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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
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
Education
Vote "No" on the Smart Schools Bond Act
October 19, 2014
While enhancing the use of technology in schools is a popular cause, the Smart Schools Bond Act is ill-conceived and deserves a "no" vote for three reasons discussed in this report.
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
Education
Striking a Balance
Financing Education Reform in the Most Heavily-Taxed State
November 01, 2006
Following up on its previous research on the issues surrounding the State Court’s decision in the Campaign for Fiscal Equity case, CBC hosted two expert panel discussions focusing on key issues in education finance reform. This brief recounts the proceedings from the second of those discussions, which took place on April 27, 2006. The discussion focused on responsibly generating revenues to fund the Court’s mandate, thinking about other changes needed to accomplish reform, and developing the role of the business community in seeing reform across the finish line.
Report
Education
Approaches to School Finance Reform for New York State
Is Robin Hood the Good Guy? Moving Toward a More Equitable School Aid System for New York
September 28, 2006
The report discusses the background of the 2003 New York State Court of Appeals decision in the Campaign for Fiscal Equity case, an overview of the issue, explains what is wrong with the current system, provides possible sources of revenue, and provides a discussion framework.
Report
Education
Can New York Get An A In School Finance Reform?
January 01, 2005
The State of New York faces a major challenge stemming from a 2003 ruling by the Court of Appeals, the State’s highest court, which found that the more than 1 million children in New York City’s public schools were not provided with the sound basic education guaranteed to them by the State Constitution. CBC addresses two fundamental questions: Where should the money come from? What changes other than more money are essential to improving educational outcomes?
Report
Education
Gambling Revenues
November 29, 2004
CBC assesses the potential to increase gambling revenue in order to meet the requirements of the Campaign for Fiscal Equity settlement and finds that aggressive pursuit of gambling revenues has the potential to generate $2 and $3 billion annually, but the State must consider its long-run sustainability, disproportionate impact on lower-income taxpayers, and social costs.
Report
Education
Lessons From Other States
November 29, 2004
CBC conducted case studies of seven states (Kentucky, New Hampshire, Vermont, New Jersey, Ohio, Texas, and Michigan) that have faced legal challenges to their public school financing systems. The analysis considers the following questions: 1) How long did it take and why? 2) How much did it cost, and where did the money come from? 3) What were the results in terms of finance outcomes? 4) What new strings where put on the money? 5) What were the results in terms of educational outcomes?
Report
Education
Promoting Accountability in New York State
November 29, 2004
CBC calls for a new accountability system for education spending to be developed in conjunction with the Campaign for Fiscal Equity settlement to ensure that new money, as well as old money, is spent effectively.
Report
Education
Educational Efficiencies
Savings Within the Educational System
November 29, 2004
CBC recommends reforms to improve efficiencies in education spending to offset the additional spending required under the Campaign for Fiscal Equity settlement. Recommendations include: 1) Reallocating state education aid away from wealthy districts and to more needy districts; 2) Relaxing limits on the time teachers spend in the classroom; 3) Consolidating small school districts; and 4) placing a cap on administrative expenses.
Report
Education
Finding Space For A Sound Basic Education
November 29, 2004
CBC recommends two alternative proposals to meet the Campaign for Fiscal Equity capital requirements for providing adequate classroom space. The two options are redistricting schools and operating schools on year-round schedules.
Report
Education
Tax Revenue Options
November 28, 2004
CBC reviews revenue options to best pay for the Campaign for Fiscal Equity initiatives. CBC considers broadening the base of two taxes, sales and corporate income; raising rates on two existing statewide taxes, personal income and sales; and instituting a new statewide property tax.
Report
Education
Amicus Brief for Campaign for Fiscal Equity Lawsuit
September 19, 2004
CBC's amicus curiae brief in the Campaign for Fiscal Equity case focuses on four critical issues regarding the infusion of additional funding into the New York City school system in order to provide students with a sound basic education: The mix of state and local responsibility; accountability mechanisms; adequate classroom space; and changes to workforce compensation and deployment.
Report
Health Care
Confronting the Tradeoffs in Medicaid Cost Containment
February 20, 2004
While its benefits are clear and widely supported, Medicaid's costs are far more controversial. In New York, total spending for Medicaid of $36 billion in fiscal year 2003 represented nearly 40 percent of total State expenditures. The portion of the Medicaid program paid for with State-raised revenues totaled $12.6 billion or more than one-quarter of all State spending financed with State revenues.
Report
Health Care
Better Managing New York State's Health Insurance Subsidy Programs
September 30, 2001
Report by the CBC that analyzes the problems that limit the impact of the subsidized health insurance programs and advocates a two-stage strategy - an integrated eligibility system and expanding integrated eligibility to other programs - to make the health insurance subsidy programs work more effectively and efficiently.