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Report
City Budget
Reviving EMS
Restructuring Emergency Medical Services in New York City
November 25, 2018
The City of New York spends more than $1.1 billion annually in an effort to provide its residents and visitors this vital service, but the money is not used wisely.
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.
Blog
City Budget
Reduction in Uniformed Overtime Is Still Needed
July 12, 2018
Without workrule changes the City’s uniformed overtime caps are unlikely to be successful. In fact, several agencis have already exceeded their FY 2018 caps.
Blog
Public Workforce
The Cost of a Growing City Workforce
Ballooning Budgets and Long-term Liabilities
July 10, 2018
NYC’s municipal workforce is projected to reach a record 331,520 employees by the end of fiscal year 2019. Headcount expansion has a significant impact on the City’s budget and long-term financial position.
Op Ed
Pensions & Benefits
Pension sweeteners a bitter prospect for New York City
New York Daily News
June 15, 2018
The City Council adopted a budget for fiscal year 2019 that totals almost $90 billion. Almost $10 billion will be devoted to pensions for public employees, and the amount is projected to grow. And yet, for some, this is not enough.
Report
Pensions & Benefits
2018 Benefit Sweetener Scorecard
May 18, 2018
The balance of this year's legislative session will be devoted to moving bills through the legislative process, including proposals to enhance the benefits of State and local public employees and retirees.
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.
Op Ed
City Budget
How New York City Can Afford Fair Fares
Slowing the growth of the city’s workforce would provide the needed savings
April 16, 2018
The Fair Fares proposal can be accommodated within the city budget by exercising greater restraint in hiring and more aggressively tackling inefficiencies in its operations.
Blog
Health Care
DSH Cuts Delayed
Opportunity for State Reform
April 11, 2018
NYS shouldn't miss an important opportunity to revise its distribution of funds to target hospitals with the greatest needs.
Blog
Health Care
Three Strikes Against the Governor’s Proposed Conversion Revenue
March 13, 2018
Counting on the revenue from health insurance company conversations is not prudent for three important reasons.
Blog
Pensions & Benefits
A Budget Proposal That Seems Fiscally Responsible, But Doesn’t Tackle the True Problem
February 22, 2018
It's time to eliminate the expensive and risky benefits provided by the TDA.
Report
Pensions & Benefits
Union-Administered Benefit Funds
Getting More Out Of A Billion Dollar Taxpayer Contribution
February 08, 2018
NYC taxpayers are projected to contribute $1.1 billion to 108 union-administered benefit funds. Better management, oversight, and consolidation can create more than $160 million in savings for the City and improve benefits for members.
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?
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.
Report
Public Workforce
A Comparative Analysis of the Pay of Port Authority of New York and New Jersey Police Officers
December 02, 2012
This brief compares the wages of Port Authority police officers with those of the largest state and local police forces in the region, as well as a federal agency. The major finding of the report is that Port Authority police officers are paid more generously than other agencies in the analysis.
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.
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
Public Workforce
MTA-TWU Wage Negotiations
A "Fair Increase" Will Not Increase Fares
January 29, 2012
This report examines the contract negotiations between the Metropolitan Transportation Authority (MTA) and its largest union, the Transport Workers Union Local 100, and it applies the criteria specified by the Public Employment Relations Board for determining arbitration awards. It finds that the public interest will be served by an agreement that maintains a good standard of living for workers, is within the MTA’s ability to pay, and does not force further harm upon riders.
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.
Report
Pensions & Benefits
The First Priority in the New Year – Pension Reform
January 10, 2012
This brief examines pension cost growth in New York State and its effect on the New York's competitiveness. It recommends the adoption of a new tier of pension plans known as the Tier VI Proposal.