New York ranks 10th in the U.S. for women's health

Delivered every Monday by 10 a.m., New York Health Care is your guide to the week’s top health care news and policy in Albany and around the Empire State.
Jul 22, 2024 View in browser
 
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By Maya Kaufman

Good morning and welcome to the Weekly New York Health Care newsletter, where we keep you posted on what's coming up this week in health care news and offer a look back at the important news from last week.

Driving the Day

The health care system is working better for women in New York than in most other states, even as it lags on several key affordability and quality metrics, according to a new state-by-state analysis of women’s health by the Commonwealth Fund.

New York ranked 10th overall in the U.S. on the nonprofit’s new scorecard on women’s health and reproductive care released last week. The scorecard is based on 32 measures of health care access, quality and outcomes.

The state ranked among the nation’s top five for health and reproductive care outcomes, such as maternal mortality and morbidity rates.

Rates of breast and cervical cancer deaths — both of which are preventable yet top causes of mortality for U.S. women — stand at 17.3 per 100,000 women in New York, compared to 20.9 nationwide, according to the analysis.

But New York also stood out for its high rate of cesarean births for low-risk pregnancies, at 29.5 per 100 women in 2022, while the nationwide average was 26.3.

Higher rates of low-risk cesarean births are associated with increased maternal mortality and morbidity, in addition to negative impacts on infant health.

And women in New York continue to face barriers in accessing health care.

Twenty-one percent of New York women between the ages of 18 and 44 reported not having a personal health care provider in 2022, according to the scorecard. Fourteen percent said there was recently a time when they needed to see a doctor but couldn’t because of the cost.

Such barriers were most evident when it comes to preventative care. New York was among the analysis’ worst performers for rates of women with up-to-date colon cancer screenings and women over the age of 65 who had ever received a pneumonia vaccine.

“Looking across states and comparing their health care systems is an important way of telling us what is and isn’t working in American health care,” Sara R. Collins, the analysis’ lead author and senior scholar and vice president for health care coverage and access for the Commonwealth Fund, said in a statement. “The scorecard’s findings are deeply concerning and underscore the urgent need for federal and state policies to expand women’s access to affordable, timely reproductive care and other essential health services, regardless of who they are, what they earn, or where they live.”

IN OTHER NEWS:

Northwell Health has inked a partnership with Instacart to address social determinants of health by expanding access to nutritious food, the health system announced last week.

The partnership’s first program will involve integrating Instacart Health tools into Northwell’s Maternal Outcomes and Morbidity Collaborative to provide future parents with category-specific online grocery stipends and nutrition guidance.

ON THE AGENDA:

Wednesday, 10:15 a.m. to 1:15 p.m. The state Public Health and Health Planning Council will convene the Ad Hoc Committee to Lead the State Health Improvement Plan.

Thursday at 3 p.m. NYC Health + Hospitals’ board of directors hosts its monthly public meeting.

GOT TIPS? Send story ideas and feedback to Maya Kaufman at mkaufman@politico.com.

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What you may have missed

A continued exodus of health care workers from Mount Sinai Beth Israel is posing potential risks to patient safety, POLITICO reported last week.

Staffing woes have escalated in recent weeks as the private Manhattan hospital approached and then passed its long-planned closure date of July 12, which was predicated on state approval. The medical director of Beth Israel’s intensive care unit left at the end of June, and the hospital’s chief nursing officer is resigning next month, hospital officials said in court papers filed as part of an ongoing lawsuit over the closure.

“Staffing instability has reached a critical point where we are no longer able to continue reliably providing safe patient care,” Liz Sellman, the hospital’s president and COO, stated in an affirmation filed last week. “Staffing at the Hospital is sufficiently thin and unstable that even a relatively minor event, such as staff calling out sick, could have a debilitating and potentially life-threatening effect at the Hospital. These are not appropriate conditions under which to operate a Hospital.”

The hospital’s top clinical and administrative leaders are sounding the alarm in hopes of accelerating the state Department of Health’s review process and convincing a Manhattan judge to loosen a restraining order that temporarily blocks the hospital from downsizing and requires it to maintain a certain level of services.

Odds and Ends

NOW WE KNOW — A listeria outbreak linked to deli meats has sickened at least seven New Yorkers.

TODAY’S TIP — Chomp on some baby carrots for a significant nutrient boost.

STUDY THIS — A German man appears to have been cured of HIV after a stem cell transplant, scientists announced.

What We're Reading

New York City medical examiners stop autopsies for some suspected overdoses amid a staffing crisis. (Gothamist)

Former NYC health commissioner works to unite public health and medical providers. (STAT)

Fund to aid children harmed at birth hasn’t kept promises, families say. (The New York Times)

Around POLITICO

Dem ticket shakeup breathes new life into abortion-rights fight, Alice Miranda Ollstein reports.

Via Daniel Payne: The conservative doctor who’s got the GOP’s ear on trans kids’ care.”

MISSED A ROUNDUP? Get caught up on the New York Health Care Newsletter.

 

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Maya Kaufman @mayakauf

 

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