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Report
Transportation
NYS Infrastructure Policy
A Background Paper for the CBC Conference on The Most Important Fiscal and Economic Issues Facing New York State
December 13, 2018
This paper was prepared by HR&A Advisors as a background paper for the December 2018 CBC Conference on most important fiscal and economic issues facing New York State. The paper provides recommendations for how NYS should prioritize, fund, and deliver key infrastructure investments.
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
Transportation
Getting Back on Track
Replacing and Repairing Subway Cars Will Be Expensive and Take More Than a Decade
July 18, 2018
Decisions to redirect capital dollars to other priorities and stretch inspection and maintenance cycles contributed to the decline in subway reliability, and challenges lay ahead for plans to purchase 3,600 new subway cars and retrofit 1,200 existing cars.
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
Transportation
4 Things You Should Know About the MTA's Commuter Railroads
April 18, 2018
The Long Island Rail Road is much more inefficient than Metro-North. Here's why.
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
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
Transportation
Misplaced Priorities in the MTA's Capital Plan
October 23, 2014
The plan identifies $16.9 billion in available funding, but a gap of about $15.2 billion remains unfunded. This CBC study focuses on how the money would be spent and recommends that the proposed plan be revised to address three serious shortcomings.
Report
Transportation
Financing PATH
Options for Deficit Reduction
April 23, 2014
This report examines the financing arrangements for the PATH transit system operated by the Port Authority of New York and New Jersey.
Report
Transportation
Working in the Dark
Implementation of the MTA's Capital Plan
October 20, 2009
This report analyzes the MTA’s effectiveness at managing its five-year capital plans. It does so by examining the capital projects scheduled by the MTA for work in the three-year period from January 2005 to December 2007.
Report
Capital Spending
Transportation Infrastructure and New York's Competitiveness
June 29, 1999
This CBC report analyzes New York's competitiveness with respect to transportation infrastructure. The report focuses on the highway and mass transit systems of the New York metropolitan area and assesses New York City's competitiveness in relation to its domestic rivals (Chicago and Los Angeles) and its international competitors (London, Tokyo, and Paris).