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Video
Health Care
The Berger Commission: A Panel Discussion
November 28, 2016
Led by moderator Stephen Berger, the Chair of the Commission on Health Care Facilities in the 21st Century, panelists Elisabeth Benjamin of the Community Service Society and Jeffrey Kraut of Northwell Health and the NYS Public Health & Health Planning Council discussed challenges facing NYC's acute care sector.
Report
Pensions & Benefits
An Expensive and Risky Benefit
How Low Interest Rates Cost New York City Taxpayers $1.2 Billion Annually
October 05, 2016
A unique feature of a tax deferred compensation plan available to NYC teachers guarantees them a 7% investment return regardless of what happens to interest rates or in the stock market.
Video
Capital Spending
DASNY President & CEO Dr. Gerrard Bushell
CBC Breakfast Series
September 22, 2016
CBC Breakfast with DASNY President & CEO Dr. Gerrard Bushell in September 2016.
Video
Health Care
NYS Medicaid Director Jason Helgerson (2016)
MRT Update
September 15, 2016
NYS Medicaid Director Jason Helgerson presents to the CBC an annual update on progress made by the Medicaid Redesign Team.
Video
City Budget
Under the Hood with N.Y. City Budget
The Bond Buyer
July 27, 2016
Maria Doulis of the watchdog Citizens Budget Commission and Howard Cure of Evercore Wealth Management dissect New York City’s $82 billion budget with Bond Buyer Northeast regional editor Paul Burton. They explore efficiencies, debt management, reserves, the economy, the capital budget and Mayor Bill de Blasio’s plan to overhaul Health + Hospitals.
Video
Capital Spending
The Trouble with Megaprojects
Tony Guida's NY: Maria Doulis
June 01, 2016
Tony Guida sits down with the CBC's Vice President, Maria Doulis, to discuss why New York City's mega-projects run over budget and how the public sector can build better.
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
Pensions & Benefits
Testimony on Health Care Savings Under Recent Collective Bargaining Agreements
Delivered to NYC Council Committees on Finance and Civil Service
February 26, 2016
CBC has been monitoring New York City's efforts to find health savings. CBC has long advocated negotiating changes to health insurance as part of collective bargaining and applauded the labor-management agreement that committed to meet annual savings targets.
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.
Testimony
City Budget
Testimony Examining Health Care Savings Under Recent Collective Bargaining Agreements
Delivered to the NYC Council Committee on Finance
April 01, 2015
Savings that would have normally been reserved for general budget needs—such as funding libraries or maintaining public parks—and are attributable to a national slowdown in health care costs, are now being credited to the health savings agreement.
Video
City Budget
New York City Budget Microscope
The Bond Buyer
February 21, 2015
Maria Doulis breaks down New York City's $78 billion budget and $84 billion, 10-year capital plan, with the Bond Buyer.
Report
Capital Spending
New York City's Water and Sewer System
Is the Rent Too Damn High?
December 14, 2011
This report provides a history of the City's water rental payment, critiques the current method for setting the rent, and suggests alternative approaches to setting the rent.
Report
Health Care
A Poor Way to Pay for Medicaid
Why New York Should Eliminate Local Funding for Medicaid
December 11, 2011
This paper examines the fiscal inequities and other problems that arise as a result of New York’s largelocal share for Medicaid financing.
Video
Pensions & Benefits
Robert Steel, NYC Deputy Mayor
CBC Breakfast Series
August 31, 2011
CBC Breakfast with NYC Deputy Mayor Bob Steel in August 2011.
Video
Health Care
Jason Helgerson, NYS Medicaid Director (2011)
MRT Update
May 06, 2011
2011 Medicaid Redesign Team Briefing given by NYS Medicaid Director Jason Helgerson.
Report
Energy & Environment
New York’s Green Policies
Too Much or Too Little – A Competitive Perspective
April 03, 2011
This report assesses how New York compares to other cities in pursuing green objectives and suggests how New York’s leaders can set priorities for taking additional steps to promote environmental goals in ways that align with goals of economic growth and urban competitiveness.
Testimony
Health Care
Testimony on Reforming Medicaid
Submitted to the NY State Medicaid Redesign Team
January 28, 2011
Savings can be achieved without denying needed care to low income New Yorkers through three strategies: (1) reducing non‐competitive rates paid to institutional providers; (2) rationalizing utilization of services; (3) tightening eligibility rules and practices to curb the misuse of Medicaid by middle and higher income families for long‐term care.
Video
Health Care
No Easy Solution: Effective Medicaid Cost Control
A Panel Discussion
January 27, 2011
A recent report by the Citizens Budget Commission (CBC) found that elderly and disabled beneficiaries comprise fewer than one in four Medicaid enrollees in New York but account for nearly three of every four program dollars spent. Achieving cost savings among this population, while preserving access to high-quality services, challenges the State to develop creative strategies beyond blunt rate cuts. The CBC and New York State Health Foundation convened a panel of healthcare experts to explore the ideas expounded in the report.
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.
Report
Pensions & Benefits
Old Assumptions, New Realities
The Truth About Wages and Retirement Benefits For Government Employees
March 31, 2006
This report summarizes a more detailed study prepared by CBC, “The Case for Redesigning Retirement Benefits for New York’s Public Employees,” released in 2005. For decades the popular image of government employment has involved the tradeoff of lower wages for job security and relatively generous retirement benefits. That image, while still widespread, is no longer the reality.