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Report
Energy & Environment
New York’s Green Policies
Too Much or Too Little – A Competitive Perspective
April 03, 2011
This report assesses how New York compares to other cities in pursuing green objectives and suggests how New York’s leaders can set priorities for taking additional steps to promote environmental goals in ways that align with goals of economic growth and urban competitiveness.
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
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.
Testimony
Health Care
Testimony on Reforming Medicaid
Submitted to the NY State Medicaid Redesign Team
January 28, 2011
Savings can be achieved without denying needed care to low income New Yorkers through three strategies: (1) reducing non‐competitive rates paid to institutional providers; (2) rationalizing utilization of services; (3) tightening eligibility rules and practices to curb the misuse of Medicaid by middle and higher income families for long‐term 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
City Budget
10 Myths About Balancing NYC's Budget
And 5 Ways to Lower the Cost of Government by $1B
December 06, 2002
The CBC prepared this document to clear up a series of common misunderstandings about the budget.
Report
Public Workforce
The 40-Hour Week
A Proposal To Increase The Productivity of Non-Managerial Civilian Municipal Workers
December 03, 2002
This report explores options for increasing the productivity of non-managerial civilian municipal workers by extending the work week to 40 hours.
Report
Health Care
Better Managing New York State's Health Insurance Subsidy Programs
September 30, 2001
Report by the CBC that analyzes the problems that limit the impact of the subsidized health insurance programs and advocates a two-stage strategy - an integrated eligibility system and expanding integrated eligibility to other programs - to make the health insurance subsidy programs work more effectively and efficiently.
Report
Economic Development
New York's Competitiveness: A Scorecard for 13 U.S. Metropolitan Areas
January 31, 2001
The scorecard examines eight different factors that contribute to economic and social well-being and compares the New York metropolitan area to twelve similar places.There are three conclusions: 1) New York has three serious competitive deficiencies; 2) New York is gaining on competitors in public safety and tourism and fiscal policy; and 3) New York is riding a wave of national prosperity but is not distinguishing itself with unique gains.
Report
Capital Spending
Transportation Infrastructure and New York's Competitiveness
June 29, 1999
This CBC report analyzes New York's competitiveness with respect to transportation infrastructure. The report focuses on the highway and mass transit systems of the New York metropolitan area and assesses New York City's competitiveness in relation to its domestic rivals (Chicago and Los Angeles) and its international competitors (London, Tokyo, and Paris).