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Blog
Health Care
Medicaid Redesign – Significant Progress On A Tough Task
March 09, 2011
The Medicaid Redesign Team changed the dynamic of Medicaid budgeting by focusing many of the stakeholders on the same goal: controlling spending while improving quality of care. The collaborative process promises to be a useful model as reform efforts continue.
Blog
Taxes
New Revenues and the Path to Sustainable State Spending
March 07, 2011
Since the onset of the national recession the State has relied more extensively on new revenue measures than on recurring spending cuts.
Blog
Education
State School Aid
The Neediest Districts Could Be Spared $750 million in Cuts through Better Targeted Reductions
February 27, 2011
The overall reduction in school aid in the NY State FY2012 Executive Budget is necessary to bring spending to a more sustainable level, but the cuts’ impacts on individual districts should be modified.
Blog
Health Care
One Good Way to Save More on Medicaid
February 21, 2011
One of the Medicaid Redesign Team's proposals – reforming the state’s payment method for nursing homes – should be strengthened to increase savings and improve care.
Video
Health Care
No Easy Solution: Effective Medicaid Cost Control
A Panel Discussion
January 27, 2011
A recent report by the Citizens Budget Commission (CBC) found that elderly and disabled beneficiaries comprise fewer than one in four Medicaid enrollees in New York but account for nearly three of every four program dollars spent. Achieving cost savings among this population, while preserving access to high-quality services, challenges the State to develop creative strategies beyond blunt rate cuts. The CBC and New York State Health Foundation convened a panel of healthcare experts to explore the ideas expounded in the report.
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.
Video
Capital Spending
Public Private Partnerships
A Panel Discussion
December 11, 2008
Panel discussion from CBC's event on public-private partnerships, also knowns as PPPs or P3s.
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
Economic Development
It's Time to End New York State's Empire Zone Program
December 02, 2008
The Economic Development Zone program has become a vehicle for giving tax breaks to a variety of corporations with no clear, consistent, verifiable justification for the public investment. This report describes the benefits enjoyed by participating firms and how those benefits are distributed among economic regions of the State and types of firms; identifies and elaborates on the three serious problems that compromise the program’s efficacy; and asserts that the Empire Zone program cannot be fixed, citing past failures to do so, and should end.
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
State Budget
New York's Endangered Future
Debt Beyond Our Means
September 21, 2005
New York State's debt obligations will require current and future taxpayers to bear a burden that creates a competitive disadvantage with the other states. The core issue is that New York has no effective legal limits on the amount of debt it can assume. CBC advocates for short-run and long-run measures; in the near term, voters should reject bond referendums such as the Transportation Bond Act of 2005 until debt is brought under control, and in the long-run the State must strike a balance between adequate infrastructure investment and a competitive debt burden.
Report
Economic Development
Encouraging Small Business Success in New York City and Northern New Jersey
What Firms Value Most
July 29, 2005
This survey of small businesses in New York City and Northern New Jersey finds that these businesses broadly agree on the three most important factors to success: 1) Overall cost of business; 2) Proximity to clients and markets; and 3) Access to a skilled labor force.
Report
State Budget
The Palisades Principles Revisited
A Progress Report
June 04, 2005
CBC reviews New York State’s progress on the 10 principles of budget reform known as the Palisades Principles. These 10 principles emerged from a statewide conference of civic and business leaders held in November 2003 in Palisades, NY. Of the 10 principles, four have shown no progress, five have shown some progress, and only one has shown significant progress.
Report
State Budget
Recommendations for the New York State 2005-2006 Budget
March 21, 2005
CBC recommends for the fiscal year 2005-2006 State budget: 1) Significantly reduce spending on Medicaid and on ineffective programs; 2) Make meaningful progress in a long-run realignment of state and local fiscal responsibilities for Medicaid and school financing; 3) Balance the budget with recurring revenues; and 4) Enact the budget on time and in full sunlight.
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
Capital Spending
An Affordable Debt Policy for New York State and New York City
October 17, 2000
Presents a new approach for determining how much the State and City should borrow, including criteria for deciding how much state and local debt is affordable.