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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.
Blog
Pensions & Benefits
Simple But Significant
Savings from the Elimination of the Medicare Part B Reimbursement
December 19, 2010
As New York’s elected officials consider options for balancing budgets in the face of record deficits, they should eliminate a public employee fringe benefit rarely offered anywhere else: reimbursement for Medicare Part B premiums.
Blog
Pensions & Benefits
What is OPEB and Why Does it Cost $9.4 Billion?
December 05, 2010
The true cost of retiree health insurance and "other postemployment benefits," or OPEB, was $9.4 billion in fiscal year 2010. Why it cost so much and what should be done about it.
Report
Health Care
Analysis of the New York State Medicaid Program and Identification of Potential Cost-Containment Opportunities
November 17, 2010
This report identifies trends in expenditures and enrollment in New York’s Medicaid program.
Report
Health Care
No Easy Solution
Effective Medicaid Control Must Focus on the Elderly and Disabled
November 17, 2010
This report examines Medicaid spending in New York relative to other states and finds the program is big not just because New York is a populous state or it covers a lot of people. It recommends a multi‐year agenda to restructure service provision and the cost of care for the elderly and disabled.
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
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
Transportation
How To Balance the MTA's Budget
June 27, 2006
In order for New York to maintain a strong and vibrant economy, its transportation system has to be kept up to par and expanded to meet future needs. This report examines the two problems and suggests alternative financing policies for the MTA that would balance its operating budget and provide sufficient capital to accelerate the pace at which its facilities are brought to a state of good repair.
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.
Report
Health Care
Confronting the Tradeoffs in Medicaid Cost Containment
February 20, 2004
While its benefits are clear and widely supported, Medicaid's costs are far more controversial. In New York, total spending for Medicaid of $36 billion in fiscal year 2003 represented nearly 40 percent of total State expenditures. The portion of the Medicaid program paid for with State-raised revenues totaled $12.6 billion or more than one-quarter of all State spending financed with State revenues.
Report
Health Care
Better Managing New York State's Health Insurance Subsidy Programs
September 30, 2001
Report by the CBC that analyzes the problems that limit the impact of the subsidized health insurance programs and advocates a two-stage strategy - an integrated eligibility system and expanding integrated eligibility to other programs - to make the health insurance subsidy programs work more effectively and efficiently.
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).