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Testimony
Pensions & Benefits
The Health Care Savings Agreement: A Look Back and a Look Forward
Testimony Submitted to the New York City Council Committees on Finance and Civil Service and Labor
November 29, 2018
Savings to health benefit expenditures are crucial to attaining labor settlements that are fair and reasonable for both City employees and taxpayers.
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
City Budget
Short-term Goals for Long-term Debt
Time to Prioritize Reducing New York City’s Liabilities
September 18, 2018
Paying down the City's debts should be a greater priority.
Report
Pensions & Benefits
2018 Benefit Sweetener Scorecard
May 18, 2018
The balance of this year's legislative session will be devoted to moving bills through the legislative process, including proposals to enhance the benefits of State and local public employees and retirees.
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.
Report
Pensions & Benefits
2018 Benefit Sweetener Scorecard
April 12, 2018
With negotiations completed and a State Budget enacted, the balance of this year’s legislative session will be devoted to moving bills through the legislative process, including proposals to enhance the benefits of State and local public employees and retirees.
Report
Pensions & Benefits
Union-Administered Benefit Funds
Getting More Out Of A Billion Dollar Taxpayer Contribution
February 08, 2018
NYC taxpayers are projected to contribute $1.1 billion to 108 union-administered benefit funds. Better management, oversight, and consolidation can create more than $160 million in savings for the City and improve benefits for members.
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
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.
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.
Report
Health Care
Fiscal Challenges Facing the New York City Health and Hospitals Corporation
November 06, 2014
HHC is crucial to all New Yorkers, providing care to more than one million patients annually. Despite HHC's importance, its fiscal condition is troubled. HHC's cash resources are being depleted; absent an aggressive gap-closing plan its cash reserves will be exhausted in fiscal year 2016.
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.
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.
Report
Health Care
Confronting the Tradeoffs in Medicaid Cost Containment
February 20, 2004
While its benefits are clear and widely supported, Medicaid's costs are far more controversial. In New York, total spending for Medicaid of $36 billion in fiscal year 2003 represented nearly 40 percent of total State expenditures. The portion of the Medicaid program paid for with State-raised revenues totaled $12.6 billion or more than one-quarter of all State spending financed with State revenues.