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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
Public Workforce
Reform at the Bargaining Table
Labor’s Participation Needed to Improve the MTA’s Financial Outlook
April 30, 2019
The MTA's fiscal outlook is dire, and improving it requires a multipronged approach. Paramount in the effort is slowing the growth of labor costs.
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.
Video
Health Care
Dr. Mitchell Katz, President & CEO of NYC Health + Hospitals
CBC Breakfast Series
April 01, 2019
Dr. Mitchell Katz joined CBC to discuss his transformation plan to improve H+H's fiscal stability.
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.
Blog
Pensions & Benefits
Big Decisions Before Albany Do Not Deter Sweeteners
June 09, 2015
Tracking bills enhancing benefits for public employees introduced in the 2015 Legislative Session
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.
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.
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.
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
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.
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.
Statement
Health Care
Statement on Medicaid Payment Delays in the New York State Budget
October 03, 2019
CBC President Andrew S. Rein released this statement on the Medicaid Payment Delays in the New York State Budget: "The State making an end of fiscal year 2019 Medicaid payment a week late was no mere delay. It was an obfuscation of the State’s fiscal condition, allowing the State to avoid addressing a deep and recurring problem."
Testimony
Pensions & Benefits
Testimony on Health Care Savings Under Recent Collective Bargaining Agreements
Delivered to NYC Council Committees on Finance and Civil Service
February 26, 2016
CBC has been monitoring New York City's efforts to find health savings. CBC has long advocated negotiating changes to health insurance as part of collective bargaining and applauded the labor-management agreement that committed to meet annual savings targets.