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Report
Health Care
A New Approach to Funding New York City Health + Hospitals
December 16, 2019
This report analyzes the system’s finances, compares H+H to other providers in the City, and outlines options to right-size the City subsidy and improve H+H's fiscal future.
Report
Energy & Environment
Getting Greener
Cost-Effective Options for Achieving New York State's Greenhouse Gas Goals
December 09, 2019
While GHG emissions have risen in other large states like Texas and Florida, New York has been a leader in reducing GHG emissions; the continued focus on getting greener through further emissions reductions is necessary and important.
Blog
State Budget
Truth in (Financial Plan) Reporting
Will New York State’s Mid-Year Financial Plan Update Appropriately Reflect and Address the Medicaid Budget Shortfall?
November 05, 2019
The State must recognize actual and timely payments for the Medicaid program and explain how it will address the estimated $9 billion Medicaid budget shortfall.
Report
State Budget
Overdue Bills
Time to Face the Reality of Rising Medicaid Costs
October 09, 2019
State leaders have two options to reconcile the disconnect between reality and the budget: reduce Medicaid spending and/or achieve savings in other areas of the budget.
Special Feature
Education
Educating an Average NYC Public Elementary School Class Costs About $560,000
September 04, 2019
In 2017 educating an average elementary school class cost $561,246.
Report
Education
Cut Costs, Not Ribbons
Alternatives That Reduce School Crowding
July 09, 2019
Administrative solutions can reduce school crowding and limit the need to build expensive new school buildings.
Blog
Capital Spending
Don’t Pass the Capital Pork
June 07, 2019
Like most other spending decisions, capital spending is best decided during budget negotiations.
Blog
Education
Adopted Budget Continues Unequal Access to a Sound Basic Education
May 22, 2019
It will cost NYS school districts approximately $62.6 billion to provide a sound basic education to all students, yet several districts will not have enough funding.
Report
Health Care
Options to Enhance the Coordination of Care for Dually Eligible Individuals in New York State
A Discussion Paper
April 25, 2019
This discussion paper outlines lessons from previous and existing efforts to coordinate the care of duals, and suggests five strategies for the State to consider moving forward.
Report
Transportation
Building a Sound Fiscal Future for New York's Highway and Mass Transit Systems
March 19, 2019
Options for raising sufficient funds for roads and transit statewide include increasing tolls and fees, enacting congestion pricing, and implementing a vehicle-miles traveled (VMT) fee.
Blog
Education
Funding a Sound Basic Education in 2020
March 07, 2019
Despite significant funding increases over the past decade, some districts in New York State still do not have the resources to provide a sound basic education.
Blog
Health Care
Medicaid Supplemental Payments
State Workgroup Makes Limited Progress on Part of the Problem
February 15, 2019
New York State’s $78 billion Medicaid program includes $5.3 billion of “supplemental payments”. These supplemental payments are crucial to hospitals across the state, especially those largely serving uninsured and Medicaid populations.
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
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.
Blog
Education
Absent Teacher Reserve Costs $136 Million and Needs Reform
June 14, 2018
Teachers in the Absentee Teacher Reserve (ATR) will cost the City $136 million in this school year. The City should pursue reforms to the ATR, such as a 6-month time limit, in upcoming labor negotiations with the UFT.
Special Feature
Education
Foundation Aid for NYS School Districts
Fiscal Year 2018-2019 Enacted Budget
May 11, 2018
Most of this year's school aid increases came in the form of Foundation Aid, which is intended to support high-need school districts. All districts received an increase, but some wealthier school districts fared better than others.
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.
Blog
Health Care
DSH Cuts Delayed
Opportunity for State Reform
April 11, 2018
NYS shouldn't miss an important opportunity to revise its distribution of funds to target hospitals with the greatest needs.
Blog
Capital Spending
Rightsizing and Right Timing New York City’s Capital Plan
March 14, 2018
Despite a pledge to collaborate with the City Council on a realistic Capital Commitment Plan, the City's overly ambitious proposal is neither realistic nor transparent.