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Report
Public Workforce
Reform at the Bargaining Table
Labor’s Participation Needed to Improve the MTA’s Financial Outlook
April 30, 2019
The MTA's fiscal outlook is dire, and improving it requires a multipronged approach. Paramount in the effort is slowing the growth of labor costs.
Report
Public Workforce
MTA-TWU Wage Negotiations
A "Fair Increase" Will Not Increase Fares
January 29, 2012
This report examines the contract negotiations between the Metropolitan Transportation Authority (MTA) and its largest union, the Transport Workers Union Local 100, and it applies the criteria specified by the Public Employment Relations Board for determining arbitration awards. It finds that the public interest will be served by an agreement that maintains a good standard of living for workers, is within the MTA’s ability to pay, and does not force further harm upon riders.
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
Pensions & Benefits
An Expensive and Risky Benefit
How Low Interest Rates Cost New York City Taxpayers $1.2 Billion Annually
October 05, 2016
A unique feature of a tax deferred compensation plan available to NYC teachers guarantees them a 7% investment return regardless of what happens to interest rates or in the stock market.
Report
Pensions & Benefits
Everybody’s Doing It
Health Insurance Premium-Sharing by Employees and Retirees in the Public and Private Sectors
January 27, 2013
This report analyzes New York City’s health premium policies for employees and retirees and suggests options to generate savings by implementing premium-sharing in the City's largest plans.
Report
Pensions & Benefits
The First Priority in the New Year – Pension Reform
January 10, 2012
This brief examines pension cost growth in New York State and its effect on the New York's competitiveness. It recommends the adoption of a new tier of pension plans known as the Tier VI Proposal.
Report
Health Care
A Troubling Prognosis for HHC's Finances
April 23, 2012
This report assesses New York City Health and Hospitals Corporation's (HHC) critical role within the health care safety net protecting lower income New Yorkers, and it explores two significant fiscal challenges in the coming years: threats to City-supported revenues and an inadequate gap-closing plan.
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.
Report
Health Care
Challenges of Enhancing Effective Engagement of Community Based Organizations in Performing Provider Systems
A Discussion Paper
November 13, 2017
Reform of NY's Medicaid program has made significant progress; however, much remains to be accomplished. A project funded with support from the New York Community Trust to help effectively implement redesign strategies.
Report
Health Care
Options for Enhancing New York's Health Home Initiative
A Discussion Paper
May 01, 2018
This paper addresses the challenges in extending Health Homes to all who can benefit from their services in a cost-effective manner.
Report
Health Care
Six Things to Know About New York State Health Care Reform Act (HCRA) Taxes
March 05, 2020
As lawmakers negotiate this year’s budget, they should review HCRA’s role in health care funding and its impact upon privately insured New Yorkers.
Report
Pensions & Benefits
Six-Figure Civil Servants
Average Compensation Cost Of New York City Public Employees
January 08, 2009
In fiscal year 2008, the average compensation cost per New York City full-time employee was $106,743; this figure represents a system out of sync with the private sector and an opportunity to limit the growth of the City’s liability in the future while continuing to provide fair and adequate compensation to the City’s employees. Three factors that have driven the growth in compensation among City employees are: 1) Pay increases are directly attributable to contract settlements with unions; 2) More generous terms of the health insurance benefits offered by the City, as compared to the private sector and other state and local governments; and 3) The benefit retirement plans offered by the City that lock in the City’s future payouts to retirees based on the employee’s pay, years of employment and age at retirement among other factors. CBC offers three recommendations in response to these factors.
Report
Pensions & Benefits
Union-Administered Benefit Funds
Getting More Out Of A Billion Dollar Taxpayer Contribution
February 08, 2018
NYC taxpayers are projected to contribute $1.1 billion to 108 union-administered benefit funds. Better management, oversight, and consolidation can create more than $160 million in savings for the City and improve benefits for members.
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.
Report
Public Workforce
The Citizens' Stakes in Collective Bargaining
Recommendations for the Current Negotiations with the Municipal Employee Unions
December 12, 2000
Report presenting recommendations for contracts to be negotiated with municipal employees that would help reduce the cost of public services, improve the quality of those services, and enhance the income and working conditions of New York's civil servants.
Report
Health Care
Narrowing New York's Health Insurance Coverage Gap
January 11, 2022
More than 1 million New Yorkers remained uninsured and New York ranks seventh among states on coverage.
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
Public Workforce
Governor Cuomo's Labor Contracts
Only Getting Part of the Job Done
January 06, 2017
In collective bargaining, the Governor must balance paying workers fairly with keeping tax levels reasonable. More needs to be done to control rising fringe benefits costs.
Report
Health Care
Medicaid Supplemental Payments
The Alphabet Soup of Programs Sustaining Ailing Hospitals Faces Risks and Needs Reform
August 31, 2017
$5 billion in annual supplemental payments are important to the finances of many hospitals. Federal policy will shrink these payments; the impact will be most severe for NYC municipal hospitals.
Report
Energy & Environment
Can We Have Our Cake and Compost It Too?
An Analysis of Organic Waste Diversion in New York City
February 02, 2016
This report examines the feasibility and the cost of options for expanding the Department of Sanitation's organic waste program.