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Report
City Budget
PEG for Productivity
NYC's Fiscal Year 2023 Program to Eliminate the Gap
April 05, 2022
To increase the City’s fiscal stability and the quality of priority services, identifying and implementing efficiencies to reduce recurring costs without reducing services should be a high priority.
Report
City Budget
The City's Budget Gap Since 9/11
Factors That Caused It, and Plans to Close It
March 03, 2003
This report identifies the causes of New York City’s unprecedented budget gap for fiscal year 2003-2004 and recommends solutions to close it.
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
Health Care
Better Managing New York State's Health Insurance Subsidy Programs
September 30, 2001
Report by the CBC that analyzes the problems that limit the impact of the subsidized health insurance programs and advocates a two-stage strategy - an integrated eligibility system and expanding integrated eligibility to other programs - to make the health insurance subsidy programs work more effectively and efficiently.
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
City Budget
Don’t Step Off the Cliff
Fiscal Cliffs and Budget Gaps in New York City’s Fiscal Year 2025 Preliminary Budget
February 08, 2024
To balance the fiscal year 2025 budget while also ensuring projected spending fully supports all planned programs, the City should implement an additional PEG in the Executive Budget and shrink or eliminate programs that the available resources cannot fully support.
Report
Economic Development
Managing Economic Development Programs in NYC: Lessons for the Next Mayor From the Past Decade
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 06, 2013
This paper describes the economic development programs used in New York City and assesses the experience during the Bloomberg Administration in order to provide suggestions for further improvements by the next Mayor.
Report
Housing
Cleaning House
How to Close the New York City Housing Authority's Operating Gaps
April 29, 2015
This report identifies the reasons for NYCHA's operating deficits in the last decade - insufficent operating subsidies, low rent collections, low nonrental income and high operating costs - and offers recommendations to increase revenues, curb expenses and improve productivity in order to eliminate NYCHA's projected $150 million deficit and improve conditions for its residents.
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
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.
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
City Budget
What to Look for in the New York City November 2023 Financial Plan
November 14, 2023
When New York City adopted its fiscal year 2024 budget in June 2023 without addressing underlying structural imbalances, it virtually guaranteed that major fiscal challenges remained on the horizon.
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
City Budget
Unpacking the PEG
Examining the Impact of the NYC November 2023 Financial Plan Savings
January 10, 2024
Agencies should continue to identify efficiency savings that do not affect critical program services.
Report
City Budget
Real Numbers, Real Choices
Recommendations for a Clearer Fiscal View in the NYC Executive Budget
April 18, 2024
New York City’s long-run fiscal stability is precarious, and its short-term prospects are uncertain. Major causes of this uncertainty are revenue estimates that may be unreasonably conservative and spending estimates for current programs that are alarmingly understated.
Report
Economic Development
Opportunity Zones In New York State and City
August 20, 2019
The Opportunity Zone program may amount to significant losses for both NYS and NYC before rising substantially in 2029.
Report
City Budget
PEGs In Perspective
NYC FY 2024 Executive Budget
May 23, 2023
The vast majority of these actions will have no impact on services, thus far providing savings primarily by saving money that would not have been spent anyway.
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
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.
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.