New York performs relatively well on redetermination performance, improper payment performance, existing APCD infrastructure, primary care provider supply, and independent NP practice. Set against these strengths, New York’s overall score is held back by Medicaid expansion, no early work requirement activity, low private coverage retention, rapid Medicaid spending and per-enrollee cost growth, high Medicaid budget exposure, weak MFCU enforcement activity, active CON laws, and no IMLC activity.