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Testimony
City Budget
Testimony on Oversight of Changes to Municipal Retirees’ Health Care Plan
Testimony before the City Council Committee on Civil Service and Labor
October 28, 2021
This agreement starts right and then veers off course to miss the finish line because the resulting savings do not flow to the City’s bottom line.
Video
City Budget
Under the Hood with N.Y. City Budget
The Bond Buyer
July 27, 2016
Maria Doulis of the watchdog Citizens Budget Commission and Howard Cure of Evercore Wealth Management dissect New York City’s $82 billion budget with Bond Buyer Northeast regional editor Paul Burton. They explore efficiencies, debt management, reserves, the economy, the capital budget and Mayor Bill de Blasio’s plan to overhaul Health + Hospitals.
Report
Health Care
Fiscal Challenges Facing the New York City Health and Hospitals Corporation
November 06, 2014
HHC is crucial to all New Yorkers, providing care to more than one million patients annually. Despite HHC's importance, its fiscal condition is troubled. HHC's cash resources are being depleted; absent an aggressive gap-closing plan its cash reserves will be exhausted in fiscal year 2016.
Report
Pensions & Benefits
An Expensive and Risky Benefit
How Low Interest Rates Cost New York City Taxpayers $1.2 Billion Annually
October 05, 2016
A unique feature of a tax deferred compensation plan available to NYC teachers guarantees them a 7% investment return regardless of what happens to interest rates or in the stock market.
Report
Pensions & Benefits
Everybody’s Doing It
Health Insurance Premium-Sharing by Employees and Retirees in the Public and Private Sectors
January 27, 2013
This report analyzes New York City’s health premium policies for employees and retirees and suggests options to generate savings by implementing premium-sharing in the City's largest plans.
Blog
Pensions & Benefits
An Expensive Pension Enhancement Bill is on the Move
June 08, 2014
About the bill to increase disability pension benefits for police officers hired after July 1, 2009, when a more financially sustainable “Tier III” plan went into effect.
Blog
Pensions & Benefits
Giving Credit Where It’s Due? New York City’s $1.3 Billion in Health Insurance Savings
December 28, 2014
In its recent mid-year budget modification the de Blasio administration credited a coalition of municipal employee unions with achieving $1.3 billion in savings in the City’s employee and retiree health insurance costs. Yet the unions have not agreed to any changes in the plan, and the City and the unions have taken no actions to reduce costs. How can this be?
Video
Health Care
The Berger Commission: A Panel Discussion
November 28, 2016
Led by moderator Stephen Berger, the Chair of the Commission on Health Care Facilities in the 21st Century, panelists Elisabeth Benjamin of the Community Service Society and Jeffrey Kraut of Northwell Health and the NYS Public Health & Health Planning Council discussed challenges facing NYC's acute care sector.
Report
Health Care
Challenges of Enhancing Effective Engagement of Community Based Organizations in Performing Provider Systems
A Discussion Paper
November 13, 2017
Reform of NY's Medicaid program has made significant progress; however, much remains to be accomplished. A project funded with support from the New York Community Trust to help effectively implement redesign strategies.
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
Pensions & Benefits
LIRR Pension Fraud Could Happen Again
August 04, 2014
Summarizes findings from a GAO report indicating the federal agency administering disability pensions for those workers had not done enough to prevent a repeat of a widespread fraud scheme by LIRR employees uncovered in 2008.
Letter
State Budget
Recommendations on the FY 2017 Executive Budget
February 25, 2016
CBC offers recommendations for legislative action on the Governor’s Executive Budget for fiscal year 2017. The recommendations cover four proposals that deserve support, five proposals that should be modified, and four proposals that should be rejected.
Report
City Budget
Short-term Goals for Long-term Debt
Time to Prioritize Reducing New York City’s Liabilities
September 18, 2018
Paying down the City's debts should be a greater priority.
Blog
Pensions & Benefits
2016 Benefit Sweetener Scorecard
May 02, 2016
The Citizens Budget Commission’s 2016 Benefit Sweetener Scorecard identifies more than 60 such bills active this session. These bills could cost the State and local governments hundreds of millions of dollars per year, and since about half the bills do not specify a fiscal impact, the potential costs could be significantly greater.
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.
Blog
Pensions & Benefits
Not so sweet
June 20, 2010
While the State and local governments struggle to pay for current salaries and fringe benefits of public employees and to fully fund the pension system for retirees - resorting to a "borrowing" scheme to stretch out required payments - the State Legislature has remained undeterred in introducing and acting upon bills that would add even more costs in the 2010 session.
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.
Report
Health Care
What Ails Medicaid in New York?
And Does the Medicaid Redesign Team Have a Cure?
May 20, 2016
This report assess the progress of the Medicaid Redesign Team (MRT), launched in 2011, in implementing strategies to curb costs and improve the quality of care in Medicaid.
Blog
City Budget
The “20-20-20-20” Dilemma: Legacy Costs in the New York City Budget
July 22, 2016
A giant slice of the New York City budget pays for costs that are the legacy of commitments made in the past: debt service, pensions, and retiree health insurance. These legacy costs already exceed 20 percent of the budget and will expand by 20 percent to more than $20 billion in annual spending by fiscal year 2020.
Report
State Budget
In The Danger Zone
A Comparative Analysis of New York State's Long-Term Obligations
March 08, 2010
This comparative analysis examines the debt burden of the 50 states. It finds that New York's debt burden is well above national averages and greater than that of all but three states.