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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.
Testimony
Housing
Testimony on the NYCHA Physical Needs Assessment
Submitted to the New York City Council Committee on Public Housing
November 15, 2018
NYCHA has an astounding $32 billion in capital needs, a nearly fivefold increase over the last decade. Today nearly all its properties require substantial rehabilitation.
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.
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.
Video
Health Care
Options for Enhancing New York's Health Home Initiative
The second of a series of symposiums
May 01, 2018
CBC convened a panel of experts to discuss options for enhancing Health Homes.
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.
Testimony
Capital Spending
Testimony on the City of New York’s Capital Commitment Plan
Submitted to the NYC Council Committee on Finance and Subcommittee on Capital Budget
March 20, 2018
NYC's Capital Commitment Plan is unrealistic in its ambition, obscures capital priorities, and discourages accountability for completing capital projects efficiently.
Video
Capital Spending
PANYNJ Executive Director Rick Cotton
CBC Breakfast Series
March 06, 2018
Recently appointed the Executive Director of PANYNJ, Rick Cotton joins CBC to share the Port's priorities in the coming years.
Report
Health Care
Lessons from La La Land
Can the Turnaround of Los Angeles' Public Hospitals Be Replicated in New York?
January 08, 2018
Does LA's experience hold lessons for NYC Health + Hospitals?
Video
Health Care
Dr. Alan Aviles, HHC President & CEO
CBC Breakfast Series
October 17, 2012
CBC Breakfast with HHC President and CEO Dr. Ram Raju in October 2012.
Video
Capital Spending
Liu Unveils Plan to Accelerate Capital Projects
NY1
May 09, 2012
Director of City Studies Maria Doulis opines on Comptroller's Liu's proposal to borrow money today to accelerate capital investment.
Report
Transportation
Refunding the MTA's Debt
The Importance of Getting it Right
May 06, 2012
This brief examines the Metropolitan Transportation Authority's (MTA) large-scale refunding of outstandingdebt. It focuses on a refunding that saves money and spreads debt service costs fairly over time and does not juggle the timing of debt service costs in a manner places unfair costs on riders and taxpayers in the more
distant future.
Report
Health Care
A Troubling Prognosis for HHC's Finances
April 23, 2012
This report assesses New York City Health and Hospitals Corporation's (HHC) critical role within the health care safety net protecting lower income New Yorkers, and it explores two significant fiscal challenges in the coming years: threats to City-supported revenues and an inadequate gap-closing plan.
Report
Capital Spending
6 Things New Yorkers Should Know About Prevailing Wage
February 13, 2012
This report is intended to provide New Yorkers with an understanding of how prevailing wage law works so they can understand and evaluate the arguments in the current debate.
Report
Capital Spending
New York City's Water and Sewer System
Is the Rent Too Damn High?
December 14, 2011
This report provides a history of the City's water rental payment, critiques the current method for setting the rent, and suggests alternative approaches to setting the rent.
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.
Video
Health Care
Jason Helgerson, NYS Medicaid Director (2011)
MRT Update
May 06, 2011
2011 Medicaid Redesign Team Briefing given by NYS Medicaid Director Jason Helgerson.
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.
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.