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Report
Health Care
A New Approach to Funding New York City Health + Hospitals
December 16, 2019
This report analyzes the system’s finances, compares H+H to other providers in the City, and outlines options to right-size the City subsidy and improve H+H's fiscal future.
Blog
State Budget
Truth in (Financial Plan) Reporting
Will New York State’s Mid-Year Financial Plan Update Appropriately Reflect and Address the Medicaid Budget Shortfall?
November 05, 2019
The State must recognize actual and timely payments for the Medicaid program and explain how it will address the estimated $9 billion Medicaid budget shortfall.
Report
State Budget
Overdue Bills
Time to Face the Reality of Rising Medicaid Costs
October 09, 2019
State leaders have two options to reconcile the disconnect between reality and the budget: reduce Medicaid spending and/or achieve savings in other areas of the budget.
Special Feature
Education
Educating an Average NYC Public Elementary School Class Costs About $560,000
September 04, 2019
In 2017 educating an average elementary school class cost $561,246.
Blog
Taxes
Personal Income Tax Revenues in New York State and City
August 13, 2019
PIT revenues are a significant - and volatile - part of State and City budgets.
Report
Education
Cut Costs, Not Ribbons
Alternatives That Reduce School Crowding
July 09, 2019
Administrative solutions can reduce school crowding and limit the need to build expensive new school buildings.
Blog
Education
Adopted Budget Continues Unequal Access to a Sound Basic Education
May 22, 2019
It will cost NYS school districts approximately $62.6 billion to provide a sound basic education to all students, yet several districts will not have enough funding.
Special Feature
City Budget
Facts About The NYC Budget
2019
May 13, 2019
A snapshot of NYC's budget, including projections for spending, headcount, savings, liabilities, and revenue shortfalls in case of a recession.
Report
Health Care
Options to Enhance the Coordination of Care for Dually Eligible Individuals in New York State
A Discussion Paper
April 25, 2019
This discussion paper outlines lessons from previous and existing efforts to coordinate the care of duals, and suggests five strategies for the State to consider moving forward.
Blog
Taxes
Follow the Money
The MTA’s New Revenues
April 05, 2019
The NYS Adopted FY 2020 Budget directs three revenue sources to support the MTA. This blog clarifies what the revenue streams are and how they will flow to the lockbox.
Blog
Taxes
Pied-à-Terre Tax
Appealing but Problematic
March 13, 2019
The pied-à-terre tax is appealing politically because it is levied on wealthy people with means to pay and nonresidents who do not vote. Nevertheless, it is problematic for several reasons.
Blog
Education
Funding a Sound Basic Education in 2020
March 07, 2019
Despite significant funding increases over the past decade, some districts in New York State still do not have the resources to provide a sound basic education.
Blog
City Budget
NYC Revenues in a Recession
Quantifying the Potential Shortfall
February 26, 2019
The potential shortfall from a recession comparable to the last two recessions could be substantial: between $15 billion and $20 billion below projections over three years.
Blog
Health Care
Medicaid Supplemental Payments
State Workgroup Makes Limited Progress on Part of the Problem
February 15, 2019
New York State’s $78 billion Medicaid program includes $5.3 billion of “supplemental payments”. These supplemental payments are crucial to hospitals across the state, especially those largely serving uninsured and Medicaid populations.
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?
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.
Blog
Health Care
Agency Focus: NYS DOH
Budget Analysis
November 03, 2014
The New York State Department of Health has overseen dramatic changes in the state's healthcare system in recent years, including the passage of the federal Affordable Care Act and development of the state's own health care exchange website.
Report
Education
Vote "No" on the Smart Schools Bond Act
October 19, 2014
While enhancing the use of technology in schools is a popular cause, the Smart Schools Bond Act is ill-conceived and deserves a "no" vote for three reasons discussed in this report.
Blog
Education
Agency Focus: NYSED
Budget Analysis
October 15, 2014
What are the challenges facing the New York State Education Department's (NYSED)?
Blog
Health Care
Agency Focus: HHC
Budget Analysis
September 22, 2014
Short budget profiled of the finances and challenges of New York City Health and Hospitals Corporation (HHC) - now known as NYC Health + Hospitals (H+H).