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Report
Health Care
A New Approach to Funding New York City Health + Hospitals
December 16, 2019
This report analyzes the system’s finances, compares H+H to other providers in the City, and outlines options to right-size the City subsidy and improve H+H's fiscal future.
Blog
State Budget
Truth in (Financial Plan) Reporting
Will New York State’s Mid-Year Financial Plan Update Appropriately Reflect and Address the Medicaid Budget Shortfall?
November 05, 2019
The State must recognize actual and timely payments for the Medicaid program and explain how it will address the estimated $9 billion Medicaid budget shortfall.
Report
State Budget
Overdue Bills
Time to Face the Reality of Rising Medicaid Costs
October 09, 2019
State leaders have two options to reconcile the disconnect between reality and the budget: reduce Medicaid spending and/or achieve savings in other areas of the budget.
Report
Housing
NYCHA 2.0: Progress at Risk
September 17, 2019
Success of NYCHA 2.0 will require political, labor, and community support; assistance from City, State, and federal governments; and significant management improvements.
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
Housing
Six Guidelines for NYCHA's New Federal Monitor
March 08, 2019
The federal monitor is tasked with ensuring that NYCHA will remediate its most pressing physical issues, including lead, mold, broken elevators, and other deficiencies.
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
Housing
Reconsidering Rent Regulation Reforms
January 30, 2019
New York is a city of renters, and rent regulated units account for nearly half of the city’s rental housing stock.
Report
Economic Development
New York City's Competitiveness in Attracting Talent
2016 Scorecard
September 28, 2016
How does the New York City metro area compare to other large cities in the competition for a talented workforce? Affordability and commute times remain challenges.
Blog
Housing
Agency Focus: NYC Housing Preservation and Development
July 18, 2016
The New York City Department of Housing Preservation and Development is the nation's largest municipal housing agency, and is charged with implementing the largest housing plan in the city's history. How's it doing?
Report
Health Care
What Ails Medicaid in New York?
And Does the Medicaid Redesign Team Have a Cure?
May 20, 2016
This report assess the progress of the Medicaid Redesign Team (MRT), launched in 2011, in implementing strategies to curb costs and improve the quality of care in Medicaid.
Blog
State Budget
A Step Backward on Medicaid Funding
March 24, 2016
New York’s policy of requiring counties and New York City to pay a sizable share of Medicaid costs is out of step with other states and results in an inequitable distribution of Medicaid costs among New York taxpayers. In 2005 the State capped the growth in the local share of Medicaid, which was a step in the right direction. In 2012 the State began a phased takeover of local share growth—a further improvement. However, the 2017 Executive Budget proposes to reinstitute New York City’s contribution toward growth in Medicaid expenses, which would be a giant step backwards.
Blog
State Budget
Pass Governor’s Proposal to Reform State Retiree Health Insurance Benefits
March 13, 2016
State of New York retirees with more than 10 years of service receive health insurance benefits substantially more generous than those offered by private sector and most public sector employers. Governor Andrew Cuomo’s Executive Budget for FY2017 includes a fair proposal to reduce these growing costs, and the Legislature should adopt it.
Blog
Housing
The Cost of Affordable Housing
December 15, 2015
How much does it take to build in NYC?
Report
Housing
Whose Burden Is It Anyway?
Housing Affordability in New York City by Household Characteristics
November 12, 2015
This report looks at New York City rent burdens in more detail, using an in-depth housing survey conducted by the U.S. Census Bureau to consider a variety of household characteristics.
Report
Housing
Five Myths about Rent Regulation in New York City
May 25, 2015
This brief includes five facts to consider regarding myths about rent regulation and New York City's rental market.
Report
Housing
Cleaning House
How to Close the New York City Housing Authority's Operating Gaps
April 29, 2015
This report identifies the reasons for NYCHA's operating deficits in the last decade - insufficent operating subsidies, low rent collections, low nonrental income and high operating costs - and offers recommendations to increase revenues, curb expenses and improve productivity in order to eliminate NYCHA's projected $150 million deficit and improve conditions for its residents.
Blog
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.