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Report
Transportation
Prioritizing the MTA's Critical Capital Needs
What to Do When You Can’t Do It All
August 23, 2022
The MTA has significant needs for capital investment, from signal modernization and track improvements to new subway and train cars to making stations across the system accessible.
Report
Health Care
Narrowing New York's Health Insurance Coverage Gap
January 11, 2022
More than 1 million New Yorkers remained uninsured and New York ranks seventh among states on coverage.
Podcast episode
Health Care
Episode 105: 21,200, with Stephen Berger and Dr. Mitchell Katz
April 06, 2021
21,200 is the total number of inpatient hospital beds in New York State—approximately 2.5 beds for every 1,000 people. The pandemic has brought a significant attention to New York's health care system, and some have called for greater hospital capacity to help New York be better prepared for the future. Joining the podcast are two of New York's leading health care experts: Stephen Berger, who was Chairman of the New York State Commission on Health Care Facilities in the 21st Century, and Dr. Mitchell Katz, President and CEO of NYC Health + Hospitals.
Podcast episode
Health Care
2.9%, with Dr. Thomas Frieden
November 16, 2020
2.9% was New York State's COVID-19 positivity rate as of November 10, 2020. New York was the early epicenter of the pandemic, and though new cases started to decline in April and stayed relatively low through the summer, cases are beginning to rise again. Joining the podcast is one of the nation's foremost public health experts Dr. Thomas Frieden offers a clear explanation about what we know about the virus, how to best prepare for its rise, and what the prospects are for a vaccine.
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
Public Workforce
How to Make $1 Billion in Labor Savings Real & Recurring
September 02, 2020
As the City faces the worst fiscal crisis in generations, municipal workers are also facing the dire prospect of layoffs.
Report
Health Care
Six Things to Know About New York State Health Care Reform Act (HCRA) Taxes
March 05, 2020
As lawmakers negotiate this year’s budget, they should review HCRA’s role in health care funding and its impact upon privately insured New Yorkers.
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.
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.
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.
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.
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
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
City Budget
Short-term Goals for Long-term Debt
Time to Prioritize Reducing New York City’s Liabilities
September 18, 2018
Paying down the City's debts should be a greater priority.
Report
Housing
Stabilizing the Foundation
Transforming NYCHA to Address Its Capital Needs
July 03, 2018
Rather than continue as the nation’s largest landlord, NYCHA should transition to an affordable housing steward employing a full range of strategies to preserve the affordability of its units.
Report
Pensions & Benefits
2018 Benefit Sweetener Scorecard
May 18, 2018
The balance of this year's legislative session will be devoted to moving bills through the legislative process, including proposals to enhance the benefits of State and local public employees and retirees.
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.