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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
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.
Report
City Budget
$1.1 Billion in NYC Public Leases
Better Management Needed to Control Rising Costs
August 27, 2019
NYC spent more than $1.1 billion to lease space for public facilities and offices—an amount that has grown 40 percent since fiscal year 2014.
Report
Economic Development
Opportunity Zones In New York State and City
August 20, 2019
The Opportunity Zone program may amount to significant losses for both NYS and NYC before rising substantially in 2029.
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
City Budget
To Weather a Storm
Create an NYC Rainy Day Fund
April 18, 2019
A well-funded and structured Rainy Day Fund (RDF) would help New York City weather future recessions.
Report
Transportation
Swimming in Subsidies
The High Cost of NYC Ferry
March 28, 2019
NYC Ferry serves more than 4 million passengers at a high level of operating subsidy: $10.73 per ride, 10 times that of the New York City Transit.
Report
City Budget
9 Things New Yorkers Should Know About How New York City Buys Stuff
February 21, 2019
CBC's new report outlines nine critical things New Yorkers should know about procurement and makes four recommendations that could generate savings for the City.
Report
City Budget
Reviving EMS
Restructuring Emergency Medical Services in New York City
November 25, 2018
The City of New York spends more than $1.1 billion annually in an effort to provide its residents and visitors this vital service, but the money is not used wisely.
Report
Housing
Think Your Rent Is High?
Documenting New York City’s Severest Rent Burdens
October 11, 2018
Housing affordability is a perennial concern of New Yorkers and their elected officials, and the production and preservation of affordable housing is a key priority of the de Blasio Administration.
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
City Budget
Short-term Goals for Long-term Debt
Time to Prioritize Reducing New York City’s Liabilities
September 18, 2018
Paying down the City's debts should be a greater priority.
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
Pensions & Benefits
Union-Administered Benefit Funds
Getting More Out Of A Billion Dollar Taxpayer Contribution
February 08, 2018
NYC taxpayers are projected to contribute $1.1 billion to 108 union-administered benefit funds. Better management, oversight, and consolidation can create more than $160 million in savings for the City and improve benefits for members.
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
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.
Report
Taxes
How Much Do Taxes Matter?
A Citizens Budget Commission Panel Discussion
December 11, 2006
In this background paper prepared for a panel discussion "How Much Do Taxes Matter? New York City's Tax Burden and Economic Competitiveness," which was convened by CBC on December 11, 2006, Elizabeth Roistacher, professor of economics at CUNY Queens College, summarizes the econometric literature that tries to model the relationship between tax levels and economic growth.
Report
City Budget
Managing for Results in New York City Government
A Review of Current Practices
November 30, 2006
In this report, CBC highlights two major weaknesses in the City’s management accountability framework: 1) Money and performance are not connected in the budget; and 2) The City is not focused on achieving results the public desires in every service area. To address these weaknesses, the report makes five recommendations.
Report
City Budget
Giving Taxpayers More Bang for the Buck
Managing for Results in New York City Government
November 01, 2006
In this report summary, CBC highlights two major weaknesses in the City’s management accountability framework: 1) Money and performance are not connected in the budget; and 2) The City is not focused on achieving results the public desires in every service area. To address these weaknesses, the report makes five recommendations.