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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
Energy & Environment
Getting the Fiscal Waste Out of Solid Waste Collection in New York City
September 23, 2014
With a new mayoral administration, a new sanitation commissioner, and an expired contract with municipal sanitation workers, redesigning the public and private components of local waste collection would save about $300 million annually in the long term. The Mayor and City Council should make this restructuring a goal and begin a multiyear phase-in.
Report
Energy & Environment
12 Things New Yorkers Should Know About Their Garbage
May 21, 2014
This report highlights the reasons for the surprisingly high cost of this essential service, including inefficiencies that the City should address in its upcoming negotiations with sanitation workers.
Report
Energy & Environment
Taxes In, Garbage Out
The Need for Better Solid Waste Disposal Policies in New York City
May 30, 2012
This report makes the case for a significant change in the New York City Department of Sanitation's solid waste disposal practices, a shift from heavy reliance on long-distance exporting to landfills to greater reliance on use of local waste-to-energy facilities.
Report
Transportation
Refunding the MTA's Debt
The Importance of Getting it Right
May 06, 2012
This brief examines the Metropolitan Transportation Authority's (MTA) large-scale refunding of outstandingdebt. It focuses on a refunding that saves money and spreads debt service costs fairly over time and does not juggle the timing of debt service costs in a manner places unfair costs on riders and taxpayers in the more
distant future.
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
Capital Spending
6 Things New Yorkers Should Know About Prevailing Wage
February 13, 2012
This report is intended to provide New Yorkers with an understanding of how prevailing wage law works so they can understand and evaluate the arguments in the current debate.
Report
Pensions & Benefits
The First Priority in the New Year – Pension Reform
January 10, 2012
This brief examines pension cost growth in New York State and its effect on the New York's competitiveness. It recommends the adoption of a new tier of pension plans known as the Tier VI Proposal.
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.