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Report
Public Workforce
Twenty Years Later
Integrating Services In The New York City Fire Department
December 09, 2015
The FDNY responds to more more medical emergencies than fires. The department needs a fundamental transformation.
Blog
City Budget
The Cost of More Cops: A Full Accounting
August 03, 2015
Police officers have a greater budget impact than most other City employees: what's the cost of 1,300 new cops?
Blog
Education
Fringe Benefits Pushed New York Education Spending Higher in 2013
June 22, 2015
High levels of school spending in NY largely reflected the relatively high cost of employee compensation.
Blog
Pensions & Benefits
Giving Credit Where It’s Due? New York City’s $1.3 Billion in Health Insurance Savings
December 28, 2014
In its recent mid-year budget modification the de Blasio administration credited a coalition of municipal employee unions with achieving $1.3 billion in savings in the City’s employee and retiree health insurance costs. Yet the unions have not agreed to any changes in the plan, and the City and the unions have taken no actions to reduce costs. How can this be?
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.
Blog
Health Care
Agency Focus: NYS DOH
Budget Analysis
November 03, 2014
The New York State Department of Health has overseen dramatic changes in the state's healthcare system in recent years, including the passage of the federal Affordable Care Act and development of the state's own health care exchange website.
Blog
Health Care
Agency Focus: HHC
Budget Analysis
September 22, 2014
Short budget profiled of the finances and challenges of New York City Health and Hospitals Corporation (HHC) - now known as NYC Health + Hospitals (H+H).
Blog
Public Workforce
Three Questions about 1,000 New Police Officers
June 18, 2014
As the New York City budget for fiscal year 2015 nears adoption, one of the more expensive Council initiatives, at an estimated cost of almost $100 million annually, is the hiring of 1,000 new police officers to increase staffing at police precincts.
Blog
Pensions & Benefits
An Expensive Pension Enhancement Bill is on the Move
June 08, 2014
About the bill to increase disability pension benefits for police officers hired after July 1, 2009, when a more financially sustainable “Tier III” plan went into effect.
Blog
Public Workforce
No Contract Does Not Mean No Raises
April 06, 2014
The fact that the entire unionized New York City municipal workforce is working under expired contracts is a big problem, but it does not mean that all municipal workers have gone without raises since their contracts expired.
Blog
Public Workforce
City Government Needs to Attract Younger Workers
February 18, 2014
City leaders need to think boldly about how best to reconfigure the City’s compensation and hiring practices to attract a young and skilled workforce in coming years.
Report
Health Care
Paying More, But Not Getting Better Care
The Case For A New Payment System For Nursing Homes In New York's Medicaid Program
December 09, 2008
New York’s Medicaid program is the most expensive in the nation, projected to cost $45 billion in fiscal year 2008-09 and to consume nearly one-third of the New York State budget. New York State can provide needy residents with better nursing home care and save about $1.2 billion annually in fiscal year 2008-2009 by changing the way its Medicaid program pays nursing homes. This report explains why the current system is wasteful, perpetuating inefficiencies and inequities without assuring high quality care, and how a better payment system might work.