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Letter
Capital Spending
CBC Urges Governor to Sign S199B/A4010B to Improve Capital Planning
A Letter to the Governor
December 13, 2021
CBC recommends that you sign S199B/A4010B, which would improve capital planning and reporting for transportation infrastructure in New York State.
Testimony
Housing
Testimony on NYCHA’s Capital Spending of City Funds
Submitted to the City Council Committee on Public Housing and Subcommittee on Capital Budget
November 18, 2021
I will focus on two topics: first, how additional City capital funding and new policy approaches are helping to address NYCHA’s capital needs, and second, the process and procurement reforms needed to ensure that NYCHA spends all—not just City—capital dollars effectively and efficiently.
Podcast episode
Health Care
Episode 105: 21,200, with Stephen Berger and Dr. Mitchell Katz
April 06, 2021
21,200 is the total number of inpatient hospital beds in New York State—approximately 2.5 beds for every 1,000 people. The pandemic has brought a significant attention to New York's health care system, and some have called for greater hospital capacity to help New York be better prepared for the future. Joining the podcast are two of New York's leading health care experts: Stephen Berger, who was Chairman of the New York State Commission on Health Care Facilities in the 21st Century, and Dr. Mitchell Katz, President and CEO of NYC Health + Hospitals.
Testimony
City Budget
Testimony on Comprehensive Long-Term Planning (Intro. 2186)
Submitted to the New York City Council
February 23, 2021
Intro. 2186 proposes a new comprehensive planning framework that would reform the City’s land use and capital planning process.
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
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.
Blog
Taxes
The Tax Hike’s Silver Lining
December 07, 2011
If the temporary personal income tax hike is the price we pay for long-term reforms that enhance infrastructure, encourage job growth, make the state and local tax system more equitable, and reduce future pension costs, then it is a price worth paying.
Blog
Capital Spending
The Dos and Don’ts of PPPs
December 04, 2011
Dos and Don’ts for the use of PPPs, or "P3s" adapted from the CBC's 2008 report, “How Public-Private Partnerships Can Help New York Address Its Infrastructure Needs.”
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.
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.
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.