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Report
Public Workforce
How to Make $1 Billion in Labor Savings Real & Recurring
September 02, 2020
As the City faces the worst fiscal crisis in generations, municipal workers are also facing the dire prospect of layoffs.
Blog
Health Care
Maintaining Momentum on Medicaid Redesign
March 27, 2020
To ensure a sustainable Medicaid program that can help New Yorkers most in need in the future, the Executive and Legislature should continue the course correction started by the MRT, especially as they enact a budget during these troubled times.
Report
Health Care
Six Things to Know About New York State Health Care Reform Act (HCRA) Taxes
March 05, 2020
As lawmakers negotiate this year’s budget, they should review HCRA’s role in health care funding and its impact upon privately insured New Yorkers.
Report
Pensions & Benefits
An Expensive and Risky Benefit
How Low Interest Rates Cost New York City Taxpayers $1.2 Billion Annually
October 05, 2016
A unique feature of a tax deferred compensation plan available to NYC teachers guarantees them a 7% investment return regardless of what happens to interest rates or in the stock market.
Special Feature
Health Care
Facts About Medicaid in New York
September 15, 2016
This infographic presents facts about enrollment in and the costs of Medicaid in New York State.
Blog
City Budget
The “20-20-20-20” Dilemma: Legacy Costs in the New York City Budget
July 22, 2016
A giant slice of the New York City budget pays for costs that are the legacy of commitments made in the past: debt service, pensions, and retiree health insurance. These legacy costs already exceed 20 percent of the budget and will expand by 20 percent to more than $20 billion in annual spending by fiscal year 2020.
Special Feature
Health Care
Local Medicaid Spending
May 26, 2016
An interactive map that indicates the burden of the local share of Medicaid costs falls hardest on the poorest counties. Rescinding the State’s assumption of growth for New York City will further exacerbate this inequity. New York City currently has the highest Medicaid burden per capita at $597, compared to the average local share throughout the rest of the State of only $190 per capita.
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
Pensions & Benefits
Legislature Introduces Even More Benefit Sweeteners
May 18, 2016
The State Legislature has introduced 8 new bills to enhance the benefits of State and local public employees and retirees in the 2016 session.
Blog
Pensions & Benefits
2016 Benefit Sweetener Scorecard
May 02, 2016
The Citizens Budget Commission’s 2016 Benefit Sweetener Scorecard identifies more than 60 such bills active this session. These bills could cost the State and local governments hundreds of millions of dollars per year, and since about half the bills do not specify a fiscal impact, the potential costs could be significantly greater.
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
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.
Letter
State Budget
Recommendations on the FY 2017 Executive Budget
February 25, 2016
CBC offers recommendations for legislative action on the Governor’s Executive Budget for fiscal year 2017. The recommendations cover four proposals that deserve support, five proposals that should be modified, and four proposals that should be rejected.
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
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.
Report
Pensions & Benefits
8 Things New Yorkers Should Know About Public Retirement Benefits in New York State
October 19, 2010
This report presents eight facts about retirement benefits for New York State and local employees intended to stimulate a substantive discourse on pursuing changes to prevent underfunding of the pension systems and to make retirement benefits more fair and affordable.
Report
Pensions & Benefits
Better Benefits from our Billion Bucks
August 02, 2010
This report describes the organization and financing of the union welfare funds, identifies and documents three problems with the current arrangements – limited accountability, poor financial management and inefficient provision of benefits - and presents recommendations to improve the use of these payments and provide taxpayer savings.
Letter
Pensions & Benefits
CBC Encourages Governor Paterson to Veto Benefit Sweeteners
July 22, 2010
The fiscal realities of the time have not deterred the Legislature from advancing dozens of bills enhancing benefits for State and local employees and retirees. Three were already sent to you for consideration this week; another will be shortly. We are writing to ask that you veto them.