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Report
Energy & Environment
4 Facts About New York’s Transportation Emissions
November 11, 2021
As the State implements policies to meet these ambitious targets, shrinking emissions from transportation will be vitally important.
Report
Transportation
The Track to Fiscal Stability
Operations Reforms for the MTA
May 25, 2021
Given the implementation challenges, saving the full $2.9 billion by 2024 may not be likely. Still, significant changes should be pursued—and achieved—if the MTA is to be on a fiscally sustainable path.
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
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.
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
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.
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
Transportation
Access-A-Ride
Ways to Do the Right Thing More Efficiently
September 20, 2016
This report identifies strategies and options the Metropolitan Transportation Authority (MTA) can pursue to improve the financial outlook and quality of Access-A-Ride, the paratransit program.
Special Feature
Health Care
Facts About Medicaid in New York
September 15, 2016
This infographic presents facts about enrollment in and the costs of Medicaid in New York State.
Special Feature
Health Care
Local Medicaid Spending
May 26, 2016
An interactive map that indicates the burden of the local share of Medicaid costs falls hardest on the poorest counties. Rescinding the State’s assumption of growth for New York City will further exacerbate this inequity. New York City currently has the highest Medicaid burden per capita at $597, compared to the average local share throughout the rest of the State of only $190 per capita.
Report
Health Care
What Ails Medicaid in New York?
And Does the Medicaid Redesign Team Have a Cure?
May 20, 2016
This report assess the progress of the Medicaid Redesign Team (MRT), launched in 2011, in implementing strategies to curb costs and improve the quality of care in Medicaid.
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
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
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.
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.