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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
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.
Testimony
Taxes
Testimony on Flaws in New York City's Real Property Taxation System
Submitted to the NYS Assembly Committee on Real Property Taxation
January 22, 2016
The two most significant issues are: 1) among residential properties, rental buildings are taxed more heavily than single family homes, and 2) within the two subgroups of residential properties—small homes and large rental buildings—property tax rates vary widely.
Blog
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?
Video
Health Care
HHC President and CEO Dr. Ram Raju
CBC Breakfast Series
November 18, 2014
CBC Breakfast with HHC President and CEO Dr. Ram Raju in November 2014.
Report
Health Care
Fiscal Challenges Facing the New York City Health and Hospitals Corporation
November 06, 2014
HHC is crucial to all New Yorkers, providing care to more than one million patients annually. Despite HHC's importance, its fiscal condition is troubled. HHC's cash resources are being depleted; absent an aggressive gap-closing plan its cash reserves will be exhausted in fiscal year 2016.
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
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).
Letter
State Budget
CBC Recommendations on Tax Relief and Reform Proposals in Executive Budget
March 05, 2014
This letter expresses support for Executive Budget tax reforms, but recommends that action on the property tax relief proposals be deferred until their design is improved and the surplus necessary to sustain them is achieved.
Report
Taxes
Tax Policy Choices and New York City's Competitive Position
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 06, 2013
The purpose of this background paper is to help inform tax policy choices that the new mayoral administration may face. It examines levels of taxation in New York City compared to other cities, and it reviews research on how taxes affect the local economy and migration patterns.
Video
City Budget
Tax Revenue Panel
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 06, 2013
This panel discusses options to reform and increase the property tax; and the impact of tax levels on residential and business location decisions.
Report
Taxes
Options for Property Tax Reform: Equitable Revenue Raising Reforms for NYC's Property Tax
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 05, 2013
The purpose of this report is to describe three options for increasing property tax revenues. The first of these options maintains status quo inequities; in contrast, the other two address some major problems with fairness and efficiency that characterize current policy.
Letter
Taxes
CBC Recommendations to the New York State Tax Relief Commission
November 26, 2013
This letter to the NYS Tax Relief Commission includes cautions about the State's ability to commit to large new property tax relief programs, and recommendations for providing better relief with the $4 billion the State spends on current programs.
Blog
Taxes
Good Ideas in Tax Commission Report
November 14, 2013
The State Tax Reform and Fairness Commission contains many smart proposals, including reducing exemptions from the sales tax and reforming business tax incentives.
Video
Health Care
NYS Medicaid Director Jason Helgerson (2013)
MRT Update
May 14, 2013
2013 Medicaid Redesign Team Briefing given by NYS Medicaid Director Jason Helgerson.
Blog
Taxes
A Disappointing Tax Deal
March 20, 2013
The NYS Enacted FY2014 Budget includes an extension of a personal income tax surcharge that is disappointing and should be reconsidered.
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.
Report
Health Care
A Poor Way to Pay for Medicaid
Why New York Should Eliminate Local Funding for Medicaid
December 11, 2011
This paper examines the fiscal inequities and other problems that arise as a result of New York’s largelocal share for Medicaid financing.