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Testimony
Education
Testimony on the New Department of Education Five-Year Capital Plan
Submitted to a Joint Hearing of the City Council Committees on Education and Finance and Subcommittee on the Capital Budget
December 18, 2018
City officials cannot continue to expect the City can build its way to a solution; making real progress will require implementing operational strategies that alter the use of space and redirect students to facilities with capacity.
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.
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
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.
Blog
Pensions & Benefits
School Districts Savings by Following State Practices for Employee Health Insurance
February 01, 2011
Negotiating increases in premium sharing with school employee unions would provide immediate savings and reduce future costs.
Blog
Education
Governor’s Education Proposal Pierces Cap And Lacks Needed Reforms
February 20, 2018
The NYS FY2018-2019 Executive Budget increases school aid by $769 million, or 3 percent, to $26.4 billion- twice the increase allowed by the school aid cap.
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.
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
Education
State School Aid
The Neediest Districts Could Be Spared $750 million in Cuts through Better Targeted Reductions
February 27, 2011
The overall reduction in school aid in the NY State FY2012 Executive Budget is necessary to bring spending to a more sustainable level, but the cuts’ impacts on individual districts should be modified.
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
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.
Blog
Education
What Is Good for Buffalo Is Good for All of New York
May 01, 2011
Governor Andrew Cuomo is considering a proposal from SUNY-Buffalo to give that university greater autonomy. The proposal deserves support and should be extended to all SUNY schools.
Blog
Education
Needed Mandate Relief on the Way?
November 01, 2011
New York State imposes more than 200 special education mandates above and beyond those required by federal law; changes are needed to bring NY in line with other states.
Blog
City Budget
City's Fourth Extension of the School Bus Grant Program Should Be Rejected
March 08, 2018
The City Council should reject this program, and all new school bus contracts should be awarded with an eye toward realizing savings in the costs of pupil transportation, now more than $1.2 billion.
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
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.
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.
Blog
Education
Ripe for Reform
$466 Million in Education Aid
January 02, 2018
New York State will send $25 billion to local school districts during the 2017-2018 school year, accounting for approximately 37 percent of school district revenues.
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
Education
Absent Teacher Reserve Costs $136 Million and Needs Reform
June 14, 2018
Teachers in the Absentee Teacher Reserve (ATR) will cost the City $136 million in this school year. The City should pursue reforms to the ATR, such as a 6-month time limit, in upcoming labor negotiations with the UFT.