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Blog
Transportation
The MTA’s Preliminary 2017 Budget: Good News Now, But Risks Down the Track
September 27, 2016
Reviews the MTA's preliminary 2017 budget and points to risks, including expiring labor contracts and looming OPEB liabilities.
Report
Transportation
Access-A-Ride
Ways to Do the Right Thing More Efficiently
September 20, 2016
This report identifies strategies and options the Metropolitan Transportation Authority (MTA) can pursue to improve the financial outlook and quality of Access-A-Ride, the paratransit program.
Blog
Capital Spending
Agency Focus: DASNY
Budget Analysis
August 01, 2016
The Dormitory Authority of the State of New York (DASNY) manages construction of buildings and provides low-cost financing for public and nonprofit institutions.
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
Heading the Wrong Way on the Thruway
March 23, 2016
Governor Andrew Cuomo proposal to provide nearly $2.3 billion of State funds from bank settlements to subsidize the New York State Thruway Authority would reverse a long-standing practice of funding the Authority from toll revenue and would put New York taxpayers on a course for financing road and bridge infrastructure that makes little economic or fiscal sense.
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.
Blog
Pensions & Benefits
Simple But Significant
Savings from the Elimination of the Medicare Part B Reimbursement
December 19, 2010
As New York’s elected officials consider options for balancing budgets in the face of record deficits, they should eliminate a public employee fringe benefit rarely offered anywhere else: reimbursement for Medicare Part B premiums.
Blog
Capital Spending
When Will the Capital Budget Cuts Really Arrive?
December 09, 2010
Failure to impose fiscal austerity on the infrastructure agenda is evident in growing levels of capital commitments.
Blog
Pensions & Benefits
What is OPEB and Why Does it Cost $9.4 Billion?
December 05, 2010
The true cost of retiree health insurance and "other postemployment benefits," or OPEB, was $9.4 billion in fiscal year 2010. Why it cost so much and what should be done about it.
Report
Health Care
Analysis of the New York State Medicaid Program and Identification of Potential Cost-Containment Opportunities
November 17, 2010
This report identifies trends in expenditures and enrollment in New York’s Medicaid program.
Report
Health Care
No Easy Solution
Effective Medicaid Control Must Focus on the Elderly and Disabled
November 17, 2010
This report examines Medicaid spending in New York relative to other states and finds the program is big not just because New York is a populous state or it covers a lot of people. It recommends a multi‐year agenda to restructure service provision and the cost of care for the elderly and disabled.
Blog
Capital Spending
Mind the Gap
Funding Repair and Maintenance of New York City Infrastructure
July 26, 2010
Past neglect has created a need for nearly $5.6 billion in repair of existing facilities in New York City in order to bring them to satisfactory condition, known as a "state of good repair." Yet the City's capital budget allocates only about half, with the gap especially large for streets, hospitals, and parks.
Blog
Capital Spending
New York City Capital Spending: A Retrospective
April 21, 2010
Analyzes the impact of capital investments under Mayor Bloomberg.
Report
State Budget
In The Danger Zone
A Comparative Analysis of New York State's Long-Term Obligations
March 08, 2010
This comparative analysis examines the debt burden of the 50 states. It finds that New York's debt burden is well above national averages and greater than that of all but three states.
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.
Report
Transportation
How To Balance the MTA's Budget
June 27, 2006
In order for New York to maintain a strong and vibrant economy, its transportation system has to be kept up to par and expanded to meet future needs. This report examines the two problems and suggests alternative financing policies for the MTA that would balance its operating budget and provide sufficient capital to accelerate the pace at which its facilities are brought to a state of good repair.
Report
State Budget
Public Authorities in New York State
April 03, 2006
New York State’s extensive reliance on authorities has given rise to four significant problems: 1) Misuse of the power to incur debt; 2) Insufficient oversight and coordination of project revenue backed and private conduit borrowing; 3) Insufficient reporting to support accountability; and 4) Insufficient independence in governance. Each problem is explained more fully in this report, along with five strategies to address them.