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Video
Health Care
No Easy Solution: Effective Medicaid Cost Control
A Panel Discussion
January 27, 2011
A recent report by the Citizens Budget Commission (CBC) found that elderly and disabled beneficiaries comprise fewer than one in four Medicaid enrollees in New York but account for nearly three of every four program dollars spent. Achieving cost savings among this population, while preserving access to high-quality services, challenges the State to develop creative strategies beyond blunt rate cuts. The CBC and New York State Health Foundation convened a panel of healthcare experts to explore the ideas expounded in the report.
Report
Health Care
Analysis of the New York State Medicaid Program and Identification of Potential Cost-Containment Opportunities
November 17, 2010
This report identifies trends in expenditures and enrollment in New York’s Medicaid program.
Report
Health Care
No Easy Solution
Effective Medicaid Control Must Focus on the Elderly and Disabled
November 17, 2010
This report examines Medicaid spending in New York relative to other states and finds the program is big not just because New York is a populous state or it covers a lot of people. It recommends a multi‐year agenda to restructure service provision and the cost of care for the elderly and disabled.
Report
Pensions & Benefits
8 Things New Yorkers Should Know About Public Retirement Benefits in New York State
October 19, 2010
This report presents eight facts about retirement benefits for New York State and local employees intended to stimulate a substantive discourse on pursuing changes to prevent underfunding of the pension systems and to make retirement benefits more fair and affordable.
Report
Pensions & Benefits
Better Benefits from our Billion Bucks
August 02, 2010
This report describes the organization and financing of the union welfare funds, identifies and documents three problems with the current arrangements – limited accountability, poor financial management and inefficient provision of benefits - and presents recommendations to improve the use of these payments and provide taxpayer savings.
Report
State Budget
In The Danger Zone
A Comparative Analysis of New York State's Long-Term Obligations
March 08, 2010
This comparative analysis examines the debt burden of the 50 states. It finds that New York's debt burden is well above national averages and greater than that of all but three states.
Report
Pensions & Benefits
Out of Balance
A Comparison of Public and Private Employee Benefits in New York City
December 16, 2009
The CBC and the Partnership for New York City surveyed large private firms in New York City to provide a basis for comparing the health insurance and pension benefits of private sector workers with those of municipal employees.
Testimony
Transportation
Testimony on 2010 MTA Capital Plan
Delivered to State Senate Standing Committees
December 03, 2009
Testimony before the New York State Senate Standing Committees on Corporations, Authorities and Commissions and Investigations and Government Operations on the MTA's 2010-2014 capital plan.
Report
Transportation
Working in the Dark
Implementation of the MTA's Capital Plan
October 20, 2009
This report analyzes the MTA’s effectiveness at managing its five-year capital plans. It does so by examining the capital projects scheduled by the MTA for work in the three-year period from January 2005 to December 2007.
Testimony
Transportation
Testimony on Challenges Facing the MTA
Submitted to Senate Finance Committee
September 03, 2009
Testimony of CBC President Carol Kellermann to the New York State Senate Finance Committee regarding the critical challenges that will face the MTA in the coming years, including balancing the MTA's operating budget, financing new capital investments, and planning and implementing capital projects.
Report
Pensions & Benefits
2009 Benefits Sweetener Scorecard
June 02, 2009
The 2009 edition of the scorecard developed by the CBC that highlights legislative activity related to pension costs. The scorecard will track the introduction, progress, and sponsors of legislation designed to sweeten existing pension benefits of government employees, as well as any pension reform efforts to reduce future pension liabilities.
Report
Pensions & Benefits
The Explosion in Pension Costs
10 Things New Yorkers Should Know About Retirement Benefits for New York City Employees
April 06, 2009
In recent years, one of the fastest growing expenses for New York City government has been retirement benefits for municipal workers. This growth is driven mainly by investment losses in the pension funds and the enrichment of retirement benefits. As New York taxpayers have a critical interest in understanding the reasons behind the explosion in retirement benefit costs and what can be done to limit future liabilities, this report summarizes 10 facts about retirement benefits for New York employees.
Report
Pensions & Benefits
Six-Figure Civil Servants
Average Compensation Cost Of New York City Public Employees
January 08, 2009
In fiscal year 2008, the average compensation cost per New York City full-time employee was $106,743; this figure represents a system out of sync with the private sector and an opportunity to limit the growth of the City’s liability in the future while continuing to provide fair and adequate compensation to the City’s employees. Three factors that have driven the growth in compensation among City employees are: 1) Pay increases are directly attributable to contract settlements with unions; 2) More generous terms of the health insurance benefits offered by the City, as compared to the private sector and other state and local governments; and 3) The benefit retirement plans offered by the City that lock in the City’s future payouts to retirees based on the employee’s pay, years of employment and age at retirement among other factors. CBC offers three recommendations in response to these factors.
Testimony
Capital Spending
Testimony on Public-Private Partnerships
Delivered to the Commission on State Asset Maximization
January 07, 2009
The testimony offers guidelines for the application of public-private partnerships (PPPs or P3s), suggests areas in which PPPs can be used in New York, and warns against and explains potential pitfalls in the application of PPPs.
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.
Video
Capital Spending
Public Private Partnerships
A Panel Discussion
December 11, 2008
Panel discussion from CBC's event on public-private partnerships, also knowns as PPPs or P3s.
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.
Report
Transportation
How To Balance the MTA's Budget
June 27, 2006
In order for New York to maintain a strong and vibrant economy, its transportation system has to be kept up to par and expanded to meet future needs. This report examines the two problems and suggests alternative financing policies for the MTA that would balance its operating budget and provide sufficient capital to accelerate the pace at which its facilities are brought to a state of good repair.
Report
Pensions & Benefits
Old Assumptions, New Realities
The Truth About Wages and Retirement Benefits For Government Employees
March 31, 2006
This report summarizes a more detailed study prepared by CBC, “The Case for Redesigning Retirement Benefits for New York’s Public Employees,” released in 2005. For decades the popular image of government employment has involved the tradeoff of lower wages for job security and relatively generous retirement benefits. That image, while still widespread, is no longer the reality.
Report
Pensions & Benefits
The Case for Redesigning Retirement Benefits for New York's Public Employees
April 29, 2005
This report presents recommendations for redesigning the retirement benefits – health insurance and pension payments – for employees of the City of New York and State of New York. It includes a description of current benefits and a comparison to benefits provided by other large private and public employers.