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Blog
Health Care
One Good Way to Save More on Medicaid
February 21, 2011
One of the Medicaid Redesign Team's proposals – reforming the state’s payment method for nursing homes – should be strengthened to increase savings and improve care.
Video
Education
CUNY Chancellor Matthew Goldstein
CBC Breakfast Series
February 18, 2011
CBC Breakfast with CUNY Chancellor Matthew Goldstein in February 2011.
Blog
City Budget
The New York City Budget Since the Recession
Seven Rounds of Cuts and the Deepest Still to Come
February 06, 2011
Since 2008, Mayor Bloomberg has implemented seven rounds of cuts to find budget savings, and an eight round is likely due to anticipated reductions in State and federal aid.
Testimony
Health Care
Testimony on Reforming Medicaid
Submitted to the NY State Medicaid Redesign Team
January 28, 2011
Savings can be achieved without denying needed care to low income New Yorkers through three strategies: (1) reducing non‐competitive rates paid to institutional providers; (2) rationalizing utilization of services; (3) tightening eligibility rules and practices to curb the misuse of Medicaid by middle and higher income families for long‐term care.
Video
Health Care
No Easy Solution: Effective Medicaid Cost Control
A Panel Discussion
January 27, 2011
A recent report by the Citizens Budget Commission (CBC) found that elderly and disabled beneficiaries comprise fewer than one in four Medicaid enrollees in New York but account for nearly three of every four program dollars spent. Achieving cost savings among this population, while preserving access to high-quality services, challenges the State to develop creative strategies beyond blunt rate cuts. The CBC and New York State Health Foundation convened a panel of healthcare experts to explore the ideas expounded in the report.
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.
Letter
City Budget
Letter to the FCB on GASB 49 Requirements
Submitted to the Financial Control Board
April 29, 2008
Any deferral from meeting GASB 49 standards on pollution remediation should be limited to one year.
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.
Report
City Budget
10 Myths About Balancing NYC's Budget
And 5 Ways to Lower the Cost of Government by $1B
December 06, 2002
The CBC prepared this document to clear up a series of common misunderstandings about the budget.
Report
City Budget
Preserving Police Services In Tough Fiscal Times
December 03, 2002
Offers ways to preserve police services in the face of New York City’s difficult fiscal situation, including increasing civilianization and reducing overtime.
Report
Public Workforce
The 40-Hour Week
A Proposal To Increase The Productivity of Non-Managerial Civilian Municipal Workers
December 03, 2002
This report explores options for increasing the productivity of non-managerial civilian municipal workers by extending the work week to 40 hours.
Report
City Budget
No Small Change
Opportunities for Streamlining Procurement in New York City
February 10, 2002
This report explores opportunities for streamlining procurement in New York City through emphasis on use of information technology.