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Report
City Budget
Reviving EMS
Restructuring Emergency Medical Services in New York City
November 25, 2018
The City of New York spends more than $1.1 billion annually in an effort to provide its residents and visitors this vital service, but the money is not used wisely.
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.
Op Ed
Pensions & Benefits
Pension sweeteners a bitter prospect for New York City
New York Daily News
June 15, 2018
The City Council adopted a budget for fiscal year 2019 that totals almost $90 billion. Almost $10 billion will be devoted to pensions for public employees, and the amount is projected to grow. And yet, for some, this is not enough.
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.
Op Ed
City Budget
How New York City Can Afford Fair Fares
Slowing the growth of the city’s workforce would provide the needed savings
April 16, 2018
The Fair Fares proposal can be accommodated within the city budget by exercising greater restraint in hiring and more aggressively tackling inefficiencies in its operations.
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.
Op Ed
Transportation
Latest value capture proposal could harm NYC
City taxes should not be diverted to the MTA without local input
March 22, 2018
While value capture makes sense in theory, any such arrangement should be tailored to specific projects and circumstances - with the agreement of the City.
Report
Taxes
Practical Policy in Challenging Circumstances:
How NYS and NYC Should Respond to the Tax Cuts and Jobs Act
March 18, 2018
Strategies to mitigate the federal tax law's threat to New York's competitiveness and New Yorkers' wallets.
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?
Op Ed
State Budget
Repeal the Film Tax Credit, But Don't Expect Savings Just Yet
Even if this wasteful program is killed in 2018, its expenditures will continue for years
December 13, 2017
The Citizens Budget Commission is a long-time critic of the New York State Film Tax Credit program and supports its repeal. However, due to some unusual provisions of state tax law, repeal of the credit will not yield immediate state savings.
Report
Pensions & Benefits
2017 Benefit Sweetener Scorecard
December 07, 2017
The State Legislature passed 26 bills. Click to learn more.
Report
Economic Development
Tax Increment Financing: A Primer
December 05, 2017
This report provides an overview of TIF and a five-point checklist drawn from lessons learned from past projects to help identify potential TIF projects.
Report
Health Care
Challenges of Enhancing Effective Engagement of Community Based Organizations in Performing Provider Systems
A Discussion Paper
November 13, 2017
Reform of NY's Medicaid program has made significant progress; however, much remains to be accomplished. A project funded with support from the New York Community Trust to help effectively implement redesign strategies.
Report
Pensions & Benefits
The Price of Promises Made
What New York City Should Do About Its $95 Billion OPEB Debt
October 25, 2017
CBC presents options for tackling this looming $95 billion liability threatening New York City's fiscal health.
Report
Health Care
Medicaid Supplemental Payments
The Alphabet Soup of Programs Sustaining Ailing Hospitals Faces Risks and Needs Reform
August 31, 2017
$5 billion in annual supplemental payments are important to the finances of many hospitals. Federal policy will shrink these payments; the impact will be most severe for NYC municipal hospitals.
Report
Public Workforce
Overboard on OT
Reductions in Uniformed Overtime Needed
August 17, 2017
NYC blows its budget on overtime annually, and the costs have grown tremendously year over year. To "cap" overtime effectively, labor and management should work collaboratively.
Report
Public Workforce
Governor Cuomo's Labor Contracts
Only Getting Part of the Job Done
January 06, 2017
In collective bargaining, the Governor must balance paying workers fairly with keeping tax levels reasonable. More needs to be done to control rising fringe benefits costs.