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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.
Blog
Transportation
Three Takeaways from the MTA's Financial Plan
July 2018 Update
August 13, 2018
The Metropolitan Transportation Authority (MTA) released its 2019 Preliminary Budget and four-year financial plan last month. Here are three important takeaways.
Report
Transportation
Getting Back on Track
Replacing and Repairing Subway Cars Will Be Expensive and Take More Than a Decade
July 18, 2018
Decisions to redirect capital dollars to other priorities and stretch inspection and maintenance cycles contributed to the decline in subway reliability, and challenges lay ahead for plans to purchase 3,600 new subway cars and retrofit 1,200 existing cars.
Op Ed
Transportation
Four years after 'Bridgegate,' Port's fiefdoms are coming back
Crain's New York Business
May 30, 2018
The Port Authority of New York and New Jersey is a crucial agency, but it is badly governed and in need of reform.
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
Transportation
4 Things You Should Know About the MTA's Commuter Railroads
April 18, 2018
The Long Island Rail Road is much more inefficient than Metro-North. Here's why.
Op Ed
City Budget
How New York City Can Afford Fair Fares
Slowing the growth of the city’s workforce would provide the needed savings
April 16, 2018
The Fair Fares proposal can be accommodated within the city budget by exercising greater restraint in hiring and more aggressively tackling inefficiencies in its operations.
Blog
Health Care
DSH Cuts Delayed
Opportunity for State Reform
April 11, 2018
NYS shouldn't miss an important opportunity to revise its distribution of funds to target hospitals with the greatest needs.
Op Ed
Transportation
Latest value capture proposal could harm NYC
City taxes should not be diverted to the MTA without local input
March 22, 2018
While value capture makes sense in theory, any such arrangement should be tailored to specific projects and circumstances - with the agreement of the City.
Blog
Health Care
Three Strikes Against the Governor’s Proposed Conversion Revenue
March 13, 2018
Counting on the revenue from health insurance company conversations is not prudent for three important reasons.
Blog
Transportation
Tsk-tsk on Governor’s TIF Proposal
February 02, 2018
The FY 2019 Executive Budget proposed to allow the MTA to create tax increment financing districts in NYC to raise revenue for capital improvements. Though TIFs can play a useful role, the proposal is flawed.
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?
Op Ed
Transportation
The MTA's Closely Guarded Secret
New Yorkers should be told how much it would cost to fix the entire transit system
December 19, 2017
At next month’s State of the State address, Gov. Andrew Cuomo is expected to unveil a congestion-pricing proposal that would generate a dedicated funding stream for the Metropolitan Transportation Authority.
Report
Economic Development
Tax Increment Financing: A Primer
December 05, 2017
This report provides an overview of TIF and a five-point checklist drawn from lessons learned from past projects to help identify potential TIF projects.
Blog
Transportation
More Than Enough Problems
The MTA 2018 Final Proposed Budget and Four-year Financial Plan
November 27, 2017
There are unanswered questions about the MTA's 2018 budget and $1.5 billion Subway Action Plan.
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.