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Report
Health Care
A New Approach to Funding New York City Health + Hospitals
December 16, 2019
This report analyzes the system’s finances, compares H+H to other providers in the City, and outlines options to right-size the City subsidy and improve H+H's fiscal future.
Press Release
Health Care
CBC Report Finds NYC H+H Recovered Only 54 Percent of Associated Patient Care Costs from Insurers
Compared to 85 Percent for Safety Net Hospitals
December 16, 2019
Majority of H+H Deficit was due to low revenue for care to Medicaid patients, not uncompensated care for the uninsured.
Press Release
Energy & Environment
CBC Calls on NYS to Use Flexible, Market-Driven Strategies to Meet its Ambitious Greenhouse Gas Emission Reduction Goals
December 09, 2019
CBC Report Finds Massive Needed Scale Up of Renewable Generation Capacity Infeasible in Time to Meet 2030 Goal.
Report
Energy & Environment
Getting Greener
Cost-Effective Options for Achieving New York State's Greenhouse Gas Goals
December 09, 2019
While GHG emissions have risen in other large states like Texas and Florida, New York has been a leader in reducing GHG emissions; the continued focus on getting greener through further emissions reductions is necessary and important.
Letter
Capital Spending
CBC Urges Governor to Authorize Design-Build for NYC Agencies
November 27, 2019
CBC urges Governor Cuomo to sign A7636B/S6293A, which would authorize NYC to use design-build and other innovative capital procurement methods.
Letter
Capital Spending
CBC Urges Governor to Sign A4880/S1673 to Improve Capital Planning
A Letter to the Governor
November 11, 2019
The CBC recommends that the Governor sign A4880/S1673, which would improve capital planning for transportation infrastructure in New York State.
Blog
State Budget
Truth in (Financial Plan) Reporting
Will New York State’s Mid-Year Financial Plan Update Appropriately Reflect and Address the Medicaid Budget Shortfall?
November 05, 2019
The State must recognize actual and timely payments for the Medicaid program and explain how it will address the estimated $9 billion Medicaid budget shortfall.
Report
State Budget
Overdue Bills
Time to Face the Reality of Rising Medicaid Costs
October 09, 2019
State leaders have two options to reconcile the disconnect between reality and the budget: reduce Medicaid spending and/or achieve savings in other areas of the budget.
Report
Education
Cut Costs, Not Ribbons
Alternatives That Reduce School Crowding
July 09, 2019
Administrative solutions can reduce school crowding and limit the need to build expensive new school buildings.
Blog
Capital Spending
Don’t Pass the Capital Pork
June 07, 2019
Like most other spending decisions, capital spending is best decided during budget negotiations.
Report
Health Care
Options to Enhance the Coordination of Care for Dually Eligible Individuals in New York State
A Discussion Paper
April 25, 2019
This discussion paper outlines lessons from previous and existing efforts to coordinate the care of duals, and suggests five strategies for the State to consider moving forward.
Press Release
Health Care
CBC Releases “Options to Enhance the Coordination of Care for Dually Eligible Individuals in New York State”
April 25, 2019
Report Recommends Strategies to Coordinate Care for 880,000 People Enrolled in Medicaid and Medicare.
Letter
City Budget
Testimony Follow up: Letter to the Charter Revision Commission
Borough President Capital Budget Role
March 26, 2019
CBC's proposal to focus the Borough President capital budget role on identifying needs and providing recommendations.
Report
Transportation
Building a Sound Fiscal Future for New York's Highway and Mass Transit Systems
March 19, 2019
Options for raising sufficient funds for roads and transit statewide include increasing tolls and fees, enacting congestion pricing, and implementing a vehicle-miles traveled (VMT) fee.
Blog
Health Care
Medicaid Supplemental Payments
State Workgroup Makes Limited Progress on Part of the Problem
February 15, 2019
New York State’s $78 billion Medicaid program includes $5.3 billion of “supplemental payments”. These supplemental payments are crucial to hospitals across the state, especially those largely serving uninsured and Medicaid populations.
Report
Transportation
NYS Infrastructure Policy
A Background Paper for the CBC Conference on The Most Important Fiscal and Economic Issues Facing New York State
December 13, 2018
This paper was prepared by HR&A Advisors as a background paper for the December 2018 CBC Conference on most important fiscal and economic issues facing New York State. The paper provides recommendations for how NYS should prioritize, fund, and deliver key infrastructure investments.
Report
Health Care
Still a Poor Way to Pay for Medicaid
October 01, 2018
For more than 50 years New York State has financed its Medicaid program in a unique way: the State requires New York City and the 57 other counties to pay more for Medicaid than all other local governments in the nation combined.
Letter
Capital Spending
City Should Evaluate Project Labor Agreements
Letter to Mayor de Blasio
July 05, 2018
With the Capital Commitment Plan now topping $82 billion, it is more important than ever to find ways to reduce costs and speed up project delivery.
Report
Housing
Stabilizing the Foundation
Transforming NYCHA to Address Its Capital Needs
July 03, 2018
Rather than continue as the nation’s largest landlord, NYCHA should transition to an affordable housing steward employing a full range of strategies to preserve the affordability of its units.
Report
Health Care
Options for Enhancing New York's Health Home Initiative
A Discussion Paper
May 01, 2018
This paper addresses the challenges in extending Health Homes to all who can benefit from their services in a cost-effective manner.