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Blog
Taxes
The Tax Hike’s Silver Lining
December 07, 2011
If the temporary personal income tax hike is the price we pay for long-term reforms that enhance infrastructure, encourage job growth, make the state and local tax system more equitable, and reduce future pension costs, then it is a price worth paying.
Blog
Health Care
Cause for Concern with the Medicaid Redesign Team Implementation
October 13, 2011
NY is roughly halfway to meeting its budgeted Medicaid savings target of $2.2 billion for fiscal year 2012. A closer look suggests there is cause for concern that some of the savings may not be implemented on time.
Blog
State Budget
Stop the Wishful Thinking about a New York State Mid-Year “Surplus”
August 22, 2011
Talk of a surplus and using it for new initiatives should end immediately.
Blog
Pensions & Benefits
Possible City Savings From Health Insurance Changes
June 19, 2011
Following the template provided by Governor Cuomo and the CSEA can produce $1.4 billion in savings for New York City in fiscal year 2012 – more than enough to avert layoffs and other cuts.
Blog
Pensions & Benefits
The Case Against Tapping the Health Insurance Premium Stabilization Fund
June 14, 2011
Diverting money from the Health Insurance Premium Stabilization Fund may seem harmless, but it is a fiscal gimmick that only postpones the tough decisions needed to address the underlying causes of the City’s financial predicament.
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.
Blog
Health Care
Medicaid Redesign – Significant Progress On A Tough Task
March 09, 2011
The Medicaid Redesign Team changed the dynamic of Medicaid budgeting by focusing many of the stakeholders on the same goal: controlling spending while improving quality of care. The collaborative process promises to be a useful model as reform efforts continue.
Blog
Taxes
New Revenues and the Path to Sustainable State Spending
March 07, 2011
Since the onset of the national recession the State has relied more extensively on new revenue measures than on recurring spending cuts.
Blog
Health Care
One Good Way to Save More on Medicaid
February 21, 2011
One of the Medicaid Redesign Team's proposals – reforming the state’s payment method for nursing homes – should be strengthened to increase savings and improve care.
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.
Blog
Pensions & Benefits
Simple But Significant
Savings from the Elimination of the Medicare Part B Reimbursement
December 19, 2010
As New York’s elected officials consider options for balancing budgets in the face of record deficits, they should eliminate a public employee fringe benefit rarely offered anywhere else: reimbursement for Medicare Part B premiums.
Blog
Pensions & Benefits
What is OPEB and Why Does it Cost $9.4 Billion?
December 05, 2010
The true cost of retiree health insurance and "other postemployment benefits," or OPEB, was $9.4 billion in fiscal year 2010. Why it cost so much and what should be done about it.
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.
Testimony
State Budget
Testimony on Improving the State Budgetary Process
Delivered to the Select Committee on Budget and Tax Reform
December 17, 2009
In this testimony the CBC assesses the effectiveness of provisions in the New York State Budget Reform Act of 2007 and makes additional recommendations for improving transparency, forecasting, and flexibility.
Letter
Pensions & Benefits
CBC Urges Governor Paterson to Veto Costly Mandate for Retired Teachers
May 12, 2009
This letter from the CBC urges the Governor to veto A4628, a bill that would renew the provision that prohibits school districts from reducing the health insurance benefits offered to retirees unless the changes are approved by the local teachers union.
Testimony
Taxes
Testimony on NY State Tax System
Delivered to the Senate Committee on Budget and Tax Reform
March 12, 2009
This testimony emphasizes two key points about New York’s personal income tax (PIT) and offers a framework for thinking about tax reform in the current fiscal context: 1) New York’s PIT is progressive, but its overall tax structure is not; and 2) New York’s economic competitiveness should be an important factor in considering changes to its tax rates.
Letter
State Budget
10 Do's and Don'ts for Spending the Federal Stimulus Funds
February 25, 2009
This letter to the Legislature warns that the federal aid to New York is limited and temporary, suggests ten do’s and don’ts for using the federal funds and closing the budget gap while avoiding harmful cuts and tax increases, and highlights possible allocation of the funds.
Letter
State Budget
Recommendations for FY 2009-2010 State Budget
February 02, 2009
This letter to the state legislature suggests two strategic directions to guide budget policy and offers a roadmap that avoids harmful tax increases and makes spending better serve New Yorkers by suggesting reforms in five key areas: Medicaid, school aid, correctional facilities, public employee benefits, and programs like STAR and Empire Zones.