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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.
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.
Blog
Transportation
At PATH a Higher Fare is a Fairer Fare
September 29, 2014
On October 1, 2014, the single-ride fare for the Port Authority Trans-Hudson (PATH)—the rail system connecting Newark, Harrison, Jersey City, and Hoboken to Midtown and Lower Manhattan—will increase by 25 cents. Many riders will complain, but the simple truth is that the higher fare is a fairer fare.
Blog
Transportation
Agency Focus: NYS DOT
Budget Analysis
September 28, 2014
Two major challenges face the New York State Department of Transportation: undertaking a comprehensive needs assessment and identifying resources needed to implement a capital plan.
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
Pensions & Benefits
LIRR Pension Fraud Could Happen Again
August 04, 2014
Summarizes findings from a GAO report indicating the federal agency administering disability pensions for those workers had not done enough to prevent a repeat of a widespread fraud scheme by LIRR employees uncovered in 2008.
Blog
Capital Spending
An Update on Port Authority Budget Reform
July 22, 2014
How far has the Port Authority come on improving its budget process, long-term financial viability, and accountability to the public?
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.
Blog
State Budget
Balancing the State Budget – Halfway There, But Running Out of Gas?
December 19, 2011
The Governor should avoid more new taxes as the way to close the rest of the budget gap and instead focus on containing spending growth in Medicaid, pensions, education, and economic development.
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.
Blog
Capital Spending
The Dos and Don’ts of PPPs
December 04, 2011
Dos and Don’ts for the use of PPPs, or "P3s" adapted from the CBC's 2008 report, “How Public-Private Partnerships Can Help New York Address Its Infrastructure Needs.”
Blog
Health Care
Cause for Concern with the Medicaid Redesign Team Implementation
October 13, 2011
NY is roughly halfway to meeting its budgeted Medicaid savings target of $2.2 billion for fiscal year 2012. A closer look suggests there is cause for concern that some of the savings may not be implemented on time.
Blog
Pensions & Benefits
Possible City Savings From Health Insurance Changes
June 19, 2011
Following the template provided by Governor Cuomo and the CSEA can produce $1.4 billion in savings for New York City in fiscal year 2012 – more than enough to avert layoffs and other cuts.
Blog
Pensions & Benefits
The Case Against Tapping the Health Insurance Premium Stabilization Fund
June 14, 2011
Diverting money from the Health Insurance Premium Stabilization Fund may seem harmless, but it is a fiscal gimmick that only postpones the tough decisions needed to address the underlying causes of the City’s financial predicament.
Report
Transportation
Benchmarking Efficiency for the Metropolitan Transportation Authority's Services
April 05, 2011
This report helps identify priorities for ongoing efforts to control costs at the Metropolitan Transportation Authority through benchmarking by comparing unit cost measures with other large urban transit agencies in the United States. It also suggests priorities for new efficiency initiatives.
Blog
Health Care
Medicaid Redesign – Significant Progress On A Tough Task
March 09, 2011
The Medicaid Redesign Team changed the dynamic of Medicaid budgeting by focusing many of the stakeholders on the same goal: controlling spending while improving quality of care. The collaborative process promises to be a useful model as reform efforts continue.
Blog
Health Care
One Good Way to Save More on Medicaid
February 21, 2011
One of the Medicaid Redesign Team's proposals – reforming the state’s payment method for nursing homes – should be strengthened to increase savings and improve care.
Report
Transportation
Financing Transportation Services in the New York Region
March 28, 2004
This report examines the financing policies for passenger transportation services in the New York-New Jersey metropolitan area. Included are 25 entities consisting of the states of New York and New Jersey, the Port Authority, the MTA, New Jersey Transit, four additional authorities operating or financing toll roads, the City of New York, and 15 counties.