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Report
Health Care
A New Approach to Funding New York City Health + Hospitals
December 16, 2019
This report analyzes the system’s finances, compares H+H to other providers in the City, and outlines options to right-size the City subsidy and improve H+H's fiscal future.
Report
State Budget
Overdue Bills
Time to Face the Reality of Rising Medicaid Costs
October 09, 2019
State leaders have two options to reconcile the disconnect between reality and the budget: reduce Medicaid spending and/or achieve savings in other areas of the budget.
Report
Health Care
Options to Enhance the Coordination of Care for Dually Eligible Individuals in New York State
A Discussion Paper
April 25, 2019
This discussion paper outlines lessons from previous and existing efforts to coordinate the care of duals, and suggests five strategies for the State to consider moving forward.
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
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.
Report
Taxes
Local Taxes in New York State
Easing the Burden
December 06, 2007
A background paper for the third session of a 2007 stakeholder conference to “fix Albany.” The process by which the next budget is prepared and debated, as well as the substantive decisions it embodies, are critical to the movement for political and fiscal reform in New York State. This paper focuses on a more equitable and affordable local tax burden.
Presentation
State Budget
Local Taxes in New York State
Easing the Burden
December 06, 2007
Presentation from a stakeholder conference on setting budget reform priorities in 2007.
Report
Taxes
A Simulation of Business Taxes in New York City and Other Locations
June 02, 2007
This report focuses on state and local business taxes in New York City, showing that those taxes are dramatically higher than comparable taxes for key competitors. Combined federal, state, and local taxes reduce the rate of return on new business investment in New York City significantly – about 36-50 percent, depending on location and industry. Most of this is due to federal tax – typically 34-36 percentage points. Taxes in New York City were the highest in all industries in 2006, and were highest or second-highest under virtually all scenarios examined. By contrast, taxes in other New York locations often were lowest or nearly lowest among the locations compared.
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.