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Report
Pensions & Benefits
2017 Benefit Sweetener Scorecard
December 07, 2017
The State Legislature passed 26 bills. Click to learn more.
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
Pensions & Benefits
The Price of Promises Made
What New York City Should Do About Its $95 Billion OPEB Debt
October 25, 2017
CBC presents options for tackling this looming $95 billion liability threatening New York City's fiscal health.
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
Public Workforce
Overboard on OT
Reductions in Uniformed Overtime Needed
August 17, 2017
NYC blows its budget on overtime annually, and the costs have grown tremendously year over year. To "cap" overtime effectively, labor and management should work collaboratively.
Blog
Health Care
Time to Rethink HCRA Taxes
April 18, 2017
Taxes initially earmarked for health care programs are now being transferred to the State's General Fund and used for other purposes. The Legislature should replace them in future budgets.
Blog
State Budget
Budget Proposals with a Big Long-Term Payoff
March 16, 2017
The NYS FY2018 Executive Budget includes three proposals to reduce the State’s cost of providing retiree health insurance. Budget savings would be modest, but the reduction in the OPEB liability would be significant.
Report
Public Workforce
Governor Cuomo's Labor Contracts
Only Getting Part of the Job Done
January 06, 2017
In collective bargaining, the Governor must balance paying workers fairly with keeping tax levels reasonable. More needs to be done to control rising fringe benefits costs.
Blog
Pensions & Benefits
Giving Credit Where It’s Due? New York City’s $1.3 Billion in Health Insurance Savings
December 28, 2014
In its recent mid-year budget modification the de Blasio administration credited a coalition of municipal employee unions with achieving $1.3 billion in savings in the City’s employee and retiree health insurance costs. Yet the unions have not agreed to any changes in the plan, and the City and the unions have taken no actions to reduce costs. How can this be?
Report
Health Care
Fiscal Challenges Facing the New York City Health and Hospitals Corporation
November 06, 2014
HHC is crucial to all New Yorkers, providing care to more than one million patients annually. Despite HHC's importance, its fiscal condition is troubled. HHC's cash resources are being depleted; absent an aggressive gap-closing plan its cash reserves will be exhausted in fiscal year 2016.
Blog
Health Care
Agency Focus: NYS DOH
Budget Analysis
November 03, 2014
The New York State Department of Health has overseen dramatic changes in the state's healthcare system in recent years, including the passage of the federal Affordable Care Act and development of the state's own health care exchange website.
Blog
Health Care
Agency Focus: HHC
Budget Analysis
September 22, 2014
Short budget profiled of the finances and challenges of New York City Health and Hospitals Corporation (HHC) - now known as NYC Health + Hospitals (H+H).
Blog
Public Workforce
Three Questions about 1,000 New Police Officers
June 18, 2014
As the New York City budget for fiscal year 2015 nears adoption, one of the more expensive Council initiatives, at an estimated cost of almost $100 million annually, is the hiring of 1,000 new police officers to increase staffing at police precincts.
Blog
Pensions & Benefits
An Expensive Pension Enhancement Bill is on the Move
June 08, 2014
About the bill to increase disability pension benefits for police officers hired after July 1, 2009, when a more financially sustainable “Tier III” plan went into effect.
Blog
Public Workforce
No Contract Does Not Mean No Raises
April 06, 2014
The fact that the entire unionized New York City municipal workforce is working under expired contracts is a big problem, but it does not mean that all municipal workers have gone without raises since their contracts expired.
Blog
Public Workforce
City Government Needs to Attract Younger Workers
February 18, 2014
City leaders need to think boldly about how best to reconfigure the City’s compensation and hiring practices to attract a young and skilled workforce in coming years.