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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.
Press Release
Health Care
CBC Report Finds NYC H+H Recovered Only 54 Percent of Associated Patient Care Costs from Insurers
Compared to 85 Percent for Safety Net Hospitals
December 16, 2019
Majority of H+H Deficit was due to low revenue for care to Medicaid patients, not uncompensated care for the uninsured.
Press Release
CBC News
Twenty Groups Urge MTA Board to Promptly Appoint Traffic Mobility Review Board and Ensure it Follows Open Meetings Law
November 15, 2019
Twenty groups representing rider, watchdog and industry groups today sent a letter to the MTA Board urging it to promptly appoint the Traffic Mobility Review Board (TMRB) and ensure that body follows the state Open Meetings Law (OML).
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.
Press Release
Transportation
Groups call for MTA Capital Program Review Board to Follow Open Meetings Law
August 08, 2019
Seventeen groups call on MTA Capital Program Review Board to follow open meetings law.
Report
Transportation
Switching Gears
A New Way to Fund Transportation
May 08, 2019
The new congestion pricing fee serves the dual goals of raising revenue and reducing traffic congestion; however, the measure is not a complete solution to the State’s need for transportation funding.
Press Release
Transportation
CBC Releases “Reform At the Bargaining Table”
Report Details the Need to Improve Productivity at the MTA and Recommends “Net-Zero” Wage Increases
April 30, 2019
CBC released a report detailing the critical need to slow the growth of labor expenses if the MTA is to become fiscally sound.
Report
Public Workforce
Reform at the Bargaining Table
Labor’s Participation Needed to Improve the MTA’s Financial Outlook
April 30, 2019
The MTA's fiscal outlook is dire, and improving it requires a multipronged approach. Paramount in the effort is slowing the growth of labor costs.
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.
Press Release
Health Care
CBC Releases “Options to Enhance the Coordination of Care for Dually Eligible Individuals in New York State”
April 25, 2019
Report Recommends Strategies to Coordinate Care for 880,000 People Enrolled in Medicaid and Medicare.
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.
Press Release
Transportation
CBC Releases "Swimming in Subsidies"
Report Details the High Cost of Subsidizing NYC Ferry
March 28, 2019
CBC today released “Swimming in Subsidies,” a comprehensive report detailing the high operating subsidy for the NYC Ferry service.
Report
Transportation
Building a Sound Fiscal Future for New York's Highway and Mass Transit Systems
March 19, 2019
Options for raising sufficient funds for roads and transit statewide include increasing tolls and fees, enacting congestion pricing, and implementing a vehicle-miles traveled (VMT) fee.
Press Release
Transportation
CBC Recommends Five Principles for Congestion Pricing
February 13, 2019
The CBC today released its five key principles for crafting an effective congestion pricing program.
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
Transportation
Getting Back on Track
Replacing and Repairing Subway Cars Will Be Expensive and Take More Than a Decade
July 18, 2018
Decisions to redirect capital dollars to other priorities and stretch inspection and maintenance cycles contributed to the decline in subway reliability, and challenges lay ahead for plans to purchase 3,600 new subway cars and retrofit 1,200 existing cars.
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
Transportation
4 Things You Should Know About the MTA's Commuter Railroads
April 18, 2018
The Long Island Rail Road is much more inefficient than Metro-North. Here's why.
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?