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Special Feature
Health Care
Local Medicaid Spending
May 26, 2016
An interactive map that indicates the burden of the local share of Medicaid costs falls hardest on the poorest counties. Rescinding the State’s assumption of growth for New York City will further exacerbate this inequity. New York City currently has the highest Medicaid burden per capita at $597, compared to the average local share throughout the rest of the State of only $190 per capita.
Report
Health Care
What Ails Medicaid in New York?
And Does the Medicaid Redesign Team Have a Cure?
May 20, 2016
This report assess the progress of the Medicaid Redesign Team (MRT), launched in 2011, in implementing strategies to curb costs and improve the quality of care in Medicaid.
Blog
State Budget
A Step Backward on Medicaid Funding
March 24, 2016
New York’s policy of requiring counties and New York City to pay a sizable share of Medicaid costs is out of step with other states and results in an inequitable distribution of Medicaid costs among New York taxpayers. In 2005 the State capped the growth in the local share of Medicaid, which was a step in the right direction. In 2012 the State began a phased takeover of local share growth—a further improvement. However, the 2017 Executive Budget proposes to reinstitute New York City’s contribution toward growth in Medicaid expenses, which would be a giant step backwards.
Blog
State Budget
Pass Governor’s Proposal to Reform State Retiree Health Insurance Benefits
March 13, 2016
State of New York retirees with more than 10 years of service receive health insurance benefits substantially more generous than those offered by private sector and most public sector employers. Governor Andrew Cuomo’s Executive Budget for FY2017 includes a fair proposal to reduce these growing costs, and the Legislature should adopt it.
Blog
Capital Spending
Design-Build Contracting
A Way to Fix More Bridges for Less Money
February 17, 2016
State legislators should enable New York City to benefit from design-build contracting: if it realized savings on par with the State’s experience, the City could save $2 billion over 10 years.
Testimony
Taxes
Testimony on Flaws in New York City's Real Property Taxation System
Submitted to the NYS Assembly Committee on Real Property Taxation
January 22, 2016
The two most significant issues are: 1) among residential properties, rental buildings are taxed more heavily than single family homes, and 2) within the two subgroups of residential properties—small homes and large rental buildings—property tax rates vary widely.
Blog
Pensions & Benefits
Giving Credit Where It’s Due? New York City’s $1.3 Billion in Health Insurance Savings
December 28, 2014
In its recent mid-year budget modification the de Blasio administration credited a coalition of municipal employee unions with achieving $1.3 billion in savings in the City’s employee and retiree health insurance costs. Yet the unions have not agreed to any changes in the plan, and the City and the unions have taken no actions to reduce costs. How can this be?
Video
Health Care
HHC President and CEO Dr. Ram Raju
CBC Breakfast Series
November 18, 2014
CBC Breakfast with HHC President and CEO Dr. Ram Raju in November 2014.
Video
Capital Spending
Modernization of New York's Built Environment: If Not Now, When?
How NY's Procurement Laws Hinder Effective Project Delivery
November 12, 2014
Video of a panel discussion examining the hindrances of NY's procurement rules and detailing how alternative" service delivery methodologies contributed to the success of both public and private projects in NY.
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.
Blog
Health Care
Agency Focus: NYS DOH
Budget Analysis
November 03, 2014
The New York State Department of Health has overseen dramatic changes in the state's healthcare system in recent years, including the passage of the federal Affordable Care Act and development of the state's own health care exchange website.
Blog
Transportation
Agency Focus: NYS DOT
Budget Analysis
September 28, 2014
Two major challenges face the New York State Department of Transportation: undertaking a comprehensive needs assessment and identifying resources needed to implement a capital plan.
Blog
Health Care
Agency Focus: HHC
Budget Analysis
September 22, 2014
Short budget profiled of the finances and challenges of New York City Health and Hospitals Corporation (HHC) - now known as NYC Health + Hospitals (H+H).
Blog
City Budget
Agency Focus: DEP
Budget Analysis
September 21, 2014
Three entities govern New York City's water and sewer system: the Department of Environmental Protection operates and maintains the system; the New York City Municipal Water Finance Authority (WFA) borrows to finance capital investments; and the Water Board sets rates for customers to meet financing needs. Learn more.
Blog
Capital Spending
An Update on Port Authority Budget Reform
July 22, 2014
How far has the Port Authority come on improving its budget process, long-term financial viability, and accountability to the public?
Video
Transportation
Port Authority Panel on Reform and Oversight
A Panel Discussion
April 22, 2014
Experts discuss how to reform the Port Authority.
Letter
State Budget
CBC Recommendations on Tax Relief and Reform Proposals in Executive Budget
March 05, 2014
This letter expresses support for Executive Budget tax reforms, but recommends that action on the property tax relief proposals be deferred until their design is improved and the surplus necessary to sustain them is achieved.
Blog
State Budget
Governor Cuomo’s Third Budget: Priorities for Fiscal Year 2013-14
December 17, 2012
Four important challenges face state leaders as they prepare the next budget for FY2014 in Medicaid, Education, Economic Development and Local Government Relief.
Video
Health Care
Dr. Alan Aviles, HHC President & CEO
CBC Breakfast Series
October 17, 2012
CBC Breakfast with HHC President and CEO Dr. Ram Raju in October 2012.
Blog
Transportation
Suburban Smiles May Turn to Frowns
September 09, 2012
MTA revenue lost from the payroll mobility tax could be made up in a way that is far more burdensome to suburban commuters.