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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.
Letter
City Budget
Letter to the FCB on GASB 49 Requirements
Submitted to the Financial Control Board
April 29, 2008
Any deferral from meeting GASB 49 standards on pollution remediation should be limited to one year.
Report
City Budget
The Myth of the "Uncontrollables"
Four Ways New York City Can Take Control of Its Financial Future and Save $2.5 Billion per Year
May 11, 2005
For years New York City mayors have bemoaned the fact that much of the budget is uncontrollable: pension fund contributions, health insurance, Medicaid, and debt service. This report suggests four ways to reduce the “uncontrollables” and save $2.5 billion annually.
Report
Public Workforce
The Citizens' Stakes in Collective Bargaining
Recommendations for the Current Negotiations with the Municipal Employee Unions
December 12, 2000
Report presenting recommendations for contracts to be negotiated with municipal employees that would help reduce the cost of public services, improve the quality of those services, and enhance the income and working conditions of New York's civil servants.
Report
Capital Spending
An Affordable Debt Policy for New York State and New York City
October 17, 2000
Presents a new approach for determining how much the State and City should borrow, including criteria for deciding how much state and local debt is affordable.