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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
A Poor Way to Pay for Medicaid
Why New York Should Eliminate Local Funding for Medicaid
December 11, 2011
This paper examines the fiscal inequities and other problems that arise as a result of New York’s largelocal share for Medicaid financing.
Blog
State Budget
Balancing the State Budget – Halfway There, But Running Out of Gas?
December 19, 2011
The Governor should avoid more new taxes as the way to close the rest of the budget gap and instead focus on containing spending growth in Medicaid, pensions, education, and economic development.
Blog
Taxes
New Revenues and the Path to Sustainable State Spending
March 07, 2011
Since the onset of the national recession the State has relied more extensively on new revenue measures than on recurring spending cuts.
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.
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.
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.
Report
State Budget
The Broken Umbrella
How to Make New York State's Rainy Day Fund More Useful
June 05, 2011
This report explores the reasons why New York has not developed an effective rainy day fund and presents four guidelines for how the State can create a more useful rainy day fund.
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
Education
Needed Mandate Relief on the Way?
November 01, 2011
New York State imposes more than 200 special education mandates above and beyond those required by federal law; changes are needed to bring NY in line with other states.
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
Education
State School Aid
The Neediest Districts Could Be Spared $750 million in Cuts through Better Targeted Reductions
February 27, 2011
The overall reduction in school aid in the NY State FY2012 Executive Budget is necessary to bring spending to a more sustainable level, but the cuts’ impacts on individual districts should be modified.
Blog
State Budget
About Last Night: The Good News and the Bad
August 03, 2010
Review the State budget deal for FY2011: it partially addresses the current year deficit, but leaves fundamental issues unaddressed, and contains substantial risky elements.
Report
State Budget
Is a State Spending Cap the Right Approach for New York?
October 11, 2010
This paper examines the caps proposed for New York. It also analyzes the Colorado experience and that of three other states in order to help inform decision making for New York.
Blog
Education
High Time For Higher Education Funding Reform
April 13, 2010
Explains why the irrational and inequitable tuition policies at CUNY and SUNY should be replaced by a rational tuition policy that allows for regular increases but also does not reduce financial aid to students.
Blog
Pensions & Benefits
The State and Local Pension Stretch
June 16, 2010
New York stands out for consistently setting aside adequate funds to make its employee pension systems fiscally sound, but political leaders are considering heading down a fiscally irresponsible path.
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
A Closer Look at Paterson's Proposed Layoffs
October 31, 2010
Review Governor Paterson's plan to lay off state workers and allow additional positions to be vacated.
Blog
Taxes
The Tax Hike’s Silver Lining
December 07, 2011
If the temporary personal income tax hike is the price we pay for long-term reforms that enhance infrastructure, encourage job growth, make the state and local tax system more equitable, and reduce future pension costs, then it is a price worth paying.