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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.
Op Ed
Transportation
Four years after 'Bridgegate,' Port's fiefdoms are coming back
Crain's New York Business
May 30, 2018
The Port Authority of New York and New Jersey is a crucial agency, but it is badly governed and in need of reform.
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.
Op Ed
Transportation
Latest value capture proposal could harm NYC
City taxes should not be diverted to the MTA without local input
March 22, 2018
While value capture makes sense in theory, any such arrangement should be tailored to specific projects and circumstances - with the agreement of the City.
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
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.