·布莱克曼同台亮相。
It has a margin of error of plus-or-minus 4.9 percentage points. — Madison Fernandez TRUMP TO CNY: Trump is considering a trip to upstate New York on Oct. 9 to appear alongside Republican gubernatorial candidate Bruce Blakeman, according to three people with knowledge of the discussions.
第四位知情人士表示，该活动目前正在考虑选址纽约中部，但尚未最终敲定。由于讨论的是关于潜在行程的私下对话，这些知情人士要求匿名。
The event is being considered for central New York, but has not been finalized, said a fourth person. The people were granted anonymity to disclose the private conversations about the potential trip.
布莱克曼的竞选团队未予置评，白宫也没有立即回复寻求置评的信息。
Blakeman’s campaign did not comment and the White House did not immediately return messages seeking comment.
今年夏天，特朗普曾前往长岛，为布莱克曼和共和党众议院候选人造势。来自市政厅亿万富翁的ZO：马姆达尼昨天在 Gracie 庄园接待了十五位商界领袖——其中几位是亿万富翁——出席其商业顾问委员会的首次会议。
Trump previously appeared on Long Island this summer to rally with Blakeman and Republican House candidates. FROM CITY HALL BILLIONAIRE’S ZO: Mamdani hosted fifteen business leaders — several of them billionaires — at Gracie Mansion yesterday for the inaugural meeting of his Business Advisory Council.
该委员会汇集了各行业的企业高管，以协助指导城市的经济政策并引领增长与创新。尽管曾公开谴责超级富豪，但马姆达尼仍欢迎诸如 Chobani 创始人兼首席执行官哈姆迪·乌鲁卡亚（Hamdi Ulukaya）和杰斐逊河资本公司（Jefferson River Capital）董事长托尼·詹姆斯（Tony James）等亿万富翁的意见，听取他们关于如何解决生活成本危机（该危机已阻碍了他们招募顶尖人才的能力）的见解。
The council brings together business executives across industries to help guide the city’s economic policy and shepherd growth and innovation. Despite decrying the ultra wealthy, Mamdani welcomed input from billionaires such as Chobani founder and CEO Hamdi Ulukaya and Jefferson River Capital Chairman Tony James on how to address the affordability crisis, which has inhibited their ability to recruit top talent.
据市长发言人透露，委员会还讨论了将全市闲置办公空间改造成艺术和研究中心的潜在计划。
The council also discussed potential plans to convert unused office space across the city into arts and research hubs, according to a spokesperson for the mayor.
正当市长在自己家中欢迎其他企业高管时，市长最大的亿万富翁反对者之一肯·格里芬（Ken Griffin）宣布向卡耐基梅隆大学捐赠30亿美元，这是美国高等教育史上最大的一笔单笔捐赠。
While he was welcoming other business execs to his home, one of the mayor’s biggest billionaire foes, Ken Griffin, was announcing his $3 billion donation to Carnegie Mellon University the largest single donation in the history of American higher education.
这笔资金的大部分被指定用于为该大学在迈阿密建造一个新的校园——就在几个月前，格里芬曾表示，市长的言论促使他在佛罗里达州而不是纽约“加倍”进行投资。
Most of that money is earmarked to build the university a new campus in Miami — months after Griffin said the mayor’s rhetoric prompted him to “double down” on investments in Florida, rather than New York.
今年春天，当市长在社交媒体视频中站在格里芬价值2.38亿美元的顶层公寓前，以此宣传他的非主要住所税（pied-à-terre tax）时，马姆达尼与格里芬的矛盾进一步激化。在这篇贴文中，马姆达尼将这位亿万富翁塑造成其“向富人征税”议程的主要目标。
The Mamdani-Griffin beef swelled this spring when the mayor posed in front of Griffin’s $238 million penthouse in a social media video promoting his pied-à-terre tax. In the post, Mamdani framed the billionaire as a prime target of his tax-the-rich agenda.
格里芬回应称该视频“诡异且怪异”，并表示他计划在纽约以外地区进一步投资的举措是“市长糟糕决定的直接且即时后果”。当被问及格里芬的历史性捐款时，曼达尼表示：“我们将欢迎任何人的支持、任何人的参与，并且我们永远都会这样做，因为这座城市属于所有生活在这里的人。”—— 莫莉·莱因曼 其他新闻—— 静修：据报道，纽约市第一夫人拉玛·杜瓦吉在一处伊斯兰健康静修中心度假，该中心有呼吁摧毁以色列的历史，而她的丈夫当时正在推出打击反犹主义的蓝图。
Griffin responded by calling the video “creepy and weird,”saying his plans to further invest outside of New York were “an immediate and direct consequence of the mayor’s poor decision.”“We will welcome anyone's support, anyone's involvement, and we will always do so because this is a city that belongs to all who live here,” Mamdani said when asked about Griffin’s historic donation. — Molly Reinmann IN OTHER NEWS — RETREAT: NYC first lady Rama Duwaji reportedly sojourned at an Islamic wellness retreat with a history of calling for the destruction of Israel, as her husband was rolling out his blueprint to combat antisemitism. ( Washington Free Beacon — CHATBOT GOVERNANCE:
（《华盛顿自由灯塔》）—— 聊天机器人治理：曼达尼政府计划推出新的AI保障措施，包括打击用于客户服务的聊天机器人，并启动对AI助手的正式研究。（《政治报》专业版）—— 加速进程：曼达尼政府公布了12个将加快住房建设速度的区域。（错过了今早的《纽约手册》？我们原谅你。在此阅读）
The Mamdani administration is planning to unroll new AI safeguards, including cracking down on chatbots used in customer service and launching a formal study of AI assistants. ( POLITICO Pro — SPEEDING THINGS UP: Mamdani’s administration unveiled 12 districts where housing will be fast-tracked. ( Missed this morning’s New York Playbook? We forgive you. Read it here