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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.
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.
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
Capital Spending
When Will the Capital Budget Cuts Really Arrive?
December 09, 2010
Failure to impose fiscal austerity on the infrastructure agenda is evident in growing levels of capital commitments.
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.
Letter
Transportation
CBC Encourages MTA to Link Fares to Operating Expenses; Explore Peak Pricing
September 30, 2010
The CBC seeks to stress two points: 1) the fare increases to be approved for January 2011 and proposed for January 2013 should move toward establishing a long-term policy to cover half of operating expenses with fare revenue, and 2) the MTA should explore the feasibility of incorporating the practice of “peak pricing" for subways and buses.
Blog
Capital Spending
Mind the Gap
Funding Repair and Maintenance of New York City Infrastructure
July 26, 2010
Past neglect has created a need for nearly $5.6 billion in repair of existing facilities in New York City in order to bring them to satisfactory condition, known as a "state of good repair." Yet the City's capital budget allocates only about half, with the gap especially large for streets, hospitals, and parks.
Report
Housing
Rent Regulation: Beyond the Rhetoric
June 01, 2010
This report is designed to inform debates over changes in rent regulation. It provides background information including a history of rent regulation laws and an overview of the rental housing market in New York City, it describes the benefits of current rent regulations in the forms of “discounts” to affected households and increases in “affordable” housing for New Yorkers, it assesses the evidence relating to criticisms of rent regulation, and it recommends future rent regulation policies based on the findings discussed.
Blog
Capital Spending
New York City Capital Spending: A Retrospective
April 21, 2010
Analyzes the impact of capital investments under Mayor Bloomberg.
Report
State Budget
In The Danger Zone
A Comparative Analysis of New York State's Long-Term Obligations
March 08, 2010
This comparative analysis examines the debt burden of the 50 states. It finds that New York's debt burden is well above national averages and greater than that of all but three states.
Testimony
Transportation
Testimony on 2010 MTA Capital Plan
Delivered to State Senate Standing Committees
December 03, 2009
Testimony before the New York State Senate Standing Committees on Corporations, Authorities and Commissions and Investigations and Government Operations on the MTA's 2010-2014 capital plan.
Report
Transportation
Working in the Dark
Implementation of the MTA's Capital Plan
October 20, 2009
This report analyzes the MTA’s effectiveness at managing its five-year capital plans. It does so by examining the capital projects scheduled by the MTA for work in the three-year period from January 2005 to December 2007.
Testimony
Transportation
Testimony on Challenges Facing the MTA
Submitted to Senate Finance Committee
September 03, 2009
Testimony of CBC President Carol Kellermann to the New York State Senate Finance Committee regarding the critical challenges that will face the MTA in the coming years, including balancing the MTA's operating budget, financing new capital investments, and planning and implementing capital projects.
Report
Housing
Nine Facts New Yorkers Should Know About Rent Regulation
June 23, 2009
This report details nine important facts for the Legislature to keep in mind as rent laws are considered for modification. CBC believes they should be cautious about initiatives to extend the reach of rent regulation. Instead, state leaders should think more broadly about ways to better target assistance to lower income households and to allow the market to work in ways that better allocate housing and expand housing choices for all New Yorkers.
Letter
Transportation
CBC and Others Outline a Plan to Finance Long-Term Capital Needs of the MTA
May 05, 2009
This letter from the CBC and other advocates outlines a plan to finance the long-term capital needs of the MTA and its immediate operating deficit. The mobility tax should be used for expenses related to the MTA's capital plan, not for operating expenses after the first year.
Letter
Transportation
Letter to the Governor Regarding Ravitch Commission
January 28, 2009
In this letter CBC agrees, for the most part, with a report released by the Commission on Metropolitan Transportation Authority Financing but offers suggestions for improvement. Specifically, CBC supports legislation to implement the Commission’s core recommendations (with revision), which are highlighted in the testimony.