Search
Showing 1 - 13 of 13
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
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
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
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.
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
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.