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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.
Video
Capital Spending
Capital Budgeting for 2030
A Panel Discussion
December 18, 2007
A forum discussion on the efficacy of New York City's infrastructure plan and what steps it should take to ensure that current infrastructure is kept in a state of good repair. Mayor Michael Bloomberg delivers the keynote speech and CBC President Carol Kellermann gives the presentation on the Capital Budgeting for 2030 report.
Report
Capital Spending
Capital Budgeting for 2030
Achieving the Goals of PLANYC
December 01, 2007
This report analyzes Mayor Michael Bloomberg’s PLANYC, a new long-range planning initiative for New York City's capital assets and infrastructure. The report identifies the four greatest challenges confronting this initiative and makes recommendations for overcoming them.
Report
Taxes
A Simulation of Business Taxes in New York City and Other Locations
June 02, 2007
This report focuses on state and local business taxes in New York City, showing that those taxes are dramatically higher than comparable taxes for key competitors. Combined federal, state, and local taxes reduce the rate of return on new business investment in New York City significantly – about 36-50 percent, depending on location and industry. Most of this is due to federal tax – typically 34-36 percentage points. Taxes in New York City were the highest in all industries in 2006, and were highest or second-highest under virtually all scenarios examined. By contrast, taxes in other New York locations often were lowest or nearly lowest among the locations compared.
Report
City Budget
Making the Most of Our Parks
June 01, 2007
In this report, CBC addresses six challenges that prevent New York City from making the most of its parks.
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
Health Care
Confronting the Tradeoffs in Medicaid Cost Containment
February 20, 2004
While its benefits are clear and widely supported, Medicaid's costs are far more controversial. In New York, total spending for Medicaid of $36 billion in fiscal year 2003 represented nearly 40 percent of total State expenditures. The portion of the Medicaid program paid for with State-raised revenues totaled $12.6 billion or more than one-quarter of all State spending financed with State revenues.