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Report
City Budget
NYC Resident Feedback Survey: Report of Results
May 16, 2017
10,000 New Yorkers responded to a survey about which services they're satisfied with -- and which are in need of improvement.
Report
City Budget
NYC Resident Feedback Survey: Community District Results
Reveal Wide "Satisfaction Gap" Between Districts
June 30, 2017
How do New Yorkers feel about quality of life and municipal services? It varies tremendously by community district.
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
Housing
Rent and Ride
Affordability is About Both
January 13, 2020
While housing is the largest share of spending for most households, a more robust picture of affordability also should include transportation costs.
Report
Capital Spending
Three Ways to Improve the Port Authority's Capital Plan
February 16, 2017
Despite an increase in transparency and accountability, the updated plan remains deficient in three important ways.
Report
Economic Development
Competitiveness Scorecard
Assessing NYC's Competitiveness as a Home for Human Capital
February 06, 2013
This scorecard assesses the New York City metropolitan area’s competitiveness in attracting, cultivating and retaining talent. The scorecard is based on the relative performance of the New York City metro area against 14 of the largest domestic metro areas on a comprehensive set of quantitative indicators.
Report
Transportation
Sisyphus and Subway Stations
August 31, 2015
This brief examines why the subway stations of the Metropolitan Transportation Authority never reach a state of good repair and recommends how to address the challenge.
Report
Transportation
Financing PATH
Options for Deficit Reduction
April 23, 2014
This report examines the financing arrangements for the PATH transit system operated by the Port Authority of New York and New Jersey.
Report
Transportation
Access-A-Ride
Ways to Do the Right Thing More Efficiently
September 20, 2016
This report identifies strategies and options the Metropolitan Transportation Authority (MTA) can pursue to improve the financial outlook and quality of Access-A-Ride, the paratransit program.
Report
Health Care
Lessons from La La Land
Can the Turnaround of Los Angeles' Public Hospitals Be Replicated in New York?
January 08, 2018
Does LA's experience hold lessons for NYC Health + Hospitals?
Report
Energy & Environment
4 Facts About New York’s Transportation Emissions
November 11, 2021
As the State implements policies to meet these ambitious targets, shrinking emissions from transportation will be vitally important.
Report
Transportation
Switching Gears
A New Way to Fund Transportation
May 08, 2019
The new congestion pricing fee serves the dual goals of raising revenue and reducing traffic congestion; however, the measure is not a complete solution to the State’s need for transportation funding.
Report
Health Care
Still a Poor Way to Pay for Medicaid
October 01, 2018
For more than 50 years New York State has financed its Medicaid program in a unique way: the State requires New York City and the 57 other counties to pay more for Medicaid than all other local governments in the nation combined.
Report
Capital Spending
Bridging the Financial Gap
Funding the Governor Mario M. Cuomo Bridge
October 12, 2017
Tolls for the new Governor Mario M. Cuomo Bridge have not been released yet, but based on construction costs, CBC estimates it will be approximately $10 for cars, double the current rate.
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
Transportation
NYS Infrastructure Policy
A Background Paper for the CBC Conference on The Most Important Fiscal and Economic Issues Facing New York State
December 13, 2018
This paper was prepared by HR&A Advisors as a background paper for the December 2018 CBC Conference on most important fiscal and economic issues facing New York State. The paper provides recommendations for how NYS should prioritize, fund, and deliver key infrastructure investments.
Report
Transportation
Taxis, Taxes, and the MTA Funding Gap
August 25, 2015
This policy brief suggests alternatives for taxes on services regulated by New York City’s Taxi and Limousine Commission as a potential source of filling the gap in the MTA's proposed 2015-2019 capital plan.
Report
Transportation
Swimming in Subsidies
The High Cost of NYC Ferry
March 28, 2019
NYC Ferry serves more than 4 million passengers at a high level of operating subsidy: $10.73 per ride, 10 times that of the New York City Transit.
Report
Transportation
Focus, Fix, and Finance
How to Rightsize and Fund the 2025 – 2029 MTA Capital Program
September 16, 2024
This report assesses the status of projects in the current and prior capital programs, identifies the appropriate maximum size and focus of an achievable but ambitious capital program, estimates available funding and the size of the funding gap, outlines criteria for consideration of funding sources, and discusses how those criteria apply to sources that have been suggested or may be discussed.
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.