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Blog
Public Workforce
TWU Contract
Productivity Not a Done Deal
February 18, 2020
The agreements should include greater savings, including workrule changes, to offset the impact of these increased costs.
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.
Report
Energy & Environment
Getting Greener
Cost-Effective Options for Achieving New York State's Greenhouse Gas Goals
December 09, 2019
While GHG emissions have risen in other large states like Texas and Florida, New York has been a leader in reducing GHG emissions; the continued focus on getting greener through further emissions reductions is necessary and important.
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.
Blog
Public Workforce
Four Facts about New York City Full-Time Employees
October 17, 2019
Here are four facts about full-time NYC employees in fiscal year 2019.
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.
Blog
Public Workforce
The High Cost of the MTA’s New Police Officers
September 25, 2019
The MTA has committed to hiring 500 new police officers to address quality of life concerns, but it is necessary to understand this strategy comes at a cost.
Blog
Pensions & Benefits
Governor Cuomo Should Veto 19 Benefit Sweetener Bills
2019 Benefit Sweetener Scorecard Update
July 12, 2019
The bills would enhance benefits without providing enhanced services to taxpayers or offsetting savings.
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
Capital Spending
Don’t Pass the Capital Pork
June 07, 2019
Like most other spending decisions, capital spending is best decided during budget negotiations.
Blog
Public Workforce
59 New Bills Added to Benefit Sweetener Scorecard
June 06, 2019
In the remaining weeks of the legislative session, members will propose to enhance the benefits of State and local public employees and retirees.
Blog
Public Workforce
NYS Legislature Introduces 130 Benefit Sweetener Bills
May 01, 2019
For the remaining seven weeks of the legislative session, members will propose to enhance the benefits of State and local public employees and retirees.
Blog
Pensions & Benefits
2019 Benefit Sweetener Scorecard
New York State Bill Tracker
May 01, 2019
For the remaining seven weeks of the legislative session, members will propose to enhance the benefits of State and local public employees and retirees.
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.
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
Transportation
Building a Sound Fiscal Future for New York's Highway and Mass Transit Systems
March 19, 2019
Options for raising sufficient funds for roads and transit statewide include increasing tolls and fees, enacting congestion pricing, and implementing a vehicle-miles traveled (VMT) fee.
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.
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
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.
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.