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Report
Health Care
Paying More, But Not Getting Better Care
The Case For A New Payment System For Nursing Homes In New York's Medicaid Program
December 09, 2008
New York’s Medicaid program is the most expensive in the nation, projected to cost $45 billion in fiscal year 2008-09 and to consume nearly one-third of the New York State budget. New York State can provide needy residents with better nursing home care and save about $1.2 billion annually in fiscal year 2008-2009 by changing the way its Medicaid program pays nursing homes. This report explains why the current system is wasteful, perpetuating inefficiencies and inequities without assuring high quality care, and how a better payment system might work.
Report
State Budget
Top of the Charts
New York and Its Localities Were #1 in Taxes and #2 in Spending
February 13, 2024
New York does not exist in a vacuum. It competes with other places, and other jurisdictions’ experiences provide an important perspective on the different choices that are being made.
Report
Economic Development
Opportunity Zones In New York State and City
August 20, 2019
The Opportunity Zone program may amount to significant losses for both NYS and NYC before rising substantially in 2029.
Report
Taxes
Practical Policy in Challenging Circumstances:
How NYS and NYC Should Respond to the Tax Cuts and Jobs Act
March 18, 2018
Strategies to mitigate the federal tax law's threat to New York's competitiveness and New Yorkers' wallets.
Report
State Budget
Giving and Getting
Regional Distribution of Revenue and Spending in New York State Budget
December 19, 2011
The report analyzes the regional distribution of revenues collected and dollars spent within the New York State budget by examining actual receipts and expenditures for the 2009-10 fiscal year. It finds that downstate gives more to the State in taxes and revenues than it gets back in expenditures for services and other assistance and that upstate gets more than it gives.
Report
State Budget
Quick Download
Four Facts about Broadband Availability and Access in New York
September 24, 2020
Here are four things to know about broadband availability and access in New York.
Report
Economic Development
An Assessment of Performance Reporting by Regional Economic Development Councils
November 29, 2015
This brief assesses the performance of New York State's Regional Economic Development Councils over the past four years and offers recommendations for further improving data collected on projects and on the economic performance of the regions.
Report
State Budget
A Framework for Hard Choices
Choosing Among Options to Address New York’s State and Local Fiscal Stress
May 22, 2020
This policy brief identifies and assesses options available to governments to deal with their fiscal problems.
Report
State Budget
Up and Away
State Budget Proposals Miss the Mark and Compound Fiscal Problems
March 26, 2024
As New York State lawmakers negotiate the State’s Fiscal Year 2025 Enacted Budget, they risk adding unsustainable spending, driving growth above 6 percent a year, and widening the structural gap to $20.3 billion.
Report
Transportation
Switching Gears
A New Way to Fund Transportation
May 08, 2019
The new congestion pricing fee serves the dual goals of raising revenue and reducing traffic congestion; however, the measure is not a complete solution to the State’s need for transportation funding.
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
Economic Development
Raising the REDC Bar
December 17, 2019
This report assesses REDC design and implementation based on best practices identified through case studies of successful local revitalization efforts in the U.S.
Report
Capital Spending
Bridging the Financial Gap
Funding the Governor Mario M. Cuomo Bridge
October 12, 2017
Tolls for the new Governor Mario M. Cuomo Bridge have not been released yet, but based on construction costs, CBC estimates it will be approximately $10 for cars, double the current rate.
Report
State Budget
NYS Trends During the Cuomo Administration
October 18, 2018
This report is a comprehensive analysis of NYS since Governor Cuomo assumed office. CBC examined seven key areas, such as demographic and economic trends, fiscal trends, health, and education.
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.
Report
Transportation
NYS Infrastructure Policy
A Background Paper for the CBC Conference on The Most Important Fiscal and Economic Issues Facing New York State
December 13, 2018
This paper was prepared by HR&A Advisors as a background paper for the December 2018 CBC Conference on most important fiscal and economic issues facing New York State. The paper provides recommendations for how NYS should prioritize, fund, and deliver key infrastructure investments.
Report
Economic Development
Determining an Appropriate Buffalo Stadium Subsidy
Don't Just Wing It
March 21, 2022
New York does not have a good track record of demonstrating that its economic development programs yield benefits exceeding their costs.
Report
Education
A Better Foundation Aid Formula
Funding Sound Basic Education with Only Modest Added Cost
December 12, 2016
This report explains why Foundation Aid, a need-based State school aid program, was developed, what is wrong with it, and how to make it better.
Report
Energy & Environment
Aligning Crossed Policy Wires Can Help Achieve CLCPA Goals
September 16, 2020
This policy brief offers some examples of tax expenditure and direct spending programs the State could tailor to help meet CLCPA goals.
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.