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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
Education
Vote "No" on the Smart Schools Bond Act
October 19, 2014
While enhancing the use of technology in schools is a popular cause, the Smart Schools Bond Act is ill-conceived and deserves a "no" vote for three reasons discussed in this report.
Report
Energy & Environment
Getting the Fiscal Waste Out of Solid Waste Collection in New York City
September 23, 2014
With a new mayoral administration, a new sanitation commissioner, and an expired contract with municipal sanitation workers, redesigning the public and private components of local waste collection would save about $300 million annually in the long term. The Mayor and City Council should make this restructuring a goal and begin a multiyear phase-in.
Report
Energy & Environment
12 Things New Yorkers Should Know About Their Garbage
May 21, 2014
This report highlights the reasons for the surprisingly high cost of this essential service, including inefficiencies that the City should address in its upcoming negotiations with sanitation workers.
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.