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Report
Health Care
A Poor Way to Pay for Medicaid
Why New York Should Eliminate Local Funding for Medicaid
December 11, 2011
This paper examines the fiscal inequities and other problems that arise as a result of New York’s largelocal share for Medicaid financing.
Testimony
Energy & Environment
Testimony on NYC Solid Waste Management Practices
Submitted to NYC Council Committee on Sanitation & Solid Waste Management
October 27, 2011
New York is being wasteful in its waste management practices. We could save tens of millions, perhaps even hundreds of millions, of dollars without harming the environment by more sensibly managing New Yorkers’ solid waste. An improved system for waste collection and disposal could prevent further reductions in essential services in coming budgets.
Video
Pensions & Benefits
Robert Steel, NYC Deputy Mayor
CBC Breakfast Series
August 31, 2011
CBC Breakfast with NYC Deputy Mayor Bob Steel in August 2011.
Video
Health Care
Jason Helgerson, NYS Medicaid Director (2011)
MRT Update
May 06, 2011
2011 Medicaid Redesign Team Briefing given by NYS Medicaid Director Jason Helgerson.
Video
Transportation
Jay Walder, MTA Chairman and CEO
CBC Breakfast Series
April 16, 2011
A forum discussing the future of the MTA's Capital Plan, with opening remarks by MTA Chair & CEO Jay Walder.
Report
Transportation
Benchmarking Efficiency for the Metropolitan Transportation Authority's Services
April 05, 2011
This report helps identify priorities for ongoing efforts to control costs at the Metropolitan Transportation Authority through benchmarking by comparing unit cost measures with other large urban transit agencies in the United States. It also suggests priorities for new efficiency initiatives.
Testimony
Health Care
Testimony on Reforming Medicaid
Submitted to the NY State Medicaid Redesign Team
January 28, 2011
Savings can be achieved without denying needed care to low income New Yorkers through three strategies: (1) reducing non‐competitive rates paid to institutional providers; (2) rationalizing utilization of services; (3) tightening eligibility rules and practices to curb the misuse of Medicaid by middle and higher income families for long‐term care.
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
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
Taxes
The Citizens Budget Commission Review of Circuit Breakers
February 04, 2008
CBC recently looked at the option of expanding New York’s existing circuit breaker program to provide targeted relief to the neediest taxpayers as background for a forum on local tax relief convened on December 6, 2007. Based on that review of options the following points, outlined in this report, can be highlighted: 1) Circuit breakers are common; 2) New York’s circuit breaker needs reform; and 3) The poorly crafted School Tax Relief Program (STAR) would work better as a circuit breaker.
Report
Transportation
Financing Transportation Services in the New York Region
March 28, 2004
This report examines the financing policies for passenger transportation services in the New York-New Jersey metropolitan area. Included are 25 entities consisting of the states of New York and New Jersey, the Port Authority, the MTA, New Jersey Transit, four additional authorities operating or financing toll roads, the City of New York, and 15 counties.
Report
Health Care
Confronting the Tradeoffs in Medicaid Cost Containment
February 20, 2004
While its benefits are clear and widely supported, Medicaid's costs are far more controversial. In New York, total spending for Medicaid of $36 billion in fiscal year 2003 represented nearly 40 percent of total State expenditures. The portion of the Medicaid program paid for with State-raised revenues totaled $12.6 billion or more than one-quarter of all State spending financed with State revenues.
Report
City Budget
10 Myths About Balancing NYC's Budget
And 5 Ways to Lower the Cost of Government by $1B
December 06, 2002
The CBC prepared this document to clear up a series of common misunderstandings about the budget.
Report
Public Workforce
The 40-Hour Week
A Proposal To Increase The Productivity of Non-Managerial Civilian Municipal Workers
December 03, 2002
This report explores options for increasing the productivity of non-managerial civilian municipal workers by extending the work week to 40 hours.