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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.
Blog
Pensions & Benefits
NYC Long-term Liabilities Top $257 Billion
October 31, 2018
The City's liabilities reached a record $257.3 billion, an increase of $4.7 billion since fiscal year 2017.
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.
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
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.
Blog
Pensions & Benefits
Bitter Truth
Many Benefit Sweeteners Lack Required Fiscal Estimates
June 06, 2018
To date the New York State Legislature has introduced 138 bills in this session that enhance the benefits of state and local public employees. How much these bills could cost taxpayers is unknown.
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.
Blog
Pensions & Benefits
Four Egregious Benefit Enhancement Bills
2018 Benefit Sweetener Scorecard Update
May 18, 2018
The 135 active bills identified on the Citizens Budget Commission’s 2018 Benefit Sweetener Scorecard this session could cost the State and local governments at least $428 million.
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.
Report
Pensions & Benefits
2018 Benefit Sweetener Scorecard
April 12, 2018
With negotiations completed and a State Budget enacted, 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.
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
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.