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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.
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.
Report
Taxes
Practical Policy in Challenging Circumstances:
How NYS and NYC Should Respond to the Tax Cuts and Jobs Act
March 18, 2018
Strategies to mitigate the federal tax law's threat to New York's competitiveness and New Yorkers' wallets.
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
Housing
NYCHA Capital
What You Need to Know
December 20, 2017
Part 1 of our analysis reviews NYCHA's capital needs and spending patterns over the last 5 years.
Report
Economic Development
Tax Increment Financing: A Primer
December 05, 2017
This report provides an overview of TIF and a five-point checklist drawn from lessons learned from past projects to help identify potential TIF projects.
Report
Health Care
Challenges of Enhancing Effective Engagement of Community Based Organizations in Performing Provider Systems
A Discussion Paper
November 13, 2017
Reform of NY's Medicaid program has made significant progress; however, much remains to be accomplished. A project funded with support from the New York Community Trust to help effectively implement redesign strategies.
Report
Capital Spending
Bridging the Financial Gap
Funding the Governor Mario M. Cuomo Bridge
October 12, 2017
Tolls for the new Governor Mario M. Cuomo Bridge have not been released yet, but based on construction costs, CBC estimates it will be approximately $10 for cars, double the current rate.
Report
Health Care
Medicaid Supplemental Payments
The Alphabet Soup of Programs Sustaining Ailing Hospitals Faces Risks and Needs Reform
August 31, 2017
$5 billion in annual supplemental payments are important to the finances of many hospitals. Federal policy will shrink these payments; the impact will be most severe for NYC municipal hospitals.
Report
Transportation
Bumpy Road
Transportation Capital Planning in New York State
August 21, 2017
What the State should do to ensure its transportation investment is well-targeted and strategic.
Report
Capital Spending
What New Yorkers Can and Cannot Learn from the Ten-Year Capital Strategy
May 23, 2017
The Ten-Year Capital Strategy has shortcomings that undermine the public’s ability to hold leaders accountable as good stewards of the City’s infrastructure and capital dollars.
Report
Capital Spending
Slow Build
Creating a More Cost-Efficient Capital Construction Process for Cultural Organizations and Libraries in New York City
April 10, 2017
How long does it take to renovate a public library or expand museum space? CBC & CUF investigate.
Report
Capital Spending
Three Ways to Improve the Port Authority's Capital Plan
February 16, 2017
Despite an increase in transparency and accountability, the updated plan remains deficient in three important ways.
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.