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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
Possible City Savings From Health Insurance Changes
June 19, 2011
Following the template provided by Governor Cuomo and the CSEA can produce $1.4 billion in savings for New York City in fiscal year 2012 – more than enough to avert layoffs and other cuts.
Blog
Pensions & Benefits
How Much Did New York’s 2010 Early Retirement Incentive Save?
October 25, 2011
The CBC estimates that early retirement incentives saved taxpayers $681 million savings- less than would have been saved if the Governor had been able to achieve through layoffs.
Blog
Pensions & Benefits
School Districts Savings by Following State Practices for Employee Health Insurance
February 01, 2011
Negotiating increases in premium sharing with school employee unions would provide immediate savings and reduce future costs.
Blog
Public Workforce
Another Good Idea to Save the City Money
October 27, 2011
The New York City union welfare funds could also use some "depoliticizing, professionalizing and streamlining."
Report
State Budget
Options for Budgetary Savings in New York State
October 17, 2007
This background paper focuses on the issue of more effective use of state fiscal resources. It was prepared to inform discussion among the participants at the second of the three agenda-setting conferences organized by CBC in the months of September, October and November 2007 to promote fiscal reform.
Report
Education
Educational Efficiencies
Savings Within the Educational System
November 29, 2004
CBC recommends reforms to improve efficiencies in education spending to offset the additional spending required under the Campaign for Fiscal Equity settlement. Recommendations include: 1) Reallocating state education aid away from wealthy districts and to more needy districts; 2) Relaxing limits on the time teachers spend in the classroom; 3) Consolidating small school districts; and 4) placing a cap on administrative expenses.
Blog
Health Care
Cause for Concern with the Medicaid Redesign Team Implementation
October 13, 2011
NY is roughly halfway to meeting its budgeted Medicaid savings target of $2.2 billion for fiscal year 2012. A closer look suggests there is cause for concern that some of the savings may not be implemented on time.
Blog
Public Workforce
State Agreement Is a Template to Avoid City Layoffs
June 22, 2011
Following the template provided by Governor Cuomo and the CSEA can produce $1.4 billion in savings for New York City in fiscal year 2012 – more than enough to avert layoffs and other cuts.
Blog
City Budget
The New York City Budget Since the Recession
Seven Rounds of Cuts and the Deepest Still to Come
February 06, 2011
Since 2008, Mayor Bloomberg has implemented seven rounds of cuts to find budget savings, and an eight round is likely due to anticipated reductions in State and federal aid.
Testimony
Health Care
Testimony on Reforming Medicaid
Submitted to the NY State Medicaid Redesign Team
January 28, 2011
Savings can be achieved without denying needed care to low income New Yorkers through three strategies: (1) reducing non‐competitive rates paid to institutional providers; (2) rationalizing utilization of services; (3) tightening eligibility rules and practices to curb the misuse of Medicaid by middle and higher income families for long‐term care.
Video
Health Care
No Easy Solution: Effective Medicaid Cost Control
A Panel Discussion
January 27, 2011
A recent report by the Citizens Budget Commission (CBC) found that elderly and disabled beneficiaries comprise fewer than one in four Medicaid enrollees in New York but account for nearly three of every four program dollars spent. Achieving cost savings among this population, while preserving access to high-quality services, challenges the State to develop creative strategies beyond blunt rate cuts. The CBC and New York State Health Foundation convened a panel of healthcare experts to explore the ideas expounded in the report.
Blog
Public Workforce
What Concessions?
August 28, 2011
A close look at the agreements between Mayor Bloomberg and city unions reveals that jobs were not saved by labor concessions but through diverting other resources or creating new risks in the budget.
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.
Testimony
Energy & Environment
Testimony on NYC Solid Waste Management Practices
Submitted to NYC Council Committee on Sanitation & Solid Waste Management
October 27, 2011
New York is being wasteful in its waste management practices. We could save tens of millions, perhaps even hundreds of millions, of dollars without harming the environment by more sensibly managing New Yorkers’ solid waste. An improved system for waste collection and disposal could prevent further reductions in essential services in coming budgets.
Report
Economic Development
Avoiding Past Mistakes
Principles for Governing Regional Economic Development Councils
September 12, 2011
This report examines New York State economic development programs' past mistakes and explores the potential to improve meaningful outcomes via new regional councils designed to streamline and coordinate the current array of state economic development efforts. It warns of the danger that new regional councils will become new heads on the already huge an unwieldy New York State economic development portfolio.
Blog
State Budget
Stop the Wishful Thinking about a New York State Mid-Year “Surplus”
August 22, 2011
Talk of a surplus and using it for new initiatives should end immediately.
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.
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.