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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.
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.
Statement
Public Workforce
Statement on Borrowing vs. Layoffs in NYC Budget
September 02, 2020
The New York City budget adopted 64 days ago commits to $1 billion in recurring savings from negotiations with labor unions; however, to date apparently no savings have been agreed upon.
Blog
Public Workforce
TWU Contract
Productivity Not a Done Deal
February 18, 2020
The agreements should include greater savings, including workrule changes, to offset the impact of these increased costs.
Testimony
City Budget
Testimony on Oversight of Changes to Municipal Retirees’ Health Care Plan
Testimony before the City Council Committee on Civil Service and Labor
October 28, 2021
This agreement starts right and then veers off course to miss the finish line because the resulting savings do not flow to the City’s bottom line.
Blog
Public Workforce
Rising Again
City Reverses Course on Workforce Reduction
June 08, 2021
With annual budget gaps in fiscal years 2023 to 2025 nearing $5 billion (including unspecified labor savings), the City should not increase the size of its workforce.
Statement
State Budget
Statement on the Medicaid Redesign Team Recommendations
March 19, 2020
The MRT had a difficult task to do with little time, and deserves credit for soliciting public feedback, considering hundreds of proposals, and rising to the challenge of proposing significant reforms and savings without recommending tax increases.
Letter
Housing
NYCHA's Project Labor Agreement Needs Evaluation
A Letter to the Mayor and NYCHA Chair
March 05, 2018
Has the PLA between NYCHA and the BCTC delivered on expected savings? An evaluation is needed before any decision to renew the PLA.
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.
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
City Budget
Hiring Now, Attrition Later
One-Year Hiring Thaw Leaves Budgeted Staff Reduction For Next Mayor
July 13, 2021
In the Fiscal Year 2022 Adopted Budget, Mayor Bill de Blasio and the City Council temporarily reversed the City’s partial hiring freeze savings plan.
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.
Blog
State Budget
Budget Proposals with a Big Long-Term Payoff
March 16, 2017
The NYS FY2018 Executive Budget includes three proposals to reduce the State’s cost of providing retiree health insurance. Budget savings would be modest, but the reduction in the OPEB liability would be significant.
Blog
Pensions & Benefits
Governor Cuomo Should Veto 19 Benefit Sweetener Bills
2019 Benefit Sweetener Scorecard Update
July 12, 2019
The bills would enhance benefits without providing enhanced services to taxpayers or offsetting savings.
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.
Blog
Health Care
Improving the Way New York Pays for Medicaid
January 24, 2012
Governor Andrew Cuomo’s budget proposals for fiscal year 2012-13 include an important first step towards fixing a longstanding flaw in the way New York pays for its Medicaid program.
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.
Blog
City Budget
Was the NYPD Budget Cut by $1 Billion?
August 13, 2020
The size of the NYPD’s budget was a prominent focus of this year’s budget negotiations, with many activists and elected officials calling for a $1 billion cut.
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.