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Report
Transportation
NYS Infrastructure Policy
A Background Paper for the CBC Conference on The Most Important Fiscal and Economic Issues Facing New York State
December 13, 2018
This paper was prepared by HR&A Advisors as a background paper for the December 2018 CBC Conference on most important fiscal and economic issues facing New York State. The paper provides recommendations for how NYS should prioritize, fund, and deliver key infrastructure investments.
Report
City Budget
Reviving EMS
Restructuring Emergency Medical Services in New York City
November 25, 2018
The City of New York spends more than $1.1 billion annually in an effort to provide its residents and visitors this vital service, but the money is not used wisely.
Report
Health Care
Still a Poor Way to Pay for Medicaid
October 01, 2018
For more than 50 years New York State has financed its Medicaid program in a unique way: the State requires New York City and the 57 other counties to pay more for Medicaid than all other local governments in the nation combined.
Report
Transportation
Getting Back on Track
Replacing and Repairing Subway Cars Will Be Expensive and Take More Than a Decade
July 18, 2018
Decisions to redirect capital dollars to other priorities and stretch inspection and maintenance cycles contributed to the decline in subway reliability, and challenges lay ahead for plans to purchase 3,600 new subway cars and retrofit 1,200 existing cars.
Report
Pensions & Benefits
2018 Benefit Sweetener Scorecard
May 18, 2018
The balance of this year's legislative session will be devoted to moving bills through the legislative process, including proposals to enhance the benefits of State and local public employees and retirees.
Report
Health Care
Options for Enhancing New York's Health Home Initiative
A Discussion Paper
May 01, 2018
This paper addresses the challenges in extending Health Homes to all who can benefit from their services in a cost-effective manner.
Report
Transportation
4 Things You Should Know About the MTA's Commuter Railroads
April 18, 2018
The Long Island Rail Road is much more inefficient than Metro-North. Here's why.
Report
Pensions & Benefits
Union-Administered Benefit Funds
Getting More Out Of A Billion Dollar Taxpayer Contribution
February 08, 2018
NYC taxpayers are projected to contribute $1.1 billion to 108 union-administered benefit funds. Better management, oversight, and consolidation can create more than $160 million in savings for the City and improve benefits for members.
Report
Health Care
Lessons from La La Land
Can the Turnaround of Los Angeles' Public Hospitals Be Replicated in New York?
January 08, 2018
Does LA's experience hold lessons for NYC Health + Hospitals?
Report
Health Care
Fiscal Challenges Facing the New York City Health and Hospitals Corporation
November 06, 2014
HHC is crucial to all New Yorkers, providing care to more than one million patients annually. Despite HHC's importance, its fiscal condition is troubled. HHC's cash resources are being depleted; absent an aggressive gap-closing plan its cash reserves will be exhausted in fiscal year 2016.
Report
Transportation
Misplaced Priorities in the MTA's Capital Plan
October 23, 2014
The plan identifies $16.9 billion in available funding, but a gap of about $15.2 billion remains unfunded. This CBC study focuses on how the money would be spent and recommends that the proposed plan be revised to address three serious shortcomings.
Report
Transportation
Financing PATH
Options for Deficit Reduction
April 23, 2014
This report examines the financing arrangements for the PATH transit system operated by the Port Authority of New York and New Jersey.
Report
Capital Spending
Planning After PLANYC: A Framework for Developing New York City's Next Ten-Year Capital Strategy
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 06, 2013
This report reviews capital planning and spending during Mayor Bloomberg’s tenure in order to suggest principles that can guide the development of a new long-term capital plan and financing strategy.
Presentation
City Budget
Options to Reduce Expenditures
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 06, 2013
In this presentation, CBC puts forward eight options to reduce expenditures by nearly $4 billion by FY2018.
Report
Public Workforce
7 Things New Yorkers Should Know About Municipal Labor Contracts
May 19, 2013
This brief lists seven things New Yorkers should know about New York City collective bargaining and labor relations.
Presentation
Health Care
Medicaid Redesign Team Update and Next Steps
Presented by Medicaid Director Jason Helgerson
May 14, 2013
Report
Economic Development
Competitiveness Scorecard
Assessing NYC's Competitiveness as a Home for Human Capital
February 06, 2013
This scorecard assesses the New York City metropolitan area’s competitiveness in attracting, cultivating and retaining talent. The scorecard is based on the relative performance of the New York City metro area against 14 of the largest domestic metro areas on a comprehensive set of quantitative indicators.
Report
Pensions & Benefits
Everybody’s Doing It
Health Insurance Premium-Sharing by Employees and Retirees in the Public and Private Sectors
January 27, 2013
This report analyzes New York City’s health premium policies for employees and retirees and suggests options to generate savings by implementing premium-sharing in the City's largest plans.
Report
Capital Spending
How Public-Private Partnerships Can Help New York Address Its Infrastructure Needs
December 11, 2008
This report explores the application of public-private partnership (PPPs) in New York by explaining its definition of such a relationship and offering in-depth guidelines, potential applications (including highway bridges, New York City school buildings, New York City parks, and higher education facilities), examples on a global, national, and local level, and potential missteps and cautions.
Report
Health Care
Paying More, But Not Getting Better Care
The Case For A New Payment System For Nursing Homes In New York's Medicaid Program
December 09, 2008
New York’s Medicaid program is the most expensive in the nation, projected to cost $45 billion in fiscal year 2008-09 and to consume nearly one-third of the New York State budget. New York State can provide needy residents with better nursing home care and save about $1.2 billion annually in fiscal year 2008-2009 by changing the way its Medicaid program pays nursing homes. This report explains why the current system is wasteful, perpetuating inefficiencies and inequities without assuring high quality care, and how a better payment system might work.