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Report
Transportation
Prioritizing the MTA's Critical Capital Needs
What to Do When You Can’t Do It All
August 23, 2022
The MTA has significant needs for capital investment, from signal modernization and track improvements to new subway and train cars to making stations across the system accessible.
Report
Health Care
Narrowing New York's Health Insurance Coverage Gap
January 11, 2022
More than 1 million New Yorkers remained uninsured and New York ranks seventh among states on coverage.
Special Feature
Capital Spending
NYC Debt Outstanding
Fiscal Years 2002-2020
December 28, 2020
New York City debt outstanding grew to $125 billion—84 percent since 2005.
Report
State Budget
Quick Download
Four Facts about Broadband Availability and Access in New York
September 24, 2020
Here are four things to know about broadband availability and access in New York.
Blog
Health Care
Maintaining Momentum on Medicaid Redesign
March 27, 2020
To ensure a sustainable Medicaid program that can help New Yorkers most in need in the future, the Executive and Legislature should continue the course correction started by the MRT, especially as they enact a budget during these troubled times.
Report
Health Care
Six Things to Know About New York State Health Care Reform Act (HCRA) Taxes
March 05, 2020
As lawmakers negotiate this year’s budget, they should review HCRA’s role in health care funding and its impact upon privately insured New Yorkers.
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.
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.
Blog
Health Care
Three Strikes Against the Governor’s Proposed Conversion Revenue
March 13, 2018
Counting on the revenue from health insurance company conversations is not prudent for three important reasons.
Blog
Transportation
Tsk-tsk on Governor’s TIF Proposal
February 02, 2018
The FY 2019 Executive Budget proposed to allow the MTA to create tax increment financing districts in NYC to raise revenue for capital improvements. Though TIFs can play a useful role, the proposal is flawed.
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?
Blog
Pensions & Benefits
Simple But Significant
Savings from the Elimination of the Medicare Part B Reimbursement
December 19, 2010
As New York’s elected officials consider options for balancing budgets in the face of record deficits, they should eliminate a public employee fringe benefit rarely offered anywhere else: reimbursement for Medicare Part B premiums.
Blog
Capital Spending
When Will the Capital Budget Cuts Really Arrive?
December 09, 2010
Failure to impose fiscal austerity on the infrastructure agenda is evident in growing levels of capital commitments.
Blog
Pensions & Benefits
What is OPEB and Why Does it Cost $9.4 Billion?
December 05, 2010
The true cost of retiree health insurance and "other postemployment benefits," or OPEB, was $9.4 billion in fiscal year 2010. Why it cost so much and what should be done about it.
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.