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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.
Testimony
Capital Spending
Testimony on the City of New York’s Capital Commitment Plan
Submitted to the NYC Council Committee on Finance and Subcommittee on Capital Budget
March 20, 2018
NYC's Capital Commitment Plan is unrealistic in its ambition, obscures capital priorities, and discourages accountability for completing capital projects efficiently.
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?
Report
Housing
NYCHA Capital
What You Need to Know
December 20, 2017
Part 1 of our analysis reviews NYCHA's capital needs and spending patterns over the last 5 years.
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.
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
Health Care
Medicaid Supplemental Payments
The Alphabet Soup of Programs Sustaining Ailing Hospitals Faces Risks and Needs Reform
August 31, 2017
$5 billion in annual supplemental payments are important to the finances of many hospitals. Federal policy will shrink these payments; the impact will be most severe for NYC municipal hospitals.
Report
Transportation
Bumpy Road
Transportation Capital Planning in New York State
August 21, 2017
What the State should do to ensure its transportation investment is well-targeted and strategic.
Testimony
Transportation
Improving the New York City Subway System
Submitted to the NYC Council Committee on Transportation
August 08, 2017
System enhancements have often been prioritized over capital improvements of the MTA's infrastructure. The sensible and ambitious turnaround plan should be funded by motorists and increased labor productivity.
Testimony
Education
Public Comment on School Planning and Siting Process
Submitted to the NYC Council Working Group on School Planning, Siting, and Overcrowding
May 24, 2017
CBC offers two recommendations for improving the school planning and siting process: maximize use of existing capacity, and target new capacity to areas with the highest need.
Report
Capital Spending
What New Yorkers Can and Cannot Learn from the Ten-Year Capital Strategy
May 23, 2017
The Ten-Year Capital Strategy has shortcomings that undermine the public’s ability to hold leaders accountable as good stewards of the City’s infrastructure and capital dollars.
Report
Capital Spending
Slow Build
Creating a More Cost-Efficient Capital Construction Process for Cultural Organizations and Libraries in New York City
April 10, 2017
How long does it take to renovate a public library or expand museum space? CBC & CUF investigate.
Report
Capital Spending
Three Ways to Improve the Port Authority's Capital Plan
February 16, 2017
Despite an increase in transparency and accountability, the updated plan remains deficient in three important ways.
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.
Testimony
Capital Spending
Testimony On Ten-Year Capital Strategy and Capital Budget
Delivered to NY City Council Committee on Finance
May 18, 2015
The Mayor's Ten-Year Capital Strategy totals $83.8 billion- a $30 billion increase from the prior plan. CBC has two main concerns about the Strategy: there is insufficient information available to judge the investments, and the investments will add to the City’s high debt burden.
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
Capital Spending
Planning After PLANYC: A Framework for Developing New York City's Next Ten-Year Capital Strategy
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 06, 2013
This report reviews capital planning and spending during Mayor Bloomberg’s tenure in order to suggest principles that can guide the development of a new long-term capital plan and financing strategy.
Report
Capital Spending
Three Key Steps for Improving New York State’s New Statewide Capital Plan
September 25, 2013
This brief assesses New York State’s first-ever 10-year capital plan released in June 2013 by the New York Works Task Force. It offers steps to more effectively and strategically allocate State capital investment funding.
Report
Transportation
Refunding the MTA's Debt
The Importance of Getting it Right
May 06, 2012
This brief examines the Metropolitan Transportation Authority's (MTA) large-scale refunding of outstandingdebt. It focuses on a refunding that saves money and spreads debt service costs fairly over time and does not juggle the timing of debt service costs in a manner places unfair costs on riders and taxpayers in the more
distant future.
Report
Health Care
A Troubling Prognosis for HHC's Finances
April 23, 2012
This report assesses New York City Health and Hospitals Corporation's (HHC) critical role within the health care safety net protecting lower income New Yorkers, and it explores two significant fiscal challenges in the coming years: threats to City-supported revenues and an inadequate gap-closing plan.