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Report
Health Care
Fiscal Challenges Facing the New York City Health and Hospitals Corporation
November 06, 2014
HHC is crucial to all New Yorkers, providing care to more than one million patients annually. Despite HHC's importance, its fiscal condition is troubled. HHC's cash resources are being depleted; absent an aggressive gap-closing plan its cash reserves will be exhausted in fiscal year 2016.
Report
Transportation
Misplaced Priorities in the MTA's Capital Plan
October 23, 2014
The plan identifies $16.9 billion in available funding, but a gap of about $15.2 billion remains unfunded. This CBC study focuses on how the money would be spent and recommends that the proposed plan be revised to address three serious shortcomings.
Report
Transportation
Financing PATH
Options for Deficit Reduction
April 23, 2014
This report examines the financing arrangements for the PATH transit system operated by the Port Authority of New York and New Jersey.
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.
Letter
Transportation
CBC Encourages MTA to Link Fares to Operating Expenses; Explore Peak Pricing
September 30, 2010
The CBC seeks to stress two points: 1) the fare increases to be approved for January 2011 and proposed for January 2013 should move toward establishing a long-term policy to cover half of operating expenses with fare revenue, and 2) the MTA should explore the feasibility of incorporating the practice of “peak pricing" for subways and buses.
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.