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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
Economic Development
NYS Legislature Introduces 61 Economic Development Bills
April 24, 2019
Dozens of bills to expand existing economic development programs and create new ones have been introduced during the legislative session.
Report
Economic Development
2019 Economic Development Scorecard
New York State Bill Tracker
April 24, 2019
Dozens of bills to expand existing economic development programs and create new ones have been introduced during the legislative session.
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.
Report
Economic Development
10 Billion Reasons to Rethink Economic Development in New York
February 11, 2019
This policy brief updates the Citizens Budget Commission's previous analyses of the cost of New York's state and local economic development programs.
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.
Blog
Economic Development
Breaking Down the Amazon HQ2 Deal:
Facts and Takeaways
November 21, 2018
Amazon has committed to creating 25,000 full-time high-paying jobs over ten years, investing approximately $2.5 billion, and building 4 million square feet of office space at its new headquarters in Long Island City, with the possibility of expanding to 8 million square feet and 40,000 jobs. To facilitate this investment, Amazon will receive benefits of up to $1.7 billion from New York State and $1.8 billion from New York City. This blog explains the incentive package provided by the State and City and offers five takeaways about the deal and its lessons for future economic development policy.
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.
Blog
State Budget
Hold Your Bets
Four Guidelines for Legalized Sports Betting in New York State
September 05, 2018
State leaders should consider these four guidelines as they decide whether and how to expand sports betting in New York.
Blog
City Budget
Reduction in Uniformed Overtime Is Still Needed
July 12, 2018
Without workrule changes the City’s uniformed overtime caps are unlikely to be successful. In fact, several agencis have already exceeded their FY 2018 caps.
Blog
Public Workforce
The Cost of a Growing City Workforce
Ballooning Budgets and Long-term Liabilities
July 10, 2018
NYC’s municipal workforce is projected to reach a record 331,520 employees by the end of fiscal year 2019. Headcount expansion has a significant impact on the City’s budget and long-term financial position.
Blog
Economic Development
Governor Should Reject Ten Economic Development Bills
June 25, 2018
Ten bills to expand economic development spending had been passed by both houses of the legislature and will eventually end up on the Governor’s desk to sign or veto.
Report
Economic Development
Economic Development Scorecard
2018 New York State Bill Tracker
June 22, 2018
91 bills active in this session would create and expand economic development programs. Until reform is enacted, these bills should be halted.
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
Economic Development
Economic Development Scorecard
2018 New York State Bill Tracker: May Update
May 08, 2018
New York State’s annual investment in economic development exceeds $4 billion, without sufficient disclosure of how the money is spent and what results are achieved.
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
Economic Development
Economic Development Scorecard
2018 New York State Bill Tracker
April 26, 2018
Blog
Health Care
DSH Cuts Delayed
Opportunity for State Reform
April 11, 2018
NYS shouldn't miss an important opportunity to revise its distribution of funds to target hospitals with the greatest needs.
Blog
Health Care
Three Strikes Against the Governor’s Proposed Conversion Revenue
March 13, 2018
Counting on the revenue from health insurance company conversations is not prudent for three important reasons.