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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
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
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
How Public-Private Partnerships Can Help New York Address Its Infrastructure Needs
December 11, 2008
This report explores the application of public-private partnership (PPPs) in New York by explaining its definition of such a relationship and offering in-depth guidelines, potential applications (including highway bridges, New York City school buildings, New York City parks, and higher education facilities), examples on a global, national, and local level, and potential missteps and cautions.
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.