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Blog
State Budget
Governor Cuomo’s Third Budget: Priorities for Fiscal Year 2013-14
December 17, 2012
Four important challenges face state leaders as they prepare the next budget for FY2014 in Medicaid, Education, Economic Development and Local Government Relief.
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.
Report
Energy & Environment
Taxes In, Garbage Out
The Need for Better Solid Waste Disposal Policies in New York City
May 30, 2012
This report makes the case for a significant change in the New York City Department of Sanitation's solid waste disposal practices, a shift from heavy reliance on long-distance exporting to landfills to greater reliance on use of local waste-to-energy facilities.
Special Feature
Energy & Environment
Taxes In, Garbage Out
Infographic
May 20, 2012
An infographic summarizing the fiscal and environmental cost of garbage in New York City, with a focus on the Department of Sanitation's operations.
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.
Blog
Energy & Environment
The Regional Greenhouse Gas Initiative Wins the 2012 CBC Prize for Public Service Innovation
February 06, 2012
The Citizens Budget Commission is pleased to announce the winner of its 2012 CBC Prize for Public Service Innovation is the Regional Greenhouse Gas Initiative (RGGI).
Blog
Health Care
Improving the Way New York Pays for Medicaid
January 24, 2012
Governor Andrew Cuomo’s budget proposals for fiscal year 2012-13 include an important first step towards fixing a longstanding flaw in the way New York pays for its Medicaid program.
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.
Testimony
Energy & Environment
Testimony on NYC Solid Waste Management Practices
Submitted to NYC Council Committee on Sanitation & Solid Waste Management
October 27, 2011
New York is being wasteful in its waste management practices. We could save tens of millions, perhaps even hundreds of millions, of dollars without harming the environment by more sensibly managing New Yorkers’ solid waste. An improved system for waste collection and disposal could prevent further reductions in essential services in coming budgets.
Blog
Health Care
Cause for Concern with the Medicaid Redesign Team Implementation
October 13, 2011
NY is roughly halfway to meeting its budgeted Medicaid savings target of $2.2 billion for fiscal year 2012. A closer look suggests there is cause for concern that some of the savings may not be implemented on time.
Blog
Pensions & Benefits
Possible City Savings From Health Insurance Changes
June 19, 2011
Following the template provided by Governor Cuomo and the CSEA can produce $1.4 billion in savings for New York City in fiscal year 2012 – more than enough to avert layoffs and other cuts.
Blog
Pensions & Benefits
The Case Against Tapping the Health Insurance Premium Stabilization Fund
June 14, 2011
Diverting money from the Health Insurance Premium Stabilization Fund may seem harmless, but it is a fiscal gimmick that only postpones the tough decisions needed to address the underlying causes of the City’s financial predicament.
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.
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.