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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?
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?
Blog
Capital Spending
How Much, and for What?
May 21, 2013
Reviews the $54 billion Ten-Year Capital Strategy; the next mayor will have to make difficult trade-offs between competing priorities while ensuring the city’s debt does not become unaffordable.
Blog
State Budget
Little Noticed but Significant: The Sound Recommendations of the SAGE Commission
April 15, 2013
Reviews the worthwhile recommendations of the Spending and Government Efficiency Commission, or “SAGE” Commission.
Blog
State Budget
Balancing the State Budget – Halfway There, But Running Out of Gas?
December 19, 2011
The Governor should avoid more new taxes as the way to close the rest of the budget gap and instead focus on containing spending growth in Medicaid, pensions, education, and economic development.
Blog
Taxes
The Tax Hike’s Silver Lining
December 07, 2011
If the temporary personal income tax hike is the price we pay for long-term reforms that enhance infrastructure, encourage job growth, make the state and local tax system more equitable, and reduce future pension costs, then it is a price worth paying.
Blog
Capital Spending
The Dos and Don’ts of PPPs
December 04, 2011
Dos and Don’ts for the use of PPPs, or "P3s" adapted from the CBC's 2008 report, “How Public-Private Partnerships Can Help New York Address Its Infrastructure Needs.”
Blog
Health Care
Cause for Concern with the Medicaid Redesign Team Implementation
October 13, 2011
NY is roughly halfway to meeting its budgeted Medicaid savings target of $2.2 billion for fiscal year 2012. A closer look suggests there is cause for concern that some of the savings may not be implemented on time.
Blog
Pensions & Benefits
Possible City Savings From Health Insurance Changes
June 19, 2011
Following the template provided by Governor Cuomo and the CSEA can produce $1.4 billion in savings for New York City in fiscal year 2012 – more than enough to avert layoffs and other cuts.
Blog
Pensions & Benefits
The Case Against Tapping the Health Insurance Premium Stabilization Fund
June 14, 2011
Diverting money from the Health Insurance Premium Stabilization Fund may seem harmless, but it is a fiscal gimmick that only postpones the tough decisions needed to address the underlying causes of the City’s financial predicament.
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
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.