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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.
Testimony
Housing
Testimony on the NYCHA Physical Needs Assessment
Submitted to the New York City Council Committee on Public Housing
November 15, 2018
NYCHA has an astounding $32 billion in capital needs, a nearly fivefold increase over the last decade. Today nearly all its properties require substantial rehabilitation.
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
Housing
Stabilizing the Foundation
Transforming NYCHA to Address Its Capital Needs
July 03, 2018
Rather than continue as the nation’s largest landlord, NYCHA should transition to an affordable housing steward employing a full range of strategies to preserve the affordability of its units.
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.
Testimony
Capital Spending
Testimony on the City of New York’s Capital Commitment Plan
Submitted to the NYC Council Committee on Finance and Subcommittee on Capital Budget
March 20, 2018
NYC's Capital Commitment Plan is unrealistic in its ambition, obscures capital priorities, and discourages accountability for completing capital projects efficiently.
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?
Report
Health Care
What Ails Medicaid in New York?
And Does the Medicaid Redesign Team Have a Cure?
May 20, 2016
This report assess the progress of the Medicaid Redesign Team (MRT), launched in 2011, in implementing strategies to curb costs and improve the quality of care in Medicaid.
Testimony
Capital Spending
Testimony On Ten-Year Capital Strategy and Capital Budget
Delivered to NY City Council Committee on Finance
May 18, 2015
The Mayor's Ten-Year Capital Strategy totals $83.8 billion- a $30 billion increase from the prior plan. CBC has two main concerns about the Strategy: there is insufficient information available to judge the investments, and the investments will add to the City’s high debt burden.
Report
Capital Spending
Planning After PLANYC: A Framework for Developing New York City's Next Ten-Year Capital Strategy
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 06, 2013
This report reviews capital planning and spending during Mayor Bloomberg’s tenure in order to suggest principles that can guide the development of a new long-term capital plan and financing strategy.
Report
Capital Spending
Three Key Steps for Improving New York State’s New Statewide Capital Plan
September 25, 2013
This brief assesses New York State’s first-ever 10-year capital plan released in June 2013 by the New York Works Task Force. It offers steps to more effectively and strategically allocate State capital investment funding.
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
State Budget
In The Danger Zone
A Comparative Analysis of New York State's Long-Term Obligations
March 08, 2010
This comparative analysis examines the debt burden of the 50 states. It finds that New York's debt burden is well above national averages and greater than that of all but three states.
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
State Budget
Public Authorities in New York State
April 03, 2006
New York State’s extensive reliance on authorities has given rise to four significant problems: 1) Misuse of the power to incur debt; 2) Insufficient oversight and coordination of project revenue backed and private conduit borrowing; 3) Insufficient reporting to support accountability; and 4) Insufficient independence in governance. Each problem is explained more fully in this report, along with five strategies to address them.