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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.
Report
Economic Development
Avoiding Past Mistakes
Principles for Governing Regional Economic Development Councils
September 12, 2011
This report examines New York State economic development programs' past mistakes and explores the potential to improve meaningful outcomes via new regional councils designed to streamline and coordinate the current array of state economic development efforts. It warns of the danger that new regional councils will become new heads on the already huge an unwieldy New York State economic development portfolio.
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.
Report
Energy & Environment
New York’s Green Policies
Too Much or Too Little – A Competitive Perspective
April 03, 2011
This report assesses how New York compares to other cities in pursuing green objectives and suggests how New York’s leaders can set priorities for taking additional steps to promote environmental goals in ways that align with goals of economic growth and urban competitiveness.
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
Capital Spending
How Public-Private Partnerships Can Help New York Address Its Infrastructure Needs
December 11, 2008
This report explores the application of public-private partnership (PPPs) in New York by explaining its definition of such a relationship and offering in-depth guidelines, potential applications (including highway bridges, New York City school buildings, New York City parks, and higher education facilities), examples on a global, national, and local level, and potential missteps and cautions.
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.
Report
Economic Development
It's Time to End New York State's Empire Zone Program
December 02, 2008
The Economic Development Zone program has become a vehicle for giving tax breaks to a variety of corporations with no clear, consistent, verifiable justification for the public investment. This report describes the benefits enjoyed by participating firms and how those benefits are distributed among economic regions of the State and types of firms; identifies and elaborates on the three serious problems that compromise the program’s efficacy; and asserts that the Empire Zone program cannot be fixed, citing past failures to do so, and should end.