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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.
Report
Energy & Environment
Balancing Incentives to Maximize Emission Reduction
Recommendations on Local Law 97 Implementation
August 26, 2021
To meet LL97’s emissions reductions goals most cost-effectively, DOB, in consultation with the advisory board, should tailor the policy and compliance rules to provide building owners the most cost-effective compliance paths.
Testimony
City Budget
Testimony on Preliminary Report on New York City Property Tax Reform
Submitted to the New York City Advisory Commission on Property Tax Reform
June 16, 2021
CBC and many New Yorkers have called for reform of the City’s byzantine and unfair property tax system for decades.
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.
Report
Housing
NYCHA’s Operating Outlook
More Uncertainty Amid Pandemic and Repair Needs
February 03, 2021
While one-time federal aid helped NYCHA cover its COVID costs in 2020, the outlook for 2021 depends on how NYCHA manages challenges it already faces.
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.
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.
Blog
Housing
CBC Findings on Rent Regulation
March 14, 2011
The highest-income households receive the largest average benefit from rent regulation.
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
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.