Image of ambulances

The delivery of health care in New York is undergoing dramatic changes. 

The Affordable Care Act, known as Obamacare, has significantly expanded coverage, with the number of uninsured New Yorkers down by 850,000 since the state’s health insurance exchange opened in 2013.  

The federal legislation also paved the way for Gov. Andrew Cuomo’s Medicaid Redesign Team, which has targeted inefficiencies and touted successes in reducing cost growth. 

But the transition has not gone entirely smoothly. Longstanding hospitals are struggling to stay open. New York City’s safety net hospitals are in the red. Providers are worried that they won’t be able cover their employees’ wages. 

In this special section, City & State delves into these issues, and more – water contamination in Hoosick Falls, the threat of the Zika virus, the ongoing opioid abuse epidemic – as we take the pulse of medical care across the state.