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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.
Testimony
Housing
Testimony on the NYCHA Physical Needs Assessment
Submitted to the New York City Council Committee on Public Housing
November 15, 2018
NYCHA has an astounding $32 billion in capital needs, a nearly fivefold increase over the last decade. Today nearly all its properties require substantial rehabilitation.
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.
Testimony
Energy & Environment
Update on the City’s Organics Collection Program
Testimony Submitted to the NYC Council Committee on Sanitation and Solid Waste Management
September 20, 2018
Because of low participation and inadequate organic waste processing capacity, the organics collection program is not ready for citywide expansion.
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.
Testimony
Energy & Environment
Testimony on the Department of Sanitation's Waste Characterization Study
Submitted to the New York City Council Committee on Sanitation and Solid Waste Management
April 24, 2018
CBC testimony on the fiscal and policy implications of changes in the waste stream on the City’s waste management system.
Testimony
Capital Spending
Testimony on the City of New York’s Capital Commitment Plan
Submitted to the NYC Council Committee on Finance and Subcommittee on Capital Budget
March 20, 2018
NYC's Capital Commitment Plan is unrealistic in its ambition, obscures capital priorities, and discourages accountability for completing capital projects efficiently.
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?
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.
Testimony
Energy & Environment
Testimony to Reducing Food Waste in New York City
Submitted to NYC Council Committee on Solid Waste and Sanitation
June 07, 2016
Unless residential trash collection costs are reduced, new program costs will greatly overwhelm any potential savings from landfill reduction. A significant expansion of food waste collection may also outpace regional processing infrastructure.
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.
Special Feature
Energy & Environment
Facts About DSNY
April 21, 2016
Presents facts about the NYC Department of Sanitation's operations and costs, including collection and disposal costs and recycling and organic waste capture rates.
Report
Energy & Environment
Can We Have Our Cake and Compost It Too?
An Analysis of Organic Waste Diversion in New York City
February 02, 2016
This report examines the feasibility and the cost of options for expanding the Department of Sanitation's organic waste program.
Report
Energy & Environment
Taxes In, Garbage Out
The Need for Better Solid Waste Disposal Policies in New York City
May 30, 2012
This report makes the case for a significant change in the New York City Department of Sanitation's solid waste disposal practices, a shift from heavy reliance on long-distance exporting to landfills to greater reliance on use of local waste-to-energy facilities.
Special Feature
Energy & Environment
Taxes In, Garbage Out
Infographic
May 20, 2012
An infographic summarizing the fiscal and environmental cost of garbage in New York City, with a focus on the Department of Sanitation's operations.
Report
Transportation
Refunding the MTA's Debt
The Importance of Getting it Right
May 06, 2012
This brief examines the Metropolitan Transportation Authority's (MTA) large-scale refunding of outstandingdebt. It focuses on a refunding that saves money and spreads debt service costs fairly over time and does not juggle the timing of debt service costs in a manner places unfair costs on riders and taxpayers in the more
distant future.
Report
Health Care
A Troubling Prognosis for HHC's Finances
April 23, 2012
This report assesses New York City Health and Hospitals Corporation's (HHC) critical role within the health care safety net protecting lower income New Yorkers, and it explores two significant fiscal challenges in the coming years: threats to City-supported revenues and an inadequate gap-closing plan.
Report
Capital Spending
6 Things New Yorkers Should Know About Prevailing Wage
February 13, 2012
This report is intended to provide New Yorkers with an understanding of how prevailing wage law works so they can understand and evaluate the arguments in the current debate.