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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.
Blog
State Budget
Truth in (Financial Plan) Reporting
Will New York State’s Mid-Year Financial Plan Update Appropriately Reflect and Address the Medicaid Budget Shortfall?
November 05, 2019
The State must recognize actual and timely payments for the Medicaid program and explain how it will address the estimated $9 billion Medicaid budget shortfall.
Blog
Public Workforce
Four Facts about New York City Full-Time Employees
October 17, 2019
Here are four facts about full-time NYC employees in fiscal year 2019.
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.
Blog
Public Workforce
The High Cost of the MTA’s New Police Officers
September 25, 2019
The MTA has committed to hiring 500 new police officers to address quality of life concerns, but it is necessary to understand this strategy comes at a cost.
Blog
Pensions & Benefits
Governor Cuomo Should Veto 19 Benefit Sweetener Bills
2019 Benefit Sweetener Scorecard Update
July 12, 2019
The bills would enhance benefits without providing enhanced services to taxpayers or offsetting savings.
Blog
Public Workforce
59 New Bills Added to Benefit Sweetener Scorecard
June 06, 2019
In the remaining weeks of the legislative session, members will propose to enhance the benefits of State and local public employees and retirees.
Blog
Public Workforce
NYS Legislature Introduces 130 Benefit Sweetener Bills
May 01, 2019
For the remaining seven weeks of the legislative session, members will propose to enhance the benefits of State and local public employees and retirees.
Blog
Pensions & Benefits
2019 Benefit Sweetener Scorecard
New York State Bill Tracker
May 01, 2019
For the remaining seven weeks of the legislative session, members will propose to enhance the benefits of State and local public employees and retirees.
Report
Public Workforce
Reform at the Bargaining Table
Labor’s Participation Needed to Improve the MTA’s Financial Outlook
April 30, 2019
The MTA's fiscal outlook is dire, and improving it requires a multipronged approach. Paramount in the effort is slowing the growth of labor costs.
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.
Blog
Health Care
Medicaid Supplemental Payments
State Workgroup Makes Limited Progress on Part of the Problem
February 15, 2019
New York State’s $78 billion Medicaid program includes $5.3 billion of “supplemental payments”. These supplemental payments are crucial to hospitals across the state, especially those largely serving uninsured and Medicaid populations.
Report
City Budget
Reviving EMS
Restructuring Emergency Medical Services in New York City
November 25, 2018
The City of New York spends more than $1.1 billion annually in an effort to provide its residents and visitors this vital service, but the money is not used wisely.
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.
Blog
City Budget
Reduction in Uniformed Overtime Is Still Needed
July 12, 2018
Without workrule changes the City’s uniformed overtime caps are unlikely to be successful. In fact, several agencis have already exceeded their FY 2018 caps.
Blog
Public Workforce
The Cost of a Growing City Workforce
Ballooning Budgets and Long-term Liabilities
July 10, 2018
NYC’s municipal workforce is projected to reach a record 331,520 employees by the end of fiscal year 2019. Headcount expansion has a significant impact on the City’s budget and long-term financial position.
Report
Pensions & Benefits
2018 Benefit Sweetener Scorecard
May 18, 2018
The balance of this year's legislative session will be devoted to moving bills through the legislative process, including proposals to enhance the benefits of State and local public employees and retirees.
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.
Blog
Health Care
DSH Cuts Delayed
Opportunity for State Reform
April 11, 2018
NYS shouldn't miss an important opportunity to revise its distribution of funds to target hospitals with the greatest needs.
Blog
Health Care
Three Strikes Against the Governor’s Proposed Conversion Revenue
March 13, 2018
Counting on the revenue from health insurance company conversations is not prudent for three important reasons.