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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
Housing
NYCHA 2.0: Progress at Risk
September 17, 2019
Success of NYCHA 2.0 will require political, labor, and community support; assistance from City, State, and federal governments; and significant management improvements.
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.
Report
Housing
Reconsidering Rent Regulation Reforms
January 30, 2019
New York is a city of renters, and rent regulated units account for nearly half of the city’s rental housing stock.
Report
Public Workforce
Twenty Years Later
Integrating Services In The New York City Fire Department
December 09, 2015
The FDNY responds to more more medical emergencies than fires. The department needs a fundamental transformation.
Report
Housing
Whose Burden Is It Anyway?
Housing Affordability in New York City by Household Characteristics
November 12, 2015
This report looks at New York City rent burdens in more detail, using an in-depth housing survey conducted by the U.S. Census Bureau to consider a variety of household characteristics.
Report
Housing
Five Myths about Rent Regulation in New York City
May 25, 2015
This brief includes five facts to consider regarding myths about rent regulation and New York City's rental market.
Report
Housing
Cleaning House
How to Close the New York City Housing Authority's Operating Gaps
April 29, 2015
This report identifies the reasons for NYCHA's operating deficits in the last decade - insufficent operating subsidies, low rent collections, low nonrental income and high operating costs - and offers recommendations to increase revenues, curb expenses and improve productivity in order to eliminate NYCHA's projected $150 million deficit and improve conditions for its residents.
Report
Health Care
Analysis of the New York State Medicaid Program and Identification of Potential Cost-Containment Opportunities
November 17, 2010
This report identifies trends in expenditures and enrollment in New York’s Medicaid program.
Report
Health Care
No Easy Solution
Effective Medicaid Control Must Focus on the Elderly and Disabled
November 17, 2010
This report examines Medicaid spending in New York relative to other states and finds the program is big not just because New York is a populous state or it covers a lot of people. It recommends a multi‐year agenda to restructure service provision and the cost of care for the elderly and disabled.
Report
Pensions & Benefits
8 Things New Yorkers Should Know About Public Retirement Benefits in New York State
October 19, 2010
This report presents eight facts about retirement benefits for New York State and local employees intended to stimulate a substantive discourse on pursuing changes to prevent underfunding of the pension systems and to make retirement benefits more fair and affordable.
Report
Pensions & Benefits
Better Benefits from our Billion Bucks
August 02, 2010
This report describes the organization and financing of the union welfare funds, identifies and documents three problems with the current arrangements – limited accountability, poor financial management and inefficient provision of benefits - and presents recommendations to improve the use of these payments and provide taxpayer savings.
Report
Housing
Rent Regulation: Beyond the Rhetoric
June 01, 2010
This report is designed to inform debates over changes in rent regulation. It provides background information including a history of rent regulation laws and an overview of the rental housing market in New York City, it describes the benefits of current rent regulations in the forms of “discounts” to affected households and increases in “affordable” housing for New Yorkers, it assesses the evidence relating to criticisms of rent regulation, and it recommends future rent regulation policies based on the findings discussed.
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
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.