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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.
Blog
State Budget
Truth in (Financial Plan) Reporting
Will New York State’s Mid-Year Financial Plan Update Appropriately Reflect and Address the Medicaid Budget Shortfall?
November 05, 2019
The State must recognize actual and timely payments for the Medicaid program and explain how it will address the estimated $9 billion Medicaid budget shortfall.
Blog
Public Workforce
Four Facts about New York City Full-Time Employees
October 17, 2019
Here are four facts about full-time NYC employees in fiscal year 2019.
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.
Blog
Public Workforce
The High Cost of the MTA’s New Police Officers
September 25, 2019
The MTA has committed to hiring 500 new police officers to address quality of life concerns, but it is necessary to understand this strategy comes at a cost.
Blog
Pensions & Benefits
Governor Cuomo Should Veto 19 Benefit Sweetener Bills
2019 Benefit Sweetener Scorecard Update
July 12, 2019
The bills would enhance benefits without providing enhanced services to taxpayers or offsetting savings.
Blog
Public Workforce
59 New Bills Added to Benefit Sweetener Scorecard
June 06, 2019
In the remaining weeks of the legislative session, members will propose to enhance the benefits of State and local public employees and retirees.
Blog
Public Workforce
NYS Legislature Introduces 130 Benefit Sweetener Bills
May 01, 2019
For the remaining seven weeks of the legislative session, members will propose to enhance the benefits of State and local public employees and retirees.
Blog
Pensions & Benefits
2019 Benefit Sweetener Scorecard
New York State Bill Tracker
May 01, 2019
For the remaining seven weeks of the legislative session, members will propose to enhance the benefits of State and local public employees and retirees.
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.
Blog
Health Care
Medicaid Supplemental Payments
State Workgroup Makes Limited Progress on Part of the Problem
February 15, 2019
New York State’s $78 billion Medicaid program includes $5.3 billion of “supplemental payments”. These supplemental payments are crucial to hospitals across the state, especially those largely serving uninsured and Medicaid populations.
Blog
Public Workforce
Benefits Sweetener Scorecard
2016
November 29, 2016
The 2016 Benefit Sweetener Scorecard identifies more than 60 bills active this session. These bills could cost the State and local governments hundreds of millions of dollars per year, and since about half the bills do not specify a fiscal impact, the potential costs could be significantly greater.
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.
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.
Blog
State Budget
A Step Backward on Medicaid Funding
March 24, 2016
New York’s policy of requiring counties and New York City to pay a sizable share of Medicaid costs is out of step with other states and results in an inequitable distribution of Medicaid costs among New York taxpayers. In 2005 the State capped the growth in the local share of Medicaid, which was a step in the right direction. In 2012 the State began a phased takeover of local share growth—a further improvement. However, the 2017 Executive Budget proposes to reinstitute New York City’s contribution toward growth in Medicaid expenses, which would be a giant step backwards.
Blog
State Budget
Pass Governor’s Proposal to Reform State Retiree Health Insurance Benefits
March 13, 2016
State of New York retirees with more than 10 years of service receive health insurance benefits substantially more generous than those offered by private sector and most public sector employers. Governor Andrew Cuomo’s Executive Budget for FY2017 includes a fair proposal to reduce these growing costs, and the Legislature should adopt it.
Blog
Public Workforce
What’s Happening at Your Fire Station?
March 09, 2016
What's your local fire house up to? Hint: Likely responding to something other than a fire. Reviews changing workload of FDNY.
Report
Energy & Environment
Can We Have Our Cake and Compost It Too?
An Analysis of Organic Waste Diversion in New York City
February 02, 2016
This report examines the feasibility and the cost of options for expanding the Department of Sanitation's organic waste program.
Blog
Public Workforce
A Deal is a Deal
Settled Contracts Should Remain Settled
January 05, 2016
Reviews troubling additions to settled contracts under Mayor de Blasio to make them more generous without comparable improvements to productivity.