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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
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
Taxes
Practical Policy in Challenging Circumstances:
How NYS and NYC Should Respond to the Tax Cuts and Jobs Act
March 18, 2018
Strategies to mitigate the federal tax law's threat to New York's competitiveness and New Yorkers' wallets.
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
Taxes
Tax Policy Choices and New York City's Competitive Position
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 06, 2013
The purpose of this background paper is to help inform tax policy choices that the new mayoral administration may face. It examines levels of taxation in New York City compared to other cities, and it reviews research on how taxes affect the local economy and migration patterns.
Report
Taxes
Options for Property Tax Reform: Equitable Revenue Raising Reforms for NYC's Property Tax
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 05, 2013
The purpose of this report is to describe three options for increasing property tax revenues. The first of these options maintains status quo inequities; in contrast, the other two address some major problems with fairness and efficiency that characterize current policy.
Presentation
Health Care
Medicaid Redesign Team Update and Next Steps
Presented by Medicaid Director Jason Helgerson
May 14, 2013
Report
Health Care
A Troubling Prognosis for HHC's Finances
April 23, 2012
This report assesses New York City Health and Hospitals Corporation's (HHC) critical role within the health care safety net protecting lower income New Yorkers, and it explores two significant fiscal challenges in the coming years: threats to City-supported revenues and an inadequate gap-closing plan.
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.
Report
Taxes
The Citizens Budget Commission Review of Circuit Breakers
February 04, 2008
CBC recently looked at the option of expanding New York’s existing circuit breaker program to provide targeted relief to the neediest taxpayers as background for a forum on local tax relief convened on December 6, 2007. Based on that review of options the following points, outlined in this report, can be highlighted: 1) Circuit breakers are common; 2) New York’s circuit breaker needs reform; and 3) The poorly crafted School Tax Relief Program (STAR) would work better as a circuit breaker.